Efficacy of communication skills training on colorectal cancer screening by GPs : a cluster randomised controlled trial
Faculty of Medicine and Health Sciences
European journal of cancer care. - Oxford
, p. 18-26
University of Antwerp
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 GPs 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 doctorpatient 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). Doctorpatient communication should be developed and appear to be one of the possible targets of improvement patients adherence and participation rate in the target population forCRCmass screening.