Clinical trial NCT04492215: General Practitioners and Participation Rate in ColoRectal Cancer Screening
Official title: Improving the Participation Rate in ColoRectal Cancer Screening by Training General Practitioners in Motivational Interviewing
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Colorectal Cancer
Keywords: Colorectal cancer
General practitioners
Motivational interviewing
Lead sponsor: University Hospital, Brest
Sponsor class: OTHER
First posted: 2020-07-30
Enrollment: 902
Sex: ALL
Minimum age (years): 50
Maximum age (years): 74
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 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 purpose: DIAGNOSTIC

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.


Eligibility criteria: 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)

Primary outcomes:
measure: Rate of organised colorectal cancer screening at 24 months
timeFrame: 24 months
Secondary outcomes:
measure: Rate of organised colorectal cancer screening at 12 months
timeFrame: 12 months
measure: Changes in perceptions of colorectal cancer screening
timeFrame: Day 0, 6 months, 12 months and 24 months
measure: Evolution of the self-assessment of life expectancy
timeFrame: Day 0, 6 months, 12 months and 24 months
measure: Identification of denial of the colorectal cancer screening
timeFrame: 24 months
Other outcomes:
Locations:
city: Brest
country: France
facility: Dr ABALAIN
city: Brest
country: France
facility: Dr HENRY
city: Brest
country: France
facility: Dr PETTON-HILI
city: Châteauneuf-du-Faou
country: France
facility: Dr DENIEL
city: Châteauneuf-du-Faou
country: France
facility: Dr LE BOURHIS
city: Clohars-Carnoët
country: France
facility: Dr PERRIER
city: Crozon
country: France
facility: Dr CHAPOIX
city: Daoulas
country: France
facility: Dr OLIVIER
city: Douarnenez
country: France
facility: Dr ATTENCOURT
city: Douarnenez
country: France
facility: Dr KERVELLA
city: Ergué-Gabéric
country: France
facility: Dr VELLY
city: Esquibien
country: France
facility: Dr BLANCHARD
city: Esquibien
country: France
facility: Dr DESNOT
city: Esquibien
country: France
facility: Dr VIALA
city: Fouesnant
country: France
facility: Dr DAOUDAL
city: Fouesnant
country: France
facility: Dr LEFEVRE
city: Fouesnant
country: France
facility: Dr MAGADUR
city: Guerlesquin
country: France
facility: Dr MUNCK
city: Guerlesquin
country: France
facility: Dr POINOT
city: Guilvinec
country: France
facility: Dr LE FLOCH
city: Guisseny
country: France
facility: Dr LE GRIGNOU
city: Landivisiau
country: France
facility: Dr PITMAN
city: Lanmeur
country: France
facility: Dr COLLETER
city: Lanmeur
country: France
facility: Dr CRENN-CORVEZ
city: Lanmeur
country: France
facility: Dr BECK-ROBERT
city: Lannilis
country: France
facility: Dr BARAIS
city: Le Conquet
country: France
facility: Dr VERBEQUE MORVAN
city: Le Faou
country: France
facility: Dr TREBAOL
city: Le Relecq-Kerhuon
country: France
facility: Dr GRALL
city: Loperhet
country: France
facility: Dr BOUTERAON
city: Moelan Sur Mer
country: France
facility: Dr PIPET-PENIN
city: Pleyben
country: France
facility: Dr BEURTON-COURAUD
city: Pleyben
country: France
facility: Dr LUCAS
city: Pleyber-Christ
country: France
facility: Dr KERFRIDEN KERHOAS
city: Plonévez-Porzay
country: France
facility: Dr BAUTA
city: Plonévez-Porzay
country: France
facility: Dr COGNEAU
city: Ploudalmezeau
country: France
facility: Dr GASNIER
city: Plouezoc'h
country: France
facility: Dr AOUDIA
city: Plougonven
country: France
facility: Dr LOPIN
city: Plouhinec
country: France
facility: Dr DROGOU
city: Plouneour Trez
country: France
facility: Dr BODIN
city: Plouzané
country: France
facility: Dr DE LA SOUDIERE
city: Pont l'Abbé
country: France
facility: Dr PETIT
city: Pouldreuzic
country: France
facility: Dr PREVOT
city: Quimper
country: France
facility: Dr AUTRET
city: Quimper
country: France
facility: Dr COROLLER
city: Quimper
country: France
facility: Dr COUTURIER
city: Quimper
country: France
facility: Dr JOLIVET COUTURE
city: Quimper
country: France
facility: Dr KERGASTEL
city: Saint-Martin-des-Champs
country: France
facility: Dr BARCELO
city: Spezet
country: France
facility: Dr MAILLEUCHET
city: St Yvi
country: France
facility: Dr MONFORT
city: Trégunc
country: France
facility: Dr NICOLAS
Study officials:
References:
citation: Aujoulat P, Le Goff D, Dany A, Robaskiewick M, Nousbaum JB, Derrienic J, Cariou M, Guillou M, Le Reste JY. Improvement of participation rate in colorectal cancer (CRC) screening by training general practitioners in motivational interviewing (AmDepCCR). Trials. 2022 Feb 14;23(1):144. doi: 10.1186/s13063-022-06056-8.