Cancer Screening: Interventions Engaging Community Health Workers - Colorectal Cancer, Updated 2026

Details

• Alternative Title:
  Cancer: Interventions Engaging Community Health Workers - Colorectal Cancer: Community Preventive Services Task Force Finding and Rationale Statement Ratified April 2019; Updated 2026
• Corporate Authors:
  Community Preventive Services Task Force (CPSTF)
• Description:
  CPSTF Finding (April 2019): The Community Preventive Services Task Force (CPSTF) recommends interventions that engage CHWs to increase colorectal cancer screening (by colonoscopy or fecal occult blood test FOBT) based on strong evidence of effectiveness. Studies included in the systematic review showed increases in colorectal cancer screening rates when CHWs delivered interventions alone or as part of an implementation team. ; Interventions that engage CHWs to increase colorectal cancer screening are typically implemented in underserved communities to improve health and can enhance health equity. ; The CPSTF finds interventions that engage CHWs in a team to increase colorectal cancer screening (by colonoscopy) are cost-effective based on a conservative threshold of $50,000 per quality-adjusted life year saved and may also result in net cost-savings. ; The Community Preventive Services Task Force (CPSTF) findings and recommendations for "Cancer Screening: Interventions Engaging Community Health Workers - Colorectal Cancer" are based on systematic reviews of evidence of effectiveness and economic impact. All CPSTF findings and recommendations were originally published in The Community Guide. ; The 2019 Findings and Rationale Statement was updated in July 2026. This update include the addition of these supporting document appendices: Appendix A: Analytic Framework (Effectiveness Review); Appendix B: Search Strategy (Effectiveness Review); Appendix C: Included Studies (Effectiveness Review); Appendix D: Summary Evidence Table (Effectiveness Review); Appendix E: Analytic Framework (Economic Review); Appendix F: Search Strategy (Economic Review); Appendix G: Included Studies (Economic Review); Appendix H: Summary Evidence Table (Economic Review).
• Content Notes:
  Publication date supplied by CPSTF
• Subjects:
  • Breast Neoplasms
  • Colorectal Neoplasms
  • Early Detection of Cancer
  • Early Diagnosis
  • Health Care Costs
  • Health Education
  • Health Inequities
  • Neoplasms
  • Patient Navigation
  • Uterine Cervical Neoplasms
• Keywords:
  • Cancer Screening
  • Community Health Workers
  • Breast Cancer
  • Colorectal Cancer
  • Cervical Cancer
• Series:
  CPSTF Finding and Rationale Statement
• Subseries:
  Cancer
• DOI:
  https://doi.org/10.15620/cdc/168662
• Document Type:
  Text
• Genre:
  Report
• Place as Subject:
  United States
• Rights:
  Public Domain
• CIO:
  Office of Science (OS)
• Topic:
  Diseases and Conditions
• Location:
  North America
• Pages in Document:
  80 pdf pages
• Citation:
  The Community Preventive Service Task Force (CPSTF). Cancer Screening: Interventions Engaging Community Health Workers - Colorectal Cancer, Updated 2026. The Community Guide www.thecommunityguide.org. The Community Preventive Service Task Force, Atlanta, Georgia, 2026. https://doi.org/10.15620/cdc/168662
• Download URL:
  https://stacks.cdc.gov/view/cdc/168662/cdc_168662_DS1.pdf
• File Type:
  [PDF - 1.72 MB]
• Collection(s):
  The Community Guide
• Main Document Checksum:
  urn:sha-512:fe3c8952e0f24980f3bb7be3c9300475dcc23464d3da2cc46ba04875660f2f81698c1eb1a7f8a2e55ecd9741375927ff2af0aad876ae7f068759afe595431ef1