Scaling Colorectal Cancer Screening Through Outreach, Referral, and Engagement (SCORE) Intervention for the Reduction of Colorectal Cancer Burden in Vulnerable Populations

Inclusion Criteria

• Age 50-75 years
• At average risk for CRC (“average risk” is defined as those patients who do not have any of the following: history of CRC, colonic adenomas, family history of CRC, or diagnosis of inflammatory bowel disease)
• No record of fecal occult blood test (FOBT)/FIT within the past 12 months or colonoscopy within 10 years, sigmoidoscopy within 5 years, barium enema within 5 years, or computed tomography (CT) colonography within 10 years of the electronic health record (EHR) query date
• No record of any CRC diagnosis or total colectomy
• Active patient (seen within the past 18 months) of RCCHC or BRH * Patients invited to participate in an interview will meet two additional inclusion criteria: be assigned to study Arm 2 and have a positive (abnormal) FIT result as a participant in the screening program

Exclusion Criteria

• Age younger than 50 years or older than 75 years
• Not at average risk for CRC (“average risk” is defined as those patients who do not have any of the following: history of CRC, colonic adenomas, family history of CRC, or diagnosis of inflammatory bowel disease)
• Record of FOBT/FIT within the past 12 months or colonoscopy within 10 years, sigmoidoscopy within 5 years; barium enema within 5 years, or CT colonography within 10 years of the EHR query date
• Record of any CRC diagnosis or total colectomy
• Not an active patient (not seen within the past 18 months) of RCCHC or BRH * Patients will not be invited to participate in an interview if they meet additional exclusion criteria: be assigned to study Arm 1, do not return a FIT as a participant in the screening program, or have a negative (normal) FIT result as a participant in the screening program