Primary care provider |
Inclusion |
Physician, nurse practitioner, or physician assistant |
Administrative & Phone screen |
Working in one of the targeted primary care clinics |
Administrative & Phone screen |
At least one half-day of primary care clinic per week |
Administrative & Phone screen |
Patient panel size large enough to enroll 12–13 patients |
Administrative & Phone screen |
Patient participant |
Inclusion |
Assigned to one of the enrolled PCPs |
Administrative & Phone screen |
At least one primary care appointment in the 18 months before enrollment |
Administrative & Phone screen |
Upcoming PCP appointment with assigned PCP |
Administrative & Phone screen |
Aged 40–64 years |
Administrative & Phone screen |
No previous history of CRC (V10.05, V10.06, ICD-9153, 154), inflammatory bowel disease (555.0, 555.1, 555.2, 555.9, 556.0), or adenomatous polyps (indicated in pathology report) |
Administrative & Phone screen |
Exclusion |
Endoscopy within the previous 3 years |
Administrative & Phone screen |
Plans to relocate or leave the VA healthcare system in the next 12 months |
Phone Screen |
More than 2 errors on a validated 6-item screener for cognitive impairment |
Phone screen |
Non-English speaking |
Phone screen |
No knowledge of FHH of first- and second-degree predecessor relatives, even if adopted |
Phone screen |
Concurrent enrollment in a competing research study (related to colon cancer) |
Phone screen |