Study was discontinued due to a lack of feasibility.

The purpose of this study is to evaluate if a behavioral nudge principle known as social norm driver can be implemented to improve fecal immunochemical test (FIT) completion rates for patients' age 45-75 years old due for colorectal cancer screening at Bellevue Hospital Medicine Ambulatory Care Clinic. The study's endpoints include FIT screening completion rate and timeliness. Secondary analysis will look at demographic information such as age group, gender, prior screening, number of prior visits at the clinic.

Time Period 1 Inclusion Criteria:

1. Patient at Bellevue Ambulatory Care Medicine Clinic between 1/1/2024 and 7/1/2024
2. Age 45-75 years old

Time Period 2 Inclusion Criteria:

1. Patient at Bellevue Ambulatory Care Resident Clinic
2. Age 45-75 years old
3. Has not had a FIT test within the past year
4. Can read either English or Spanish
5. Is able and willing to provide consent

Time Period 3 Inclusion Criteria:

1. Patient at Bellevue Ambulatory Care Resident Clinic
2. Age 45-75 years old
3. Has not had a FIT test completed within the past year
4. Can read either English or Spanish
5. Is able and willing to provide consent

Time Period 1 Exclusion Criteria:

1. Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
2. Age outside of 45-75 years old

Time Period 2 Exclusion Criteria:

1. Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
2. Age outside of 45-75 years old
3. Has had a FIT test completed within the past year
4. Cannot read either English or Spanish

Time Period 3 Exclusion Criteria:

1. Patient at a clinic that is not Bellevue Ambulatory Care Resident Clinic
2. Age outside of 45-75 years old
3. Has had a FIT test completed within the past year
4. Cannot read either English or Spanish

Individual Participant Data will not be available to other researchers. Access to this aggregated study database will be limited to HIPAA certified investigators who have been IRB-approved for participation in this study.