Increasing Colorectal Cancer Screening Rates


Colorectal Cancer Screening in Disadvantaged Communities

Dr. Stephanie Wheeler, 4CNC Co-Investigator, serves as PI of a study to identify North Carolina communities with low colorectal cancer screening rates and increased CRC mortality. Regions with in the Community Care Network of NC with notable characteristics will be selected for research to:

  • elicit preferences and understand barriers related to CRC screening in the selected disadvantaged communities from the patient perspective
  • develop decision support models to optimize CRC screening rates and cost per person-year screened in disadvantaged communities.

Working with FQHCs and PCAs to Increase Colorectal Cancer Screening Rates

Dr. Catherine Rohweder, 4CNC Co-Investigator, is co-leading this CPCRN cross-center project, which has an overall aim to strengthen and evaluate existing colorectal cancer (CRC) screening initiatives at the patient, clinic, and community level in order to increase CRC screening rates among the populations served by Federally Qualified Health Centers (FQHCs)and Primary Care Associations. The study aims to answer the following questions:

  • What evidence-based interventions (e.g., client reminders, provider assessment and feedback) are FQHCs currently using to increase CRC screening rates?
  • What evidence-based implementation strategies (e.g., patient navigation, practice facilitation) are FQHCs currently using to put CRC screening interventions into practice?
  • What types of implementation supports (tools/training/technical assistance/other resources) are FQHCs currently accessing and what is their experience with those supports?
  • How ready are FQHCs to implement and evaluate multi-level interventions to increase CRC screening rates [Readiness = motivation x general capacity x innovation-speciic capacity]?
  • How are FQHCs using the tools, trainings, and technical assistance developed for study activities?