title: Delivering the faecal occult blood test: More instructions than shared decisions. A qualitative study among French GPs.
abstract: BACKGROUND
  Colorectal cancer (CRC) is the third most common cancer worldwide. In France, mass screening has been established with FOBT since 2008. The participation rate remains too low. Previous studies were conducted to explore doctors' and patients' perspectives.
  
  
  OBJECTIVE
  This study was conducted to explore GPs' performance during consultations in which patients ask for FOBT, focusing on two different aspects: the core content of the consultation and the communication style used between GPs and patients.
  
  
  METHODS
  Nine purposively sampled GPs were asked to audiotape specific consultations. Content analysis was performed using Nvivo 9 software. Communication between doctors and patients was explored using RIAS coding.
  
  
  RESULTS
  GPs audio taped specific parts of 35 different consultations when they discussed and delivered the FOBT. The core content included primarily biomedical statements with a large portion dedicated to technical aspects. The communication style was not patient-centred.
  
  
  CONCLUSIONS
  While the participation rate of mass screening in France is still low, the analysis of recorded consultations by French GPs confirms that the way of delivering FOBT can be improved.
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité, Département de Médecine Générale , Paris , France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Aubin-Auger
authors.forename: Alain
authors.initials: A
authors.lastname: Mercier
authors.forename: Katell
authors.initials: K
authors.lastname: Mignotte
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Lebeau
authors.forename: Michel
authors.initials: M
authors.lastname: Bismuth
authors.forename: Lieve
authors.initials: L
authors.lastname: Peremans
authors.forename: Paul
authors.initials: P
authors.lastname: Van Royen
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003142:Communication; D003657:Decision Making; D005260:Female; D005602:France; D058006:General Practice / Q000379:methods*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009780:Occult Blood; D010358:Patient Participation; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians'