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General Practitioners and Par...

General Practitioners and Participation Rate in ColoRectal Cancer Screening

Last Updated: 2023-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

Total Enrollment

902 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-31

Study Completion Date

2025-05-31

Brief Summary

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Colorectal cancer is the 2nd leading cause of cancer mortality in France. However this cancer is preventable in the majority of cases by early detection of adenomas.

In France, there is organized colorectal cancer screening, which relies on general practitioners (GPs). Tests delivered by GPs are performed in 89% of cases. However, GPs do not systematically offer the test, for time management and communication reasons. Patients expect their GPs to offer the test and to focus on their expectations. A previous study conducted on GPs showed that training in communication and motivational interviewing increases the number of tests performed by 12.2%.

In order to facilitate the promotion of screening, the investigators would like to develop a training programme for GPs focusing on the application of Motivational Interviewing (MI) techniques to the promotion of colorectal cancer screening.

Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.

This study is a multicenter trial in general medicine. In this randomized trial the 902 subjects will be included prospectively by the general practitioners (GP) participating in the study.

As a first step, general practitioners who have never participated in Motivational Interviewing training will be recruited and split into 2 groups by randomization, an intervention group and a control group. The interventional group will then undergo a 3 times 2-day training in Motivational Interviewing.

In a second step, the patients will be included by those GP and a self-questionnaire will be send at the inclusion and after 6, 12 and 24 months. The evaluation of the number of tests performed and the analyse of the Health Belief Model (HBM) self-questionnaire will be carried out.

At 24 months, there will be an evaluation of the denial motivation questionnaire for patients who have not participated in organized colorectal cancer screening.

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Detailed Description

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Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study is a multicenter trial. Patients will be followed either by GPs from the interventional group who participated in motivational interviewing or by the control group who never participated. The distribution of general practitioners in the groups is done thanks random draw.

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

The study is based on the participation of general practitioners in a training, the test is necessarily open for doctors. However patients will not know if their doctor has received training and will be blinded..

Study Groups

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Physicians trained in motivational interviewing

Patients followed by general practitioners trained in motivational interviewing

Group Type EXPERIMENTAL

Interaction between patient and trained general practitioners in motivational interviewing

Intervention Type BEHAVIORAL

Impact of the medical interview on the patient

Physicians did not trainned in motivational interviewing

Patients followed by general practitioners who did not receive motivational interviewing.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Interaction between patient and trained general practitioners in motivational interviewing

Impact of the medical interview on the patient

Intervention Type BEHAVIORAL

Other Intervention Names

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Experimental arm

Eligibility Criteria

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Inclusion Criteria

* People with an average risk of colorectal cancer (presenting no symptoms or risk factors).
* People living in Finistère.
* People aged 50 to 74 who have never participated in organized screening for colorectal cancer.

Exclusion Criteria

* Persons without address to receive the Health Belief Model (HBM)questionnaire
* People who do not fit the organized screening criteria
* Persons unable to give consent (patients under guardianship, curatorship, non-French speaking, illiterate)

Minimum Eligible Age

50 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Responsible Party

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Responsibility Role SPONSOR

Locations

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