Screen to Save: Results from NCI's Colorectal Cancer Outreach and Screening Initiative to Promote Awareness and Knowledge of Colorectal Cancer in Racial/Ethnic and Rural Populations
Authors: Whitaker Damiya E. , Snyder Frederick R. , San Miguel-Majors Sandra L. , Bailey LeeAnn O. , Springfield Sanya A. ,   S2S Collaborative, Aarons Cary B. , Acevedo-Fontanez Adrianna I. , Adams Terrance , Adeyanju Toyin , Ahles Tim , Akosa Fredua A. , Anderson Roger , Armstrong Debra , Arredondo Elva M. , Artero Marisha , Barajas Claudia P. , Beckerle Mary C. , Boozer-Yeary Rhonda S. , Branson Donna , Briant Katherine J. , Brooks Mary Elizabeth , Bruff Carmenza , Bryant Brenda E. , Cadet Debbie L. , Cannady Kimberly , Carlisle Veronica A. , Carrizosa-Ramos Marina , Carter Vivian L. , Cassel Kevin D. , Castro-Figueroa Eida M. , Centeno Hilmarie , Cheatham Chesley , Chen Moon S. , Ciecierski Christina , Colon Jomary , Colón Sofía , Colon-Lopez Vivian , Cortes Cynthia , Cortes Diana , Cortez-Weir Jeralyn , Cruz José , Cruz Nicole , Dang Julie Ha Thi , Dawkins Norma L. , DeGraffinreid Cecilia , DeJesus Jose , Desai Niyati , Diaz Tressa P. , Diaz-Mendez Marynieves , Ellis Daphne , Eng Eugenia , Erwin Deborah O. , Escobar Betsy , Evans Nannie , Fickle Darla , Fisher Edwin B. , Fisher Nicole , Fitzgibbon Marian L. , Fleming Khaliah , Flores Armida , Ford Marvella E. , Fredrick Cody , Ganey Katie , Gany Francesca , Garcia Marisela , Gatson Juana , Gray Darrell , Groneman Brooke , Grossman Betsy , Guerra Carmen E. , Leon Guerrero Rachael T. , Guest Dolores D. , Gwede Clement K. , Harding Garrett , Hardy Claudia , Haring Rodney , Hauser Lindsay , Hillyer Grace C. , Holland Jacquelin , Holt Cheryl , Howes Deb , Huang Bin , Hubbard Karen , Hunley Rachel , Imset Inger , Inada Megan K. , Jenkins Kathye , Jibaja-Weiss Maria , Jiménez Julio , Jones Beth A. , Kim Karen , Kinney Anita Y. , Lam Helen , Landa Veronica , Lang Jennifer , Lee Nita , Lizardi Cristina Jiménez , Lopez Ana Maria , Lopez Jomar , De La Torre Carolina Lopez , Lunsford Jeff , Manne Upender , McAfee Caree , McNeill Lorna , Meade Cathy D. , Medina Diana , Melecio Lemuel , Mitchell Charlene L. , Monge Melinda , Montealegre Jane , Morales Jennyffer , Moseley Michelle , Mummert Angelina G. , Muñoz-Antonia Teresita , Nava Magdalena , Navas-Nacher Elena L. , Nervi Laura , Nery Jill , O'Connell Mary , Onega Tracy , Ostler Jane , Palacios Rebecca , Palafox Neal A. , Pasick Rena J. , Paskett Electra D. , Pauley Tonya , Prabhu Sneha , Ramirez Amelie G. , Reyes Andria , Rhoads Kim , Ríos José , Rivera Darilyn , Robers Erika , Rogers Melinda L. , Salas Jiana R. , Sanders Kimberly , Schifano Katelyn , Schiffelbein Jenna , Schmitt Karen M. , Scott Theron , Sempasa Doris , Serrano Mayra , Simon Julian , Andrea Simon Melissa , Solomon Erin M. , Somera Lilnabeth P. , Sondgeroth Karoline , Soto Marievelisse , Spychala Leo , Stoller Wesley , Strickland Rick , Sussman Andrew L. , Sweetenham John , Teague Ashley , Thompson Beti , Torres Cesille , Troy Roberta M. , Ulrich Cornelia , Unguez Graciela , Vadaparampil Susan , Vadgama Jaydutt , Johnson Vance Meghan , Vanderpool Robin C. , Vélez-Alamo Camille , Vines Anissa I. , Wakuk Srue , Washburn Anne , Hooper Monica Webb , Weiner Brad R. , Widman Christy , Wilkins Consuelo H. , Wong Ching , Zabora James , Zamora Eduardo 
Published: May 2020

Abstract

Background:
The Center to Reduce Cancer Health Disparities (CRCHD), National Cancer Institute (NCI), launched Screen to Save, NCI's Colorectal Cancer Outreach and Screening Initiative to promote awareness and knowledge of colorectal cancer in racial/ethnic and rural populations.

Methods:
The initiative was implemented through CRCHD's National Outreach Network (NON) and Comprehensive Partnerships to Advance Cancer Health Equity (CPACHE) programs. NON is a national network of Community Health Educators (CHEs), aligned with NCI-designated Cancer Centers (CCs). CPACHE are partnerships between a CC and a minority-serving institution with, among other components, an Outreach Core and a CHE. In phases I and II, the CHEs disseminated cancer-related information and implemented evidence-based educational outreach.

Results:
In total, 3,183 pre/post surveys were obtained from participants, ages 50 to 74 years, during 347 educational events held in phase I. Results demonstrated all racial/ethnic groups had an increase in colorectal cancer-related knowledge, and each group agreed that the educational event increased the likelihood they would engage in colorectal cancer-related healthful behaviors. For phase II, Connections to Care, participants were linked to screening. Eighty-two percent of participants who were screened during the follow-up period obtained their results.

Conclusions:
These results suggest that culturally tailored, standardized educational messaging and data collection tools are key elements that can serve to inform the effectiveness of educational outreach to advance awareness and knowledge of colorectal cancer.

Impact:
Future initiatives should focus on large-scale national efforts to elucidate effective models of connections to care related to colorectal cancer screening, follow-up, and treatments that are modifiable to meet community needs.