Mail-Based Self-Sampling to Complete Colorectal Cancer Screening: Accelerating Colorectal Cancer Screening and Follow-up Through Implementation Science

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Gupta, Samir ; Barnes, Autumn ; Brenner, Alison T. ; Campbell, Janis ; Davis, Melinda ; English, Kevin ; Hoover, Sonja ; Kim, Karen ; Kobrin, Sarah ; Lance, Peter ; Mishra, Shiraz I. ; Oliveri, Jill M. ; Reuland, Daniel S. ; Subramanian, Sujha ; Coronado, Gloria D.
• Description:
  Introduction
  
  Leveraging cancer screening tests, such as the fecal immunochemical test (FIT), that allow for self-sampling and postal mail for screening invitations, test delivery, and return can increase participation in colorectal cancer (CRC) screening. The range of approaches that use self-sampling and mail for promoting CRC screening, including use of recommended best practices, has not been widely investigated.
  
  Methods
  
  We characterized self-sampling and mail strategies used for implementing CRC screening across a consortium of 8 National Cancer Institute Cancer Moonshot Initiative Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) research projects. These projects serve diverse rural, urban, and tribal populations in the US.
  
  Results
  
  All 8 ACCSIS projects leveraged self-sampling and mail to promote screening. Strategies included organized mailed FIT outreach with mailed invitations, including FIT kits, reminders, and mailed return (n = 7); organized FIT-DNA outreach with mailed kit return (n = 1); organized on-demand FIT outreach with mailed offers to request a kit for mailed return (n = 1); and opportunistic FIT-DNA with in-clinic offers to be mailed a test for mailed return (n = 2). We found differences in patient identification strategies, outreach delivery approaches, and test return options. We also observed consistent use of Centers for Disease Control and Prevention Summit consensus best practice recommendations by the 7 projects that used mailed FIT outreach.
  
  Conclusion
  
  In research projects reaching diverse populations in the US, we observed multiple strategies that leverage self-sampling and mail to promote CRC screening. Mail and self-sampling, including mailed FIT outreach, could be more broadly leveraged to optimize cancer screening.
  
  
• Subjects:
  Colorectal Neoplasms DNA Early Detection Of Cancer Follow-Up Studies Humans Implementation Science Mass Screening Occult Blood Postal Service
• Source:
  Prev Chronic Dis. 2023; 20
• DOI:
  http://dx.doi.org/10.5888/pcd20.230083
• ISSN:
  1545-1151
• Pubmed ID:
  38060411
• Pubmed Central ID:
  PMC10723083
• Document Type:
  Journal Article
• Funding:
  P30 CA023074/CA/NCI NIH HHSUnited States/ ; P30 CA118100/CA/NCI NIH HHSUnited States/ ; UH3 CA233282/CA/NCI NIH HHSUnited States/ ; UG3 CA233251/CA/NCI NIH HHSUnited States/ ; U24 CA233218/CA/NCI NIH HHSUnited States/ ; P30 CA225520/CA/NCI NIH HHSUnited States/ ; UH3 CA233314/CA/NCI NIH HHSUnited States/
• Volume:
  20
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:6c6dc61c5cf57e205a5de9f2602ff3de6aaa122baf2333c390799466004673d0b06c4be5e0e4ea607cdb517822e29bea2d319b3846f585dffa5d4d5343fa7e1a
• Download URL:
  https://stacks.cdc.gov/view/cdc/151079/cdc_151079_DS1.pdf
• File Type:
  [PDF - 660.34 KB ]