Efficacy of communication skills training on colorectal cancer screening by GPs: a cluster randomised controlled trial

被引：27

作者：

Aubin-Auger, I. ^{[1
,2
]}

Laouenan, C. ^{[3
,4
]}

Le Bel, J. ^{[5
,6
]}

Mercier, A. ^{[7
]}

Baruch, D. ^{[2
,8
]}

Lebeau, J. P. ^{[9
]}

Youssefian, A. ^{[1
]}

Le Trung, T. ^{[10
]}

Peremans, L. ^{[11
,12
]}

Van Royen, P. ^{[12
]}

机构：

[1] Univ Paris Diderot, Sorbonne Paris Cite, Dept Med Gen, Paris, France

[2] EA Rech Clin Coordonnee Ville Hop, Methodol & Soc REMES, Paris, France

[3] Univ Paris Diderot, Sorbonne Paris Cite, INSERM, IAME,UMR 1137, Paris, France

[4] Hop Bichat Claude Bernard, AP HP, Serv Biostat, F-75877 Paris, France

[5] Univ Paris Diderot, Sorbonne Paris Cite, Dept Med Gen, INSERM,IAME,UMR 1137, Paris, France

[6] Univ Paris Diderot, Sorbonne Paris Cite, Paris, France

[7] Univ Rouen, Dept Med Gen, Rouen, France

[8] Univ Paris Diderot, Sorbonne Paris Cite, Dept Med Gen, Paris, France

[9] Univ Tours, Dept Med Gen, Tours, France

[10] Prevent Sante Val Oise, Cergy, France

[11] Vrije Univ Brussel, Dept Publ Hlth, Brussels, Belgium

[12] Univ Antwerp, Fac Med & Hlth Sci, Dept Primary & Interdisciplinary Care, B-2020 Antwerp, Belgium

来源：

EUROPEAN JOURNAL OF CANCER CARE | 2016年 / 25卷 / 01期

关键词：

colorectal cancer screening; communication skills; general practice; educational intervention; OCCULT BLOOD-TEST; EUROPEAN GUIDELINES; QUALITY-ASSURANCE; PARTICIPATION; COEFFICIENT; PROGRAM;

D O I：

10.1111/ecc.12310

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

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, builtwith 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.

引用

页码：18 / 26

页数：9

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