TY  - JOUR
AU  - Gupta, Samir
AU  - Barnes, Autumn
AU  - Brenner, Alison T.
AU  - Campbell, Janis
AU  - Davis, Melinda
AU  - English, Kevin
AU  - Hoover, Sonja
AU  - Kim, Karen
AU  - Kobrin, Sarah
AU  - Lance, Peter
AU  - Mishra, Shiraz I.
AU  - Oliveri, Jill M.
AU  - Reuland, Daniel S.
AU  - Subramanian, Sujha
AU  - Coronado, Gloria D.
PY  - 2023
TI  - Mail-Based Self-Sampling to Complete Colorectal Cancer Screening: Accelerating Colorectal Cancer Screening and Follow-up Through Implementation Science
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E112
VL  - 20
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - 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.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd20.230083
DO  - 10.5888/pcd20.230083
ER  -