Soisy Sous Montmorency

Researchers are evaluating the impact of training general practitioners in a patient-centered approach on shared decision-making during colorectal cancer (CRC) screening consultations. The study focuses on adults aged 50 to 74 who are eligible for organized CRC screening, aiming to improve the communication and decision-making process between doctors and patients. Colorectal cancer primarily affects people over 50, and participation in screening programs has been declining in France despite recommendations. The study compares two groups: one where general practitioners receive face-to-face training in patient-centered communication techniques, and the other continuing usual practice without such training. The training is designed to help doctors better inform and motivate patients to participate in CRC screening via the guaiac fecal occult blood test every two years, followed by colonoscopy if necessary. The goal is to enhance shared decision-making between patients and doctors. Participants will be monitored through a self-administered questionnaire measuring shared decision-making between 6 to 8 months after the screening test. The study involves consultation with their usual doctor, adherence to trial requirements, and assessment of communication quality. This evaluation will help determine if the training increases patient engagement and improves the implementation of CRC screening decisions.