The Impact of Choice on Colorectal Cancer Screening (CRC45+)
Colorectal Cancer, Colorectal Neoplasms, Health Screening
About this trial
This is an interventional prevention trial for Colorectal Cancer focused on measuring Colorectal Cancer Screening, Choice
Eligibility Criteria
Inclusion Criteria
- UCLA Health patient
- Age 45-49 (as of 1/1/2022)
- Active primary care provider at UCLA Health
- Visit within the last 3 years
Exclusion Criteria
- Age <45 or >50 years old at time of randomization
- Documented family history of CRC in EMR
- History (personal or family) of prior adenomatous polyps in the EHR
- History of high-risk cancer syndromes (e.g., Lynch, FAP)
- Prior CRC screening with colonoscopy or FIT
- Inactive MyChart status at enrollment
- No documented SMS-capable phone number
Sites / Locations
- UCLA Health Department of Medicine, Quality Office
- UCLA Vatche and Tamar Manoukian Division of Digestive Diseases
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
No Intervention
Experimental
Experimental
Experimental
Standard of Care
FIT Choice
Colonoscopy Choice
Dual Choice
No Intervention-"Standard Care" UCLA Health has a mailed FIT outreach program. This group will receive standard FIT mailer protocol. They will receive a tailored MyChart message indicating the importance of CRC screening and not be presented with a choice for screening modalities.
This group will receive a tailored message via MyChart with information about CRC screening and using the FIT kit for noninvasive screening. They will then have to actively choose if they want CRC screening with a FIT kit vs no screening. If they opt for screening, the investigators will mail them a FIT kit.
This group will receive a tailored message via MyChart with information about CRC screening and colonoscopy for CRC screening. They will then have to actively choose if they want CRC screening with a colonoscopy vs no screening. If they opt for screening, the investigators will direct them to our patient navigators to get scheduled for a colonoscopy.
This group will receive a tailored message via MyChart with information about CRC screening and using either the FIT kit or colonoscopy for CRC screening. They will then have to actively choose if they want CRC screening with a FIT kit, a colonoscopy, or no screening. If they opt for screening, the investigators will either mail them a FIT kit or direct them to our patient navigators to schedule a colonoscopy, depending on their choice.