{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T13:29:45Z","timestamp":1775050185785,"version":"3.50.1"},"reference-count":29,"publisher":"CAIRN.INFO","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,27]]},"abstract":"<jats:p>Introduction\u00a0: Le risque de cancer colorectal (CCR) est augment\u00e9 chez les apparent\u00e9s au premier degr\u00e9 des patients atteints d\u2019un CCR ou d\u2019un ad\u00e9nome avanc\u00e9 chez qui un d\u00e9pistage cibl\u00e9 par coloscopie est recommand\u00e9. Le taux de r\u00e9alisation de cet examen est insuffisant. L\u2019hypoth\u00e8se principale est que les patients ne sont pas assez conscients des implications familiales de leur maladie ou peinent \u00e0 informer leurs proches. Cette \u00e9tude s\u2019inscrit dans le cadre du d\u00e9veloppement d\u2019un programme d\u2019\u00e9ducation (PE) personnalis\u00e9e \u00e0 la pr\u00e9vention, bas\u00e9 sur des s\u00e9ances inspir\u00e9es des entretiens motivationnels. L\u2019\u00e9ducation des cas index avait pour objectif d\u2019induire leur intervention aupr\u00e8s de leurs proches afin de promouvoir aupr\u00e8s d\u2019eux le d\u00e9pistage du CCR. But de l\u2019\u00e9tude\u00a0: Cette \u00e9tude ancillaire compl\u00e9mentaire d\u2019un essai randomis\u00e9 en clusters a eu pour objectifs de mesurer qualitativement les performances de ce PE. M\u00e9thode\u00a0: Sur la base d\u2019une m\u00e9thodologie qualitative, des entretiens semi-directifs ont \u00e9t\u00e9 r\u00e9alis\u00e9s aupr\u00e8s de 14 patients \u00ab\u00a0cas index\u00a0\u00bb et de 3 formateurs intervenants (FI) ayant dispens\u00e9 le PE \u00e0 ces derniers. Une analyse de contenu th\u00e9matique, suivie d\u2019une analyse textuelle puis d\u2019une analyse crois\u00e9e de ces deux m\u00e9thodes, a \u00e9t\u00e9 r\u00e9alis\u00e9e. R\u00e9sultats\u00a0: Le discours des patients est marqu\u00e9 par le v\u00e9cu de la maladie, les relations familiales et celles avec le corps soignant. L\u2019approche biographique lin\u00e9aire leur permet de \u00ab\u00a0resituer\u00a0\u00bb le PE, mais peu d\u2019\u00e9l\u00e9ments m\u00e9thodologiques pr\u00e9cis sont rapport\u00e9s. Les deux analyses mettent cependant en avant un v\u00e9cu majoritairement positif du PE. Une majorit\u00e9 du discours des FI est tourn\u00e9e vers la r\u00e9ception du r\u00e9cit du v\u00e9cu des patients et la m\u00e9thodologie est floue. Les FI font \u00e9tat d\u2019une formation ainsi que de s\u00e9ances de PE trop courtes, d\u2019un manque de clarification de leur r\u00f4le et posture, ce qui ne leur permet pas d\u2019atteindre l\u2019objectif. Conclusions\u00a0: Malgr\u00e9 un v\u00e9cu globalement positif du PE de la part des patients, cette \u00e9tude n\u2019a pas permis d\u2019en d\u00e9gager nettement une pertinence et une coh\u00e9rence m\u00e9thodologique. Sans \u00eatre remise fondamentalement en question, cette m\u00e9thodologie n\u00e9cessite probablement des \u00e9l\u00e9ments de r\u00e9vision et d\u2019am\u00e9lioration.<\/jats:p>","DOI":"10.3917\/spub.261.0047","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T08:52:07Z","timestamp":1775033527000},"page":"47-70","source":"Crossref","is-referenced-by-count":0,"title":["\u00c9valuation qualitative d\u2019une strat\u00e9gie d\u2019\u00e9ducation des patients \u00e0 risque tr\u00e8s \u00e9lev\u00e9 de cancer colorectal au d\u00e9pistage de leurs apparent\u00e9s"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Vittoria","family":"Balzano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Bonnin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herv\u00e9","family":"Breton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-H\u00e9l\u00e8ne","family":"Doublet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Haguenoer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9bastien","family":"Pesce","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selladurai","family":"Manjubarkavi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Rusch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Lecomte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.09.007"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-013-0201-5"},{"key":"rb3","unstructured":"3. 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