Fit Abnormal to Colonoscopy: Equity in Screening Completion (FACES)
Massachusetts General Hospital
Summary
The goals of this proposal are to: (1) identify patient- and system-level determinants of diagnostic colonoscopy after positive FIT; (2) identify patient- and system-level equity-driven implementation strategies for diagnostic colonoscopy after positive FIT matched to determinants; and (3) pilot test patient- and systems-level implementation strategies to increase rate of colonoscopy after positive FIT and determine feasibility and acceptability of strategies using mixed methods
Description
A. Study Overview: The goals of this proposal are to: (1) identify systems-level determinants of colorectal cancer screening and patient- and systems-level determinants of follow-up colonoscopy after positive FIT in individuals aged 45-75using mixed methods, guided by Consolidated Framework for Implementation Research 2.0 (CFIR 2.0); (2) identify equity-driven implementation strategies for colorectal cancer screening; and (3) to pilot test implementation strategies and determine feasibility and acceptability using mixed methods (Figure 1). Outcomes for our pilot are informed by the RE-AIM fram…
Eligibility
- Age range
- 45–75 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Individuals aged 45-75 * Individuals who are patients at Codman Square Health Center * Individuals that are willing and able to give verbal/written consent Exclusion Criteria: * Individuals with a personal history of colorectal cancer * Individuals with a family history of colorectal cancer * Individuals with a history of inflammatory bowel disease or high-risk cancer syndrome
Location
- Codman Square Health CenterBoston, Massachusetts