Impact of EDUcation Strategy on Patients With COLorectal CANCER or Advanced Adenoma in the Detection of Colorectal Cancer of Their First-degree Relatives (EDUCANCOLAGE)
Impact of EDUcation Strategy on Patients With COLorectal CANCER or Advanced Adenoma in the Detection of Colorectal Cancer of Their First-degree Relatives - Randomized, Multicenter Cluster Test
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.
研究概览
详细说明
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Angers、法国
- Service d'Hépatogastro-entérologie CHU ANGERS
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Blois、法国、41 000
- Service d'Hépatogastro-entérologie CHG BLOIS
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Dreux、法国
- Service d'Hépatogastro-entérologie CHG de DREUX
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Loches、法国
- Service de Médecine CHG de Loches
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Nantes、法国
- Service d'Hépatogastro-entérologie CHU de NANTES
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Orleans、法国、45067
- Service d'Hépatogastro-entérologie CHR d'Orléans
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Poitiers、法国、86 000
- Service d'Hépatogastro-entérologie CHU POITIERS
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Tours、法国、37044
- Service d'Hépatogastro-entérologie CHRU de TOURS
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
List of inclusion criteria
Index case:
- Patients with colorectal adenocarcinoma or advanced adenoma diagnosed (definition of advanced adenoma (Winawer, 2006): adenoma of diameter ≥ 10 mm and / or severe dysplasia and / or with a villous contingent).
- Patients with at least one relative of the first degree belonging to the target population of the screening strategy evaluated (between 40 and 75 years of age and less than 10 years of age of the case-index) and residing in France.
- Affiliation of the patient to a social security scheme (including CMU).
- Understanding of the French language.
Related:
- They correspond to the target population at high risk of colorectal cancer targeted by this program of promotion of colonoscopy screening:
- Subjects related to 1st degree to the index case and in contact with it.
- Age between 40 and 75 years of age or less than 10 years of age of the index case.
- Resides in France
List of exclusion Criteria :
Index case :
- Chronic inflammatory bowel disease.
- Genetic predisposition syndrome identified with colorectal cancer (Lynch syndrome, familial polyposis linked to the APC and MYH genes).
- Patient's knowledge of a first-degree relative with colorectal adenocarcinoma or advanced adenoma.
- Isolated patient of his / her first-degree relatives and not wishing to re-establish contact with them.
- Advanced colorectal cancer with a life expectancy <6 months and / or a WHO ≥ 2 general condition.
- Transmission of information to the family already carried out.
Related :
- Not applicable
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的：Therapeutic Education Strategy
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' |
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).
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无干预：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 index case according to its usual practice
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Participation rate in screening colonoscopy for first-degree relatives of patients with RCC or advanced adenoma.
大体时间：12 MONTHS
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Participation rate in screening colonoscopy for first-degree relatives of patients with RCC or advanced adenoma.
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12 MONTHS
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Psychological determinants (quality of relationship with relatives, motivation to inform relatives) that can condition the enrollment in the education program.
大体时间：12 MONTHS
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Psychological determinants (quality of relationship with relatives, motivation to inform relatives) that can condition the enrollment in the education program.
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12 MONTHS
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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.
大体时间：12 MONTHS
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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.
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12 MONTHS
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Social and demographic factors associated with screening colonoscopy in related subjects: age, sex, educational level, socio-professional category.
大体时间：12 MONTHS
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Social and demographic factors associated with screening colonoscopy in related subjects: age, sex, educational level, socio-professional category.
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12 MONTHS
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How to access screening colonoscopy: pathway (public or private), direct access to the gastroenterologist or through the attending physician.
大体时间：12 MONTHS
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How to access screening colonoscopy: pathway (public or private), direct access to the gastroenterologist or through the attending physician.
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12 MONTHS
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Time to access the colonoscopy (time between the procedure and the completion of the screening colonoscopy).
大体时间：2 MONTHS
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Time to access the colonoscopy (time between the procedure and the completion of the screening colonoscopy).
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2 MONTHS
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Rate of colorectal cancer.
大体时间：12 MONTHS
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Rate of colorectal cancer.
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12 MONTHS
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Rate of advanced adenomas.
大体时间：12 MONTHS
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Rate of advanced adenomas.
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12 MONTHS
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Detection rate of scallop lesions.
大体时间：12 MONTHS
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Detection rate of scallop lesions.
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12 MONTHS
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Rate of complications in screening colonoscopies.
大体时间：12 MONTHS
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Rate of complications in screening colonoscopies.
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12 MONTHS
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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.
大体时间：12 MONTHS
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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.
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12 MONTHS
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合作者和调查者
合作者
调查人员
- 首席研究员：CAROLI BOSC Françis- Xavier, Pr、University Hospital, Angers
- 首席研究员：MATYSIAK-BUDNIK Tamara, Pr、CHU Nantes
- 首席研究员：LANDAU Alain, Dr、CHG DREUX
- 首席研究员：GARGOT Denis, Dr、CHG BLOIS
- 首席研究员：BARBIEUX Jean- Pierre, Dr、CHG LOCHES
- 首席研究员：TOUGERON David, Pr、CHU Poitiers
- 首席研究员：LEGOUX Jean- Louis, Dr、CHR Orléans
- 首席研究员：BOURGEOIS Hugues, Dr、Clinic Victor Hugo LE MANS
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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