tailieunhanh - Báo cáo y học: "Improving calculation, interpretation and communication of familial colorectal cancer risk: Protocol for a randomized controlled trial"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Improving calculation, interpretation and communication of familial colorectal cancer risk: Protocol for a randomized controlled trial | Dekker et al. Implementation Science 2010 5 6 http content 5 1 6 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Improving calculation interpretation and communication of familial colorectal cancer risk Protocol for a randomized controlled trial Nicky Dekker1 2 Rosella PMG Hermens2 Glyn Elwyn3 Trudy van der Weijden4 Fokko M Nagengast5 Peter van Duijvendijk6 Simone Salemink1 Eddy Adang7 J Han JM van Krieken8 Marjolijn JL Ligtenberg1 8 Nicoline Hoogerbrugge1 9 Abstract Background Individuals with multiple relatives with colorectal cancer CRC and or a relative with early-onset CRC have an increased risk of developing CRC. They are eligible for preventive measures such as surveillance by regular colonoscopy and or genetic counselling. Currently most at-risk individuals do not follow the indicated follow-up policy. In a new guideline on familial and hereditary CRC clinicians have new tasks in calculating interpreting and communicating familial CRC risk. This will lead to better recognition of individuals at an increased familial CRC risk enabling them to take effective preventive measures. This trial compares two implementation strategies a common versus an intensive implementation strategy focussing on clinicians risk calculation interpretation and communication as well as patients uptake of the indicated follow-up policy. Methods A clustered randomized controlled trial including an effect process and cost evaluation will be conducted in eighteen hospitals. Nine hospitals in the control group will receive the common implementation strategy . dissemination of the guideline . In the intervention group an intensive implementation strategy will be introduced. Clinicians will receive education and tools for risk calculation interpretation and communication. Patients will also receive these tools in addition to patient decision aids. The effect evaluation includes assessment of the number of patients for whom risk .