title: From qualitative data to GP training on CRC screening.
abstract: Colorectal cancer (CRC) is the third most common cancer worldwide. In France, although mass screening has been performed using the guaiac fecal occult blood test since 2008, the participation rate remains too low. Previous studies have explored the perspectives of doctors and patients as well as the performance of general practitioners (GPs) by recording and analyzing consultations in which patients came and asked for fecal occult blood test. Results indicated that improvement was needed in patient-centered communication. This research aims to develop educational material and training programs for GPs in order to enhance their communication with patients on CRC screening, based on data from two qualitative studies. Triangulation of all qualitative data was performed and discussed with communication experts in order to develop educational material and training programs based on the patient-centered clinical method. Two different scenarios were developed to improve communication with patients: one for a compliant patient and another for a noncompliant patient. Two videos were made featuring a doctor and a simulated patient. A two-sequence training program was built, including role-playing and presentation of the video followed by a discussion. The qualitative data helped us to produce a useful, relevant training program for GPs on CRC screening.
authors.affiliation: Département de Médecine Générale, Sorbonne Paris Cité, Université Paris Diderot, Paris, France. isabelle.aubinauger@sfr.fr
authors.forename: Isabelle
authors.initials: I
authors.lastname: Aubin-Auger
authors.forename: Alain
authors.initials: A
authors.lastname: Mercier
authors.forename: Josselin
authors.initials: J
authors.lastname: Le Bel
authors.forename: Katrien
authors.initials: K
authors.lastname: Bombeke
authors.forename: Dan
authors.initials: D
authors.lastname: Baruch
authors.forename: Anne
authors.initials: A
authors.lastname: Youssefian
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Lebeau
authors.forename: Tu
authors.initials: T
authors.lastname: Le Trung
authors.forename: Lieve
authors.initials: L
authors.lastname: Peremans
authors.forename: Paul
authors.initials: P
authors.lastname: Van Royen
mesh_terms: D001291:Attitude of Health Personnel; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D055088:Early Detection of Cancer; D058005:General Practitioners / Q000193:education*; D006801:Humans; D010349:Patient Compliance; D018802:Patient-Centered Care; D010818:Practice Patterns, Physicians'; D011379:Prognosis; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D014741:Video Recording