GPs characteristics.

BackgroundColorectal cancer (CCR) is one of the leading causes of death worldwide. Early detection remains a highly effective strategy for curing this disease. In France, despite a free organised screening programme for people aged between 50 and 74, participation rates remain suboptimal. Socioeconomic position and health literacy levels exacerbate the situation, with the lowest screening rates observed in the most socially disadvantaged areas. This study assessed patients’ and General Practitioners’ (GP) views on the acceptability of an intervention to increase screening uptake using a simple brochure and video on the importance and process of CCR screening.MethodWe conducted a cross-sectional qualitative study using semi-structured interviews with patients (n = 24) and GPs (n = 22) who used or participated in the DECODE project intervention. The interviews were conducted by telephone or videoconference and analysed thematically using Nvivo software and dual independent coding.Results95% of GPs expressed a clear preference for the video over the brochure. Patients had varied results with 50% preferring the video, as it demonstrated how to do the test, versus the brochure. The humorous and de-dramatising aspects of the video were the two key factors highlighted by interviewees. However, support from healthcare staff (GPs, nurses, etc.) is still essential, in supporting patients in prevention. This presents a challenge for GPs, who are frequently constrained by time limitations during consultations.ConclusionOur findings emphasize the need to tailor promotional materials for both patients and healthcare professionals to improve CCR screening uptake, balancing digital efficiency with maintaining core human relationships in healthcare. Such intervention can be integrated into different workflows. The addition of video into national CRC screening programs might also help. Targeting CRC screening interventions at provider-patient interactions, ensuring they are tailored, accessible, and engaging, is key to reducing disparities.背景：结直肠癌（Colorectal Cancer, CCR）是全球范围内主要的致死性疾病之一。早诊仍是治愈该疾病的高效策略。在法国，尽管针对50至74岁人群设有免费的结构化筛查项目，但参与率仍未达理想水平。社会经济地位与健康素养水平加剧了这一困境，社会最弱势地区的筛查率最低。本研究评估了患者与全科医生（General Practitioners, GP）对一项旨在提升筛查参与率的干预措施的接受度，该干预通过简明手册与视频讲解结直肠癌筛查的重要性及流程。 方法：本研究采用横断面质性研究设计，对参与过DECODE项目干预的24例患者与22例全科医生开展半结构化访谈。访谈通过电话或视频会议开展，采用NVivo质性分析软件进行主题分析，并采用双人独立编码法保障编码信度。 结果：95%的全科医生明确表示更偏好视频而非手册。患者的偏好存在分化，50%的患者因视频可演示检测操作流程而选择视频，其余则更青睐手册。受访者指出，视频的幽默特质与缓解焦虑的设计是两大核心优势。不过，医护人员（全科医生、护士等）对患者的预防支持仍不可或缺，而这对常因诊疗时长受限的全科医生而言是一项挑战。 结论：本研究结果提示，需为患者与医护人员定制个性化的宣传材料，以提升结直肠癌筛查参与率，同时兼顾数字化效率与医疗保健中的核心人际互动。此类干预措施可融入不同的临床工作流程，将视频纳入国家结直肠癌筛查项目或也有助益。将结直肠癌筛查干预聚焦于医患互动环节，确保其具备个性化、易获取性与吸引力，是缩小健康差距的关键。