Training primary care physicians to offer their patients faecal occult blood testing and colonoscopy for colorectal cancer screening on an equal basis: a pilot intervention with before-after and parallel group surveys.

Details

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Version: Final published version
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Serval ID
serval:BIB_18A5DF7F860E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Training primary care physicians to offer their patients faecal occult blood testing and colonoscopy for colorectal cancer screening on an equal basis: a pilot intervention with before-after and parallel group surveys.
Journal
BMJ open
Author(s)
Selby K., Cornuz J., Gachoud D., Bulliard J.L., Nichita C., Dorta G., Ducros C., Auer R.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
13/05/2016
Peer-reviewed
Oui
Volume
6
Number
5
Pages
e011086
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Primary care physicians (PCPs) should prescribe faecal immunochemical testing (FIT) or colonoscopy for colorectal cancer screening based on their patient's values and preferences. However, there are wide variations between PCPs in the screening method prescribed. The objective was to assess the impact of an educational intervention on PCPs' intent to offer FIT or colonoscopy on an equal basis.
Survey before and after training seminars, with a parallel comparison through a mailed survey to PCPs not attending the training seminars.
All PCPs in the canton of Vaud, Switzerland.
Of 592 eligible PCPs, 133 (22%) attended a seminar and 106 (80%) filled both surveys. 109 (24%) PCPs who did not attend the seminars returned the mailed survey.
A 2 h-long interactive seminar targeting PCP knowledge, skills and attitudes regarding offering a choice of colorectal cancer (CRC) screening options.
The primary outcome was PCP intention of having their patients screened with FIT and colonoscopy in equal proportions (between 40% and 60% each). Secondary outcomes were the perceived role of PCPs in screening decisions (from paternalistic to informed decision-making) and correct answer to a clinical vignette.
Before the seminars, 8% of PCPs reported that they had equal proportions of their patients screened for CRC by FIT and colonoscopy; after the seminar, 33% foresaw having their patients screened in equal proportions (p<0.001). Among those not attending, there was no change (13% vs 14%, p=0.8). Of those attending, there was no change in their perceived role in screening decisions, while the proportion responding correctly to a clinical vignette increased (88-99%, p<0.001).
An interactive training seminar increased the proportion of physicians with the intention to prescribe FIT and colonoscopy in equal proportions.
Keywords
Adult, Attitude of Health Personnel, Colonoscopy, Colorectal Neoplasms/diagnosis, Early Detection of Cancer/methods, Female, Health Knowledge, Attitudes, Practice, Humans, Inservice Training/methods, Male, Mass Screening/methods, Middle Aged, Occult Blood, Physician's Role, Physicians, Primary Care/education, Pilot Projects, Practice Patterns, Physicians'/statistics & numerical data, MEDICAL EDUCATION & TRAINING, PRIMARY CARE
Pubmed
Web of science
Open Access
Yes
Create date
27/05/2016 15:18
Last modification date
20/06/2020 6:18
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