Colon Health Champion Program

Prior treatment

• Additional for Trial Participants only (not Champions):
  • At elevated risk of CRC, defined as having one or more of the following:
  • Personal history of CRC, adenomatous polyps, or inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis)
  • Strong family history of CRC, defined as having one first-degree relative diagnosed at age 59 or younger or two or more first-degree relatives who have had CRC
  • Known hereditary CRC syndromes (e.g., Lynch syndrome or familial adenomatous polyposis \[FAP\])
  • Currently experiencing potential colorectal symptoms, including:
  • Blood in stool or rectal bleeding
  • Persistent changes in bowel habits (e.g., constipation or changes in stool shape lasting more than two weeks)
  • Unintended or unexplained weight loss
  • Severe fatigue or anemia
  • Currently up-to-date with CRC screening, defined as having received any of the following tests:
  • Colonoscopy within the last ten years
  • FIT within the last year
  • FIT +DNA within the last three years

Other illness

• Cognitive impairment that would preclude informed consent or completion of study measures

Other

• Planning to move from the area within the study period

• Adults aged (45-75 years old) who reside in target communities.
• Ability to speak, write, and comprehend English language
• Additional for trial participants only (not champions): Participants will include adults who are at average risk of colorectal cancer (CRC) and due for routine CRC screening.