Colorectal Cancer Screening With Improved Shared Decision Making

Colorectal Cancer Screening With Improved Shared Decision Making (CRCS-WISDM)

The purpose of this study is to increase colorectal cancer screening by implementing a community-wide shared decision-making (SDM) intervention, which embeds shared decision making within clinical practice and also uses an extensive community engagement campaign. The investigators hypothesize that colorectal cancer screening adherence will be higher in the intervention group (participating communities) compared to the usual care control group (non-participating comparison communities).

Clinical practice: All patients 50-75 years seen in the participating primary care clinics during the study period who are non-adherent to CRCS recommendation. This sample is anticipated to be N~50,000 patients.

Community engagement: Includes mailed questionnaires to age-eligible adults residing in intervention and comparison (control) communities (N=2150).

Inclusion Criteria:

• 50 to 75 years of age
• Lives in or receives care in the selected intervention or comparison (control) communities
• Average-risk for colorectal cancer
• Non-adherent to CRCS recommendation
• English-speaking
• People who consent to participate

Exclusion Criteria:

• <50 years of age or >75 years of age
• Not living in or receiving care in the selected intervention or comparison communities
• High-risk for colorectal cancer
• Adherent to CRCS recommendation
• Non-English speaking
• People who do not consent to participate