title: Efficacy of communication skills training on colorectal cancer screening by GPs: a cluster randomised controlled trial.
abstract: Colorectal cancer (CRC) mass screening has been implemented in France since 2008. Participation rates remain too low. The objective of this study was to test if the implementation of a training course focused on communication skills among general practitioners (GP) would increase the delivery of gaiac faecal occult blood test and CRC screening participation among the target population of each participating GP. A cluster randomised controlled trial was conducted with GP's practice as a cluster unit. GPs from practices in the control group were asked to continue their usual care. GPs of the intervention group received a 4-h educational training, built with previous qualitative data on CRC screening focusing on doctor-patient communication with a follow-up of 7 months for both groups. The primary outcome measure was the patients' participation rate in the target population for each GP. Seventeen GPs (16 practices) in intervention group and 28 GPs (19 practices) in control group participated. The patients' participation rate in the intervention group were 36.7% vs. 24.5% in the control group (P = 0.03). Doctor-patient communication should be developed and appear to be one of the possible targets of improvement patients adherence and participation rate in the target population for CRC mass screening.
authors: Département de Médecine Générale, Université Paris Diderot, Sorbonne Paris Cité, Paris.|EA Recherche Clinique Coordonnée Ville-Hôpital, Méthodologies et Société (REMES), Paris.
authors: I
authors: I
authors: Aubin-Auger
authors: IAME, UMR 1137, INSERM, Paris.|Université Paris Diderot, Sorbonne Paris Cité, Paris.|AP-HP, Hôpital Bichat, Service de Biostatistique, Paris.
authors: C
authors: C
authors: Laouénan
authors: Département de Médecine Générale, Université Paris Diderot, Sorbonne Paris Cité, Paris.|IAME, UMR 1137, INSERM, Paris.|Université Paris Diderot, Sorbonne Paris Cité, Paris.
authors: J
authors: J
authors: Le Bel
authors: Département de Médecine Générale, Rouen University, Rouen.
authors: A
authors: A
authors: Mercier
authors: Département de Médecine Générale, Université Paris Diderot, Sorbonne Paris Cité, Paris.|EA Recherche Clinique Coordonnée Ville-Hôpital, Méthodologies et Société (REMES), Paris.
authors: D
authors: D
authors: Baruch
authors: Département de Médecine Générale, Tours University, Tours.
authors: J P
authors: JP
authors: Lebeau
authors: Département de Médecine Générale, Université Paris Diderot, Sorbonne Paris Cité, Paris.
authors: A
authors: A
authors: Youssefian
authors: Prévention Santé Val d'Oise, Cergy Saint Christophe, France.
authors: T
authors: T
authors: Le Trung
authors: Department of Public Health, Vrije Universiteit Brussel, Brussels.|Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
authors: L
authors: L
authors: Peremans
authors: Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
authors: P
authors: P
authors: Van Royen
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003142:Communication; D055088:Early Detection of Cancer; D004517:Education, Professional / Q000379:methods*; D005194:Family Practice / Q000706:statistics & numerical data; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data; D008875:Middle Aged; D009780:Occult Blood; D017063:Outcome Assessment, Health Care; D010358:Patient Participation / Q000706:statistics & numerical data; D018802:Patient-Centered Care / Q000592:standards; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data
keywords: colorectal cancer screening; communication skills; educational intervention; general practice