Colon Health Champion Program

Participants in the Colon Health Champion Program will join in a small group discussion and watch videos to learn about colon cancer and why it is important to get checked (screened). They will fill out surveys before and after the meeting, and again one month later. At the end of the discussion, participants may be offered a FIT test to check for colon cancer.

Inclusion criteria

• Adults aged (45-75 years old) who reside in target communities.
• Ability to speak, write, and comprehend English language
• Additional for trial participants only (not champions): Participants will include adults who are at average risk of colorectal cancer (CRC) and due for routine CRC screening.

Exclusion criteria

• Planning to move from the area within the study period
• Cognitive impairment that would preclude informed consent or completion of study measures
• Additional for Trial Participants only (not Champions):

• At elevated risk of CRC, defined as having one or more of the following:
• Personal history of CRC, adenomatous polyps, or inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis)
• Strong family history of CRC, defined as having one first-degree relative diagnosed at age 59 or younger or two or more first-degree relatives who have had CRC
• Known hereditary CRC syndromes (e.g., Lynch syndrome or familial adenomatous polyposis [FAP])
• Currently experiencing potential colorectal symptoms, including:
• Blood in stool or rectal bleeding
• Persistent changes in bowel habits (e.g., constipation or changes in stool shape lasting more than two weeks)
• Unintended or unexplained weight loss
• Severe fatigue or anemia
• Currently up-to-date with CRC screening, defined as having received any of the following tests:
• Colonoscopy within the last ten years
• FIT within the last year
• FIT +DNA within the last three years