Colorectal cancer (CRC) screening participation rates remain low in France, reaching as low as 12% in some regions. Participation is socially graded, with people living in the most socioeconomically disadvantaged areas having the lowest screening rates. Health literacy (HL), i.e., the ability to understand and manage information about health and the healthcare system, is a major factor in inequality in CRC screening, as it is a barrier to participation. DECODE was a 4-year, multicenter, cluster randomized controlled trial conducted in collaboration with 4 regional cancer screening coordination centers (CRCDCs), based on a participatory research approach. GP practices from 4 French regions (Auvergne Rhône Alpes, Ile de France, Occitanie and PACA) were invited to participate, using the European Deprivation Index (EDI) to select the most deprived areas (EDI 4/5). GPs recruited patients (aged 50–74 years eligible for CRC screening) during routine consultations and provided them with the brochure and video (GPs in the intervention group) or proceeded as usual (GPs in the control group). The primary outcome was CRC screening uptake after one year. Secondary outcomes included screening intention and knowledge, patient activation and decisional conflict, and level of deprivation. We will present the results of this trial.
Speaker :Claudia ADDAMIANO
Discussion partner : Anne-Marie SCHOTT
