General Practitioners and Participation Rate in ColoRectal Cancer Screening
- Conditions
- Colorectal Cancer
- Interventions
- Behavioral: Interaction between patient and trained general practitioners in motivational interviewing
- Registration Number
- NCT04492215
- Lead Sponsor
- University Hospital, Brest
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 902
- 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.
- 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)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Physicians trained in motivational interviewing Interaction between patient and trained general practitioners in motivational interviewing Patients followed by general practitioners trained in motivational interviewing
- Primary Outcome Measures
Name Time Method Rate of organised colorectal cancer screening at 24 months 24 months The impact of training general practitioners in motivational interviewing on the rate of organised colorectal cancer screening will be assessed by determining whether or not the immunological test proposed as part of organised colorectal cancer screening at 24 months will be carried out.
- Secondary Outcome Measures
Name Time Method Evolution of the self-assessment of life expectancy Day 0, 6 months, 12 months and 24 months Patients will answer a question to find out their self-assessment of life expectancy.
Identification of denial of the colorectal cancer screening 24 months Understand why patients refuse colorectal cancer screening of by identificating et quantificating reasons why the patient did not realised the colorectal cancer screening at 24 months of follow up.
Rate of organised colorectal cancer screening at 12 months 12 months Whether or not to perform the proposed immunological test as part of organized colorectal cancer screening at 12 months.
Changes in perceptions of colorectal cancer screening Day 0, 6 months, 12 months and 24 months Changes in perceptions of colorectal cancer screening will be assessed using a Health Belief Model (HBM). The Health Belief Model (HBM) is a social psychological health behavior change model developed to explain and predict health-related behaviors, particularly in regard to the uptake of health services.
This Health Belief Model use for this study evaluate : individual perceptions (perceived susceptibility and severity), modifying factors (perceived threat and cues to action) and likelihood of action (perceived benefit and perception barriers and taking health action) at Day 0, Month 6, Month 12 and Month 24.
Trial Locations
- Locations (53)
Dr COLLETER
🇫🇷Lanmeur, France
Dr ABALAIN
🇫🇷Brest, France
Dr HENRY
🇫🇷Brest, France
Dr PETTON-HILI
🇫🇷Brest, France
Dr DENIEL
🇫🇷Châteauneuf-du-Faou, France
Dr LE BOURHIS
🇫🇷Châteauneuf-du-Faou, France
Dr PERRIER
🇫🇷Clohars-Carnoët, France
Dr CHAPOIX
🇫🇷Crozon, France
Dr OLIVIER
🇫🇷Daoulas, France
Dr KERVELLA
🇫🇷Douarnenez, France
Dr VELLY
🇫🇷Ergué-Gabéric, France
Dr BLANCHARD
🇫🇷Esquibien, France
Dr DESNOT
🇫🇷Esquibien, France
Dr VIALA
🇫🇷Esquibien, France
Dr DAOUDAL
🇫🇷Fouesnant, France
Dr LEFEVRE
🇫🇷Fouesnant, France
Dr POINOT
🇫🇷Guerlesquin, France
Dr MAGADUR
🇫🇷Fouesnant, France
Dr MUNCK
🇫🇷Guerlesquin, France
Dr LE FLOCH
🇫🇷Guilvinec, France
Dr LE GRIGNOU
🇫🇷Guisseny, France
Dr PITMAN
🇫🇷Landivisiau, France
Dr CRENN-CORVEZ
🇫🇷Lanmeur, France
Dr BECK-ROBERT
🇫🇷Lanmeur, France
Dr BARAIS
🇫🇷Lannilis, France
Dr VERBEQUE MORVAN
🇫🇷Le Conquet, France
Dr TREBAOL
🇫🇷Le Faou, France
Dr GRALL
🇫🇷Le Relecq-Kerhuon, France
Dr BOUTERAON
🇫🇷Loperhet, France
Dr BEURTON-COURAUD
🇫🇷Pleyben, France
Dr PIPET-PENIN
🇫🇷Moelan Sur Mer, France
Dr LUCAS
🇫🇷Pleyben, France
Dr KERFRIDEN KERHOAS
🇫🇷Pleyber-Christ, France
Dr BAUTA
🇫🇷Plonévez-Porzay, France
Dr COGNEAU
🇫🇷Plonévez-Porzay, France
Dr GASNIER
🇫🇷Ploudalmezeau, France
Dr AOUDIA
🇫🇷Plouezoc'h, France
Dr LOPIN
🇫🇷Plougonven, France
Dr PETIT
🇫🇷Pont l'Abbé, France
Dr BODIN
🇫🇷Plouneour Trez, France
Dr DE LA SOUDIERE
🇫🇷Plouzané, France
Dr PREVOT
🇫🇷Pouldreuzic, France
Dr AUTRET
🇫🇷Quimper, France
Dr COROLLER
🇫🇷Quimper, France
Dr COUTURIER
🇫🇷Quimper, France
Dr JOLIVET COUTURE
🇫🇷Quimper, France
Dr BARCELO
🇫🇷Saint-Martin-des-Champs, France
Dr MAILLEUCHET
🇫🇷Spezet, France
Dr KERGASTEL
🇫🇷Quimper, France
Dr NICOLAS
🇫🇷Trégunc, France
Dr ATTENCOURT
🇫🇷Douarnenez, France
Dr DROGOU
🇫🇷Plouhinec, France
Dr MONFORT
🇫🇷St Yvi, France