Evaluating a Remotely Delivered, Digital Health CRC Screening Intervention Among Racially Diverse Patients of a Community Health Center

Inclusion Criteria

Inclusion Criteria: * Age 45-73 years at time of enrollment * At average risk for CRC ("average risk" is defined as those subjects who do not have any of the following: documented history in the EHR of CRC, colonic adenomas, family history of CRC, or diagnosis of inflammatory bowel disease) * No record in the EHR of fecal occult blood test (FOBT)/FIT within 12 months, FIT-DNA within 3 years, colonoscopy within 10 years, sigmoidoscopy within 5 years, barium enema within 5 years, or computed tomography (CT) colonography within 10 years of the EHR query date * No record in the EHR of any CRC diagnosis or total colectomy * Active patient of the clinic as documented in the EHR (seen at least 2 times within the past 12 months) * For the second and third study rounds only: No record of a positive (abnormal) CRC screening result in a previous study round Exclusion Criteria: * All individuals meeting any of the exclusion criteria at baseline will be excluded from study participation: * Age younger than 45 years or older than 73 years at the time of enrollment * Not at average risk for CRC ("average risk" is defined as those subjects who do not have any of the following: history with colorectal carcinoma, colonic adenomas, family history of colorectal carcinoma, or diagnosis of inflammatory bowel disease) * Colorectal carcinoma screening in last 12 months Record in the electronic health record (HER) of fecal occult blood test (FOBT)/FIT within 12 months, FIT-DNA within 3 years, colonoscopy within 10 years, sigmoidoscopy within 5 years, barium enema within 5 years, or computed tomography (CT) colonography within 10 years of the EHR query date * Record in the EHR any CRC diagnosis or total colectomy * Not an active client of the clinic as documented in the EHR (not seen at least 2 times within the past 12 months) * For second and third annual study rounds only: Record of a positive (abnormal) CRC screening result in a previous study round