1. A motivational phone call improves participation to screening colonoscopy for those with a positive FIT in a national screening programme (NCT 03276091)
- Author
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Claude Chaunier, Jérôme Rivory, Clémentine Gandilhon, Isabelle Fay, Thierry Ponchon, Thomas Walter, Jean-Christophe Saurin, Patricia Soler-Michel, Mathieu Pioche, and Léa Vecchiato
- Subjects
Male ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,Colorectal cancer ,Colonoscopy ,Screening colonoscopy ,Screening programme ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Mass Screening ,Prospective Studies ,Prospective cohort study ,Early Detection of Cancer ,Aged ,Motivation ,Invasive carcinoma ,Hepatology ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Middle Aged ,medicine.disease ,Telephone ,Phone call ,Test (assessment) ,Occult Blood ,030220 oncology & carcinogenesis ,Family medicine ,Female ,030211 gastroenterology & hepatology ,France ,Patient Participation ,Colorectal Neoplasms ,business - Abstract
Background A large proportion of individuals with a positive faecal immunologic test (FIT) will never undergo the recommended colonoscopy despite a full sequence of reminders. Aims This prospective study aimed to recruit refractory individuals by a motivational personalised phone call given by a screening physician. Methods We evaluated the impact of a motivational phone call given by a physician of the screening organisation in order to convince patients with positive FIT to undergo a colonoscopy. Results 115 individuals with a positive FIT were targeted. After GP phone call, it was ascertained that 15 had had a colonoscopy, one died, one moved outside the region, and the GP refused the study phone call for 13. Finally, we attempted to call 85 individuals; 24 could not be reached, 5 colonoscopies had been performed, and thus 56 individuals were included. The main reason for colonoscopy refusal (33.9%) was wrong advice from the GP or the gastroenterologist. Among those included, 33.9% (19/56) underwent the colonoscopy within 22.7 months after FIT; 1 invasive cancer, 18 adenomas and 9 serrated sessile lesions were found. Conclusion Motivational phone call performed by a physician from the screening organisation is effective to recruit a third of refractory individuals. Education for GPs and gastroenterologists is necessary to increase participation to colonoscopy and to avoid the performance of an inappropriate secondary FIT. Trial Registration: NCT 03276091.
- Published
- 2018
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