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Sponsor: VA Office of Research and Development
Conditions: Colorectal Neoplasms, Mass Screening
Interventions: Patient intervention, PCP intervention
Countries: United States
Colorectal cancer is a leading cause of cancer death among Veterans. The starting age for colorectal cancer screening has been lowered from 50 to 45 years in response to the rising incidence of early-onset colorectal cancer (EOCRC), but how to best engage younger Veterans in screening is unclear. The investigators will 1) develop and validate a novel risk score for EOCRC derived from the VA electronic health record data, 2) conduct a multilevel screening intervention that targets individuals aged 45-49 years and informs high-risk individuals and their providers about their risk status for EOCRC, and 3) determine barriers and facilitators to implementing the intervention using a qualitative process evaluation. Aim 2 is the focus of the trial. The overall goal of this study is to create and test a risk stratification approach to prevent EOCRC, which may be especially useful for younger individuals who are less likely to participate in preventive care.
Sex: ALL
Age: 45 Years to 49 Years
Healthy volunteers: Yes
Study type: INTERVENTIONAL
Inclusion Criteria: * Age 45-49 years at screening Exclusion Criteria: * Up-to-date with CRC screening based on the USPSTF guideline (e.g., colonoscopy within the past 10 years or FIT within the past year) * Prior CRC diagnosis * Prior total colectomy * Limited life expectancy (defined as terminal illness, hospice enrollment, or documented life expectancy \<6 months on the medical problem list or a health factor in the EHR * Deactivated national CRC screening and surveillance reminder (due to risk level or comorbidities)
- New York, New York, United States