An Interactive Preventive Health Record to Increase Colorectal Cancer Screening

An Interactive Preventive Health Record to Increase Colorectal Cancer Screening

This study involves 3 phases that modifies current Interactive Preventative Health Record-Colorectal Cancer Screening (IPHR-CRCS) modules to address each patient's individual colorectal cancer screening (CRCS) knowledge, attitudes, preferences, and test-specific barriers. The study will engage patients, ages 50-75 years who are non-adherent to CRCS, to assess their CRCS test preferences and corresponding test-specific barriers in "real time". Based on patient characteristics (e.g. age, personal and family history, physician CRCS recommendation, CRCS test preferences, top test-specific barriers), tailored messages/videos will appear in the pop-up screens to address/reduce the top patient-reported, test-specific CRCS barriers while incorporating an action plan for CRCS adherence. The investigators hypothesize that modifying the IPHR-CRCS module to address each patient's individual CRCS knowledge, attitudes, preferences, and test-specific barriers will further increase CRCS.

Inclusion Criteria:

• Adults 50-75 years
• Non-adherent to CRCS guidelines (i.e., no FOBT in last year, no sigmoidoscopy or barium enema in last 5 years, and no colonoscopy in last 10 years)
• English-speaking
• Have computer access (e.g. home, work, library)
• Additional eligibility for Phase I: focus group participants will be ineligible for the subsequent prototype testing and cognitive/usability testing interviews
• Additional eligibility for Phase I: prototype testing participants will be ineligible for the cognitive/usability testing interviews
• Additional eligibility for Phase II: Seen in the clinic in the last 2 years

Exclusion Criteria:

• Personal CRC history
• Additional exclusion for Phase III: Patients seen at any clinic participating in Phase II