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The goal of this randomized trial is to assess the effectiveness of a targeted telephone reminder strategy, implemented by the patient's general practitioner, in enhancing participation in colorectal cancer screening among individuals who are not up to date . The participants are patients between 50 to 74 years old as they are the target for colorectal cancer screening. The main questions are:
Researchers will compare with other patients who are not up to date without the intervention of their general practionner with a telephone reminder.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm : phone-based outreach to promote colorectal cancer screening | Experimental | In year n, the 50 selected general practitioners will receive from the national health insurance a list of patients who are not up to date with colorectal cancer screening. Each patient's screening status will be verified by the clinical research associate through a review of the medical records. A telephone call will be made by a member of the patient's primary care team. |
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| Control arm | No Intervention | In year n, the 50 selected general practitioners will receive from the national health insurance a list of patients who are not up to date with colorectal cancer screening. Each patient's screening status will be verified by the clinical research associate through a review of the medical records. There will not be an intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intervention | Other | A telephone call will be made by a member of the patient's primary care team (general practitioner, medical secretary, public health nurse, or care coordinator), with priority given to a call by the patient's general practitioner. The call should preferably be made to the patient's mobile phone. If the call is unsuccessful, a voicemail message will be left, and a second call will be attempted within the following seven days. The voicemail message will include the name of the patient's general practitioner, the purpose of the call regarding colorectal cancer screening, and notification that a further attempt will be made to reach the patient. If the telephone exchange is successful, an appointment at the healthcare facility will be offered to the patient, during which the screening test will be offered to the patient, during which the screening test will be handed over and explained by one of the healthcare professionals from the same facility. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients who completed the colorectal cancer screening in each arms | Patients who completed the colorectal cancer screening test during the intervention year (year n), within the patient population of general practitioners participating in the study, and who were identified from the national health insurance list as not up to date with screening - a status that was confirmed by reviewing their medical records. Completion of the screening will be confirmed by the presence of the test result in the patient's medical record within the General practionner's practice software, no later than three months after the end of the intervention. This mesure will be done in each arm. | 6 months after inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients whose colorectal cancer screening status was updated according to the National Health Insurance database | Patients whose colorectal cancer screening status changed between the list received from National Health in year n and the list received in year n+1. A change in status will be confirmed by the absence of the patient from the n+1 list, among those still registered within the general practitioner's patient panel. |
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Inclusion Criteria for general practionners :
Inclusion Criteria for patients :
Exclusion Criteria for general practionners:
Non inclusion Criteria for patients :
- Objection expressed by the patient to the change in the purpose of data processing for research purposes
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| José-philippe MORENO, MD | Contact | +33686663181 | jose_philippe.moreno@univ-fcomte.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MSPU des 3 provinces | Champlitte | Franche-comté | France |
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| ID | Term |
|---|---|
| D008722 | Methods |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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|
| 1 year after enrollment |
| Number of patients who completed the colorectal cancer screening in the intervention arm according differents variables | Patients who completed the colorectal cancer screening (CRC) test during the intervention year , within the patient population of general practitioners participating in the study, and who were identified from the national health insurance list as not up to date with screening. This proportion will be analysed according to the following stratification variables:
| 3 months after the end of enrollment |
| Number of participants per stage of the intervention process | In both study arms, identification of patients incorrectly included in the national health insurance list (i.e. patients already up to date with screening, those excluded from CRC screening, those under or awaiting colonoscopic follow-up, or currently undergoing treatment for colorectal cancer). For the intervention arm, classification of all patients according to the following outcomes:
| 3 months after the end of enrollment |
| quantifying the time required to carry out the intervention | In the intervention arm, time spent on all stages of the intervention:
| 3 months after the end of the enrollment |