Washington University School of Medicine
This is a mixed-methods implementation pilot combining an educational intervention with a mailed stool-based testing outreach feasibility study within a resident primary care clinic. Participants will be assigned by clinic team to education, mailed FIT, mailed Cologuard, or usual care comparison groups.
Phase 1 Education Arm Inclusion Criteria: * Previously enrolled in prior study IRB #202202059 who agreed to participate in future research Phase 1 Education Arm Exclusion Criteria: * Not enrolled in prior study IRB #202202059 Phase 2 (All Other Arms) Inclusion Criteria: * Primary Care Medicine Clinic patient (PRMC) * Eligible for CRC screening * Between age 45-75 years old * Have eligible health insurance Phase 2 (All Other Arms) Exclusion Criteria: * Prior history of colorectal cancer * Diagnosis of inflammatory bowel disease
Education materials are compiled from the American College of Gastroenterology (ACG) and the City of Hope. The education materials are at a 6th grade reading level. Materials detail digestive system and polyp background, colorectal cancer (CRC) risk factors, warning signs, screening options, recommended initial screening age, and stool-based screening and colonoscopy processes.
The Cologuard test will be mailed to the participants. Participants will complete the test via the step-by-step written and pictorial instructions provided and mail the complete test with the pre-paid return label provided.
The Fecal immunochemical test (FIT) will be mailed to the participants. Participants will complete the test via the step-by-step written and pictorial instructions provided and mail the complete test with the pre-paid return label provided.
Usual care for patients eligible for colorectal cancer screening will be provided by the Barnes-Jewish Hospital Primary Care Medicine Clinic.
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