Colo-rectal Cancer
Conditions
Keywords
Colorectal cancer screening, Iconographies, Risk communication, Patient medical knowledge
Brief summary
Background: Participants in the colon and rectal cancer (CRC) screening program that have a positive result in the Fecal Immunological Test (FIT) are visited by the screening nurse who explains the meaning of the positive test and the need to perform a colonoscopy. Having a positive result in the screening test can have a negative psychological impact on patients causing anguish. Objective: To evaluate whether the use of iconographies to communicate the risks of possible diagnoses to patients with positive FIT improves the understanding of the information and reduces the degree of anguish. Methods: Quasi-experimental pre-post intervention study with a control group. 240 individuals (men and women between 50-69 years of age, with a positive FIT result attending the nursing visit) will be included in two non-concurrent study groups (120 individuals per group). The control group will receive the nurse visit as usual. For the intervention group, the nurse will use iconographies to communicate the risk of the different possible diagnoses and the risk of complications of the colonoscopy. The degree of distress (Distress Thermometer and a scale of emotion-faces) will be measured before and after the visit and the understanding of the information (visual analog scale) after the visit. The degree of distress between the control group and intervention group will be compared. If the results are favorable, the systematic use of iconographies can be implemented in the nursing screening visit and be extended to other Screening Units.
Interventions
OTHERIconographies to communicate risks
Use of iconographies to communicate the risks of the different possible diagnosis after a positive FIT during the screening program nurse visit.
Sponsors
Corporacion Parc Tauli
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Two consecutive study groups (no-concurrent).
Eligibility
Sex/Gender
ALL
Age
50 Years to 69 Years
Healthy volunteers
No
Inclusion criteria
* women and men AND * between 50 and 69 years of age AND * who participate in the colorectal cancer screening program and have a positive result in the FIT AND * who attend the nursing visit.
Exclusion criteria
* People who do not understand Catalan or Spanish OR * with cognitive deterioration that prevents them from answering a questionnaire OR * who do not know how to read or write.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Grade of distress experienced by patients | Minute 0 (before the nurse visit) | Grade of distress experienced by the patients measured with the Distress Thermometer (0-no distress to 10-high distress) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Grade of understanding of the information reported by patients | at 30 minutes (after the nurse visit) | Grade of understanding of the information measured with a visual analogical scale (0-no understanding, 10- high understanding) |
Countries
Spain
Outcome results
None listed