Overall Study Goal: Improve colorectal cancer screening by increasing rates of repeat fecal occult blood testing (FOBT).Īim 1: Test if a multifaceted intervention increases repeat FOBT testing adherence over a 30-month period The investigators study will provide critical information for providers and policymakers as they consider optimal strategies to increase CRC screening among vulnerable populations. The assumption that FOBT is an effective CRC screening strategy presumes it will be done at least biennially, and cost-effectiveness studies of CRC screening strategies have found that the results are sensitive to the rate of adherence. Few studies have examined the rate of repeat FOBT testing to the investigators knowledge, none have been conducted in populations with high prevalence of barriers to screening (e.g., low literacy, varied cultural norms, and transportation difficulties). Annual or biennial FOBT testing over many years is essential for FOBT to be effective. Screening rates are even lower among Black and Hispanic populations and in areas with higher poverty rates. In 2006, only 60.8% of adults 50 or older reported recent CRC screening. However, rates of CRC screening remain inadequate. The United States Preventive Services Task Force (USPSTF) recommends colorectal cancer (CRC) screening using fecal occult blood testing (FOBT), sigmoidoscopy, or colonoscopy in adults, beginning at age 50 and continuing until age 75. Why Should I Register and Submit Results?.
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