ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 17
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Experiences with a structured conversation tool:
A qualitative study on feasibility in general practice in
Norway
Mrs Cathrine Abrahamsen
Department of General Practice, Institute of Health and Society, University of Oslo
Objective
To explore general practitioners’ (GPs) experiences from consultations utilising a structured
conversation tool.
Design and participants
A structured conversation tool with elements from cognitive behavioural therapy (CBT) were developed
for general practice to help patients accomplish a level of self-care, and to aid the physician’s
assessment of sick leave. We have called the conversation tool the Individual Challenge Inventory
Tool (ICIT). Eight GPs received training and used the ICIT on 49 patients with medically unexplained
physical symptoms (MUPS). The physicians were gathered into two focus groups. The interviews were
recorded on tape, transcribed and analysed with systematic text condensation.
Main outcome measures
The outcome of this study is the physicians’ experiences of the management and feasibility of utilising
ICIT in general practice in patients with MUPS.
Results
The physicians found the ICIT helpful to sort out, clarify and concretise the patients’ issues. They felt
less fatigued as patients took on a greater responsibility for their own recovery and reported a greater
satisfaction and better management with the patients. A salutogenic approach gave the physicians
greater insight into their patients and their issues, opening up new treatment options and aiding in
recovery.
By focusing on the patient’s potential capabilities despite their medical condition, some physicians
experienced that many patients on sick leave returned to work quicker.
Conclusions
The GPs in this study reported that the ICIT was helpful in consultations with patients on sick leave due
to MUPS and facilitated a sense of competence for the physician.
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