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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-A01514-45 | Other Identifier | ID RCB |
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| Name | Class |
|---|---|
| University Hospital, Angers | OTHER_GOV |
| Nantes University Hospital | OTHER |
| Centre Hospitalier de Dreux | OTHER |
| Hospital BLOIS |
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The relative risk of colorectal cancer (CRC) is increased in first-degree relatives of patients with CRC or advanced adenoma. In the high-risk CCR population defined by a family history at the first stage of CRC or advanced adenoma before age 60, total colonoscopy is the recommended screening test. In France, the rate of screening colonoscopy in this population at high risk of CRC is insufficient, which limits the effectiveness of this targeted screening.
The main reason for this low participation rate is that most patients undergoing RCC or advanced adenoma are unaware of the family implications of their diagnosis and therefore reluctant to disseminate this information to their patients Related matters. The need for a better perception of the personal risk of CRC in first-degree relatives of patients with CRC or advanced adenoma, with the expected coronary adherence to increasing screening, requires a good understanding of risk through Clear, adapted and comprehensible information that can be relayed personally by the case-index.
The objective of this project is to develop a personalized prevention and screening program for the JRC in order to meet the needs of the relatives of the sick. The means of intervention that will be implemented respond to the need to better take into account the level of CRC risk in a family-based CRC screening and prevention approach adapted to a high-risk CRC group characterized by Family history at the first stage of CRC or advanced adenoma and, consequently, to improve the information of the subjects concerned by screening and prevention of CRC.
The aim of the case-index education is to induce its intervention with its relatives to promote CCR screening. The use of the index case, as a means of providing information to relatives, implies an educational and psychological approach, based on evidence, but adapted and personalized.
The relative risk of colorectal cancer (CRC) is increased in first-degree relatives of patients with CRC or advanced adenoma. In the high-risk CCR population defined by a family history at the first stage of CRC or advanced adenoma before age 60, total colonoscopy is the recommended screening test. In France, the rate of screening colonoscopy in this population at high risk of CRC is insufficient, which limits the effectiveness of this targeted screening.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Therapeutic Education Strategy | Experimental | Means a screening information and education system in which the particularities of the index cases likely to require adaptation of the device will be collected, analyzed and taken into account. Intervention 'Therapeutic Education Strategy' |
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| Control group | No Intervention | Provision of information on the need for screening colonoscopy in first-degree relatives of case-index patients by the practitioner taking charge of the index case according to its usual practice |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapeutic Education Strategy | Behavioral | In the experimental arm of the study ("intervention group"), a screening information and education system will be implemented. The particularities of the index cases likely to require an adaptation of the device will be collected, analyzed and taken into account (level of health literacy, socio-economic status, level of education, professional activity ...). The analysis and intervention frameworks derived from theories on health behaviors will be mobilized (theory of reasoned action, theory of planned behaviors) and applied in order to reinforce the "intention" of the target audience. The analysis and intervention frameworks resulting from the educational sciences will be integrated with a "competence" approach (Aizen, 1991, Denovel, Dufour, Prochaska, 1983, Le Boterf, 2002). |
| Measure | Description | Time Frame |
|---|---|---|
| Participation rate in screening colonoscopy for first-degree relatives of patients with RCC or advanced adenoma. | Participation rate in screening colonoscopy for first-degree relatives of patients with RCC or advanced adenoma. | 12 MONTHS |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological determinants (quality of relationship with relatives, motivation to inform relatives) that can condition the enrollment in the education program. | Psychological determinants (quality of relationship with relatives, motivation to inform relatives) that can condition the enrollment in the education program. | 12 MONTHS |
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List of inclusion criteria
Index case:
Related:
List of exclusion Criteria :
Index case :
Related :
- Not applicable
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| Name | Affiliation | Role |
|---|---|---|
| CAROLI BOSC Françis- Xavier, Pr | University Hospital, Angers | Principal Investigator |
| MATYSIAK-BUDNIK Tamara, Pr | Nantes University Hospital | Principal Investigator |
| LANDAU Alain, Dr | CHG DREUX | Principal Investigator |
| GARGOT Denis, Dr | CHG BLOIS | Principal Investigator |
| BARBIEUX Jean- Pierre, Dr | CHG LOCHES | Principal Investigator |
| TOUGERON David, Pr | CHU Poitiers | Principal Investigator |
| LEGOUX Jean- Louis, Dr | CHR ORLEANS | Principal Investigator |
| BOURGEOIS Hugues, Dr | Clinic Victor Hugo LE MANS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service d'Hépatogastro-entérologie CHU ANGERS | Angers | France | ||||
| Service d'Hépatogastro-entérologie CHG BLOIS |
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| UNKNOWN |
| Hospital LOCHES | UNKNOWN |
| Poitiers University Hospital | OTHER |
| University of New Orleans | OTHER |
| Clinic LE MANS | UNKNOWN |
"Intervention group" means a screening information and education system in which the particularities of the index cases likely to require adaptation of the device will be collected, analyzed and taken into account.
"Control group": provision of information on the need for screening colonoscopy in first-degree relatives of case-index patients by the practitioner taking charge of the case-index according to its usual practice and adapted to the level of understanding of Case-index.
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| Social and demographic factors in index cases associated with screening colonoscopy in related subjects: age, sex, educational level, socio-professional category. |
Social and demographic factors in index cases associated with screening colonoscopy in related subjects: age, sex, educational level, socio-professional category. |
| 12 MONTHS |
| Social and demographic factors associated with screening colonoscopy in related subjects: age, sex, educational level, socio-professional category. | Social and demographic factors associated with screening colonoscopy in related subjects: age, sex, educational level, socio-professional category. | 12 MONTHS |
| How to access screening colonoscopy: pathway (public or private), direct access to the gastroenterologist or through the attending physician. | How to access screening colonoscopy: pathway (public or private), direct access to the gastroenterologist or through the attending physician. | 12 MONTHS |
| Time to access the colonoscopy (time between the procedure and the completion of the screening colonoscopy). | Time to access the colonoscopy (time between the procedure and the completion of the screening colonoscopy). | 2 MONTHS |
| Rate of colorectal cancer. | Rate of colorectal cancer. | 12 MONTHS |
| Rate of advanced adenomas. | Rate of advanced adenomas. | 12 MONTHS |
| Detection rate of scallop lesions. | Detection rate of scallop lesions. | 12 MONTHS |
| Rate of complications in screening colonoscopies. | Rate of complications in screening colonoscopies. | 12 MONTHS |
| Quality criteria for screening colonoscopy using the following parameters: visualization rate of the bottom of the colon, the withdrawal time of the colonoscope (Withdrawal time), quality of the colic preparation using the Boston scale. | Quality criteria for screening colonoscopy using the following parameters: visualization rate of the bottom of the colon, the withdrawal time of the colonoscope (Withdrawal time), quality of the colic preparation using the Boston scale. | 12 MONTHS |
| Blois |
| 41 000 |
| France |
| Service d'Hépatogastro-entérologie CHG de DREUX | Dreux | France |
| Service de Médecine CHG de Loches | Loches | France |
| Service d'Hépatogastro-entérologie CHU de NANTES | Nantes | France |
| Service d'Hépatogastro-entérologie CHR d'Orléans | Orléans | 45067 | France |
| Service d'Hépatogastro-entérologie CHU POITIERS | Poitiers | 86 000 | France |
| Service d'Hépatogastro-entérologie CHRU de TOURS | Tours | 37044 | France |
| ID | Term |
|---|---|
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
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