Addressing Disparities in Colorectal Cancer Screening in Black and Underserved Phoenix Communities

PRIMARY OBJECTIVES:

I. To evaluate patient navigation to address colorectal cancer disparities seen in people of color, minority populations, and establish an ongoing colorectal cancer screening outreach program for this community in Phoenix.

OUTLINE:

Participants receive free FIT tests in conjunction with education on colorectal cancer screening. Participants undergo self-collect FIT and mail the sample to Mayo Clinic Lab for processing. Participants also complete a questionnaire about colorectal cancer screening and healthcare. Participants receive FIT test results through Mayo Clinic nursing support and participants with a positive test are followed up by a patient navigator to discuss next steps and consultation with a gastroenterologist to review their results.

After completion of screening, participants with a positive FIT test are followed up at 2 and 4 weeks after initial outreach to assure participants have received adequate follow up.

Inclusion criteria

• Age 45 years of age or older
• No prior history of colorectal cancer or colon polyps
• No first-degree family history of colorectal cancer who were diagnosed under age 60
• No current gastrointestinal (GI) or rectal symptoms (such as rectal bleeding)
• Have not undergone a colonoscopy in the last 5 years
• Have not had a fecal immunochemical test (FIT) test within the last year
• Participants that attend 4 predominantly African American churches within the Phoenix Community and extend the study opportunity as feasible to other underserved communities in the Phoenix Metro area