Small media and client reminders for colorectal cancer screening: current use and gap areas in CDC's Colorectal Cancer Control Program.
BACKGROUND
CDC's Colorectal Cancer Control Program (CRCCP) funds 25 states and 4 tribal organizations to promote and increase colorectal cancer screening population-wide. The CRCCP grantees must use evidence-based strategies from the Guide to Community Preventive Services, including small media and client reminders.


METHODS
To assess the existing resources and needs to promote colorectal cancer screening, we conducted 2 web-based surveys of CRCCP grantees and their community partners. Survey 1 sought to identify priority populations, the number and quality of existing colorectal cancer resources for different population subgroups, and the types of small media and client reminder they were most interested in using. Survey 2 assessed screening messages that were used in the past or might be used in the future, needs for non-English-language information, and preferences for screening-related terminology.


RESULTS
In survey 1 (n = 125 from 26 CRCCPs), most respondents (83%) indicated they currently had some information resources for promoting screening but were widely dissatisfied with the quality and number of these resources. They reported the greatest need for resources targeting rural populations (62% of respondents), men (53%), and Hispanics (45%). In survey 2 (n = 57 from 25 CRCCPs), respondents indicated they were most likely to promote colorectal cancer screening using messages that emphasized family (95%), role models (85%), or busy lives (83%), and least likely to use messages based on faith (26%), embarrassment (25%), or fear (22%). Nearly all (85%) indicated a need for resources in languages other than English; 16 different languages were mentioned, most commonly Spanish.


CONCLUSIONS
These findings provide the first picture of CRCCP information resources and interests, and point to specific gaps that must be addressed to help increase screening.
Health Communication Research Laboratory, Washington University in Saint Louis, Campus Box 1009, 700 Rosedale Ave, Saint Louis, MO 63112-1408, USA. mkreuter@gwbmail.wustl.edu
Matthew W
MW
Kreuter
Lori B
LB
Garibay
Debbie J
DJ
Pfeiffer
Jennifer C
JC
Morgan
Melonie
M
Thomas
Katherine M
KM
Wilson
Jennifer
J
Pieters
Kellie
K
Szczepaniec
Amy
A
Scott
Timothy J
TJ
Poor
D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S.; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D003153:Community Health Services / Q000458:organization & administration; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006295:Health Resources / Q000706:statistics & numerical data; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data; D020380:Needs Assessment; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000208:ethnology / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000379:methods; D015397:Program Evaluation; D011594:Psychometrics; D017010:Reminder Systems; D012424:Rural Population / Q000706:statistics & numerical data; D060145:Text Messaging / Q000706:statistics & numerical data; D014481:United States; D014505:Urban Population / Q000706:statistics & numerical data