{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T20:51:00Z","timestamp":1775076660105,"version":"3.50.1"},"reference-count":27,"publisher":"CAIRN","issue":"HS2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,15]]},"abstract":"<jats:p>Objectif\u2008: Une information sur les niveaux de risque est un \u00e9l\u00e9ment essentiel de la pr\u00e9vention du cancer colorectal (CCR). L\u2019objectif de cet article est de d\u00e9crire une intervention personnalis\u00e9e dans le but d\u2019informer les protagonistes (patients atteints de CCR ou d\u2019ad\u00e9nome, fratries et m\u00e9decins) sur le risque \u00e9lev\u00e9 de CCR li\u00e9 \u00e0 l\u2019existence d\u2019ant\u00e9c\u00e9dents familiaux, puis de comprendre, \u00e0 travers une analyse interdisciplinaire, les m\u00e9canismes mis en \u0153uvre lors de l\u2019intervention. M\u00e9thode\u2008: Un sch\u00e9ma d\u2019essai randomis\u00e9 a \u00e9t\u00e9 appliqu\u00e9. Le crit\u00e8re de jugement principal \u00e9tait la r\u00e9alisation de la coloscopie. L\u2019intervention concernait d\u2019abord les patients index atteints de CCR ou porteurs d\u2019un ad\u00e9nome avec, pour objectif, de les conseiller et les accompagner dans la transmission, aux membres de leur fratrie, de l\u2019information sur le risque \u00e9lev\u00e9 de CCR. Les fratries recevaient un conseil personnalis\u00e9 d\u00e9livr\u00e9 par une infirmi\u00e8re de pr\u00e9vention, par t\u00e9l\u00e9phone puis par courrier. Des analyses crois\u00e9es \u00e9pid\u00e9miologiques, linguistiques et sociologiques ont \u00e9t\u00e9 r\u00e9alis\u00e9es afin de comprendre l\u2019impact de l\u2019intervention. R\u00e9sultats\u2008: Le taux de coloscopies \u00e9tait de 56,3\u00a0% dans le groupe intervention, 35,4\u00a0% dans le groupe t\u00e9moin ( p \u00a0=\u00a00,0027\u2008; 304\u00a0fr\u00e8res\/s\u0153urs). L\u2019analyse linguistique des enregistrements des interventions t\u00e9l\u00e9phoniques de l\u2019infirmi\u00e8re a montr\u00e9 que le discours des fratries qui avaient r\u00e9alis\u00e9 la coloscopie \u00e9tait mieux construit, plus stabilis\u00e9 dans le groupe intervention ( n \u00a0=\u00a059) que dans le groupe t\u00e9moin ( n \u00a0=\u00a08), ce que confirme l\u2019analyse sociologique (quatre monographies), qui montre, en outre, l\u2019importance d\u2019une information transmise par un professionnel de sant\u00e9 et de la communication au sein des familles. Conclusion\u2008: L\u2019\u00e9tude a montr\u00e9 l\u2019impact de la transmission de l\u2019information pour convaincre les fratries \u00e0 risque \u00e9lev\u00e9 de CCR de r\u00e9aliser la coloscopie.<\/jats:p>","DOI":"10.3917\/spub.197.0079","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T01:25:15Z","timestamp":1580952315000},"page":"79-89","source":"Crossref","is-referenced-by-count":3,"title":["Information sur le risque familial de cancer colorectal. Regards crois\u00e9s sur l\u2019efficacit\u00e9 d\u2019une intervention personnalis\u00e9e"],"prefix":"10.3917","volume":"S2","author":[{"given":"Isabelle","family":"Ingrand","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludovic","family":"Gaussot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Richard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Griselda","family":"Drouet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Moreau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Ingrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"crossref","unstructured":"1 et\u00a0al. 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