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A Framework for Advancing Colorectal Cancer Screening, Follow-Up, and Care Delivery for All

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Title: A Framework for Advancing Colorectal Cancer Screening, Follow-Up, and Care Delivery for All
Language: English
Authors: Sarah Kobrin (ORCID 0000-0002-1391-6048), Sujha Subramanian, Sonja Hoover, Sharon McCarthy, Sheila F. Castañeda, Shiraz I. Mishra
Source: Health Education & Behavior. 2026 53(1):44-51.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 8
Publication Date: 2026
Sponsoring Agency: National Cancer Institute (NCI) (DHHS/NIH)
Contract Number: UG3/UH3CA244298
UG3/UH3CA233251
Document Type: Journal Articles
Reports - Research
Tests/Questionnaires
Descriptors: Cancer, Clinical Diagnosis, Referral, Health Services, Models, Program Implementation
Geographic Terms: North Carolina, Kentucky, Ohio, Appalachia, Illinois (Chicago), Oregon, California (San Diego), New Mexico, Arizona, Oklahoma
DOI: 10.1177/10901981251346803
ISSN: 1090-1981
1552-6127
Abstract: Increasing colorectal cancer (CRC) screening requires delivery and adaptation of evidence-based and theory-guided interventions. The Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) consortium is funded by the National Cancer Institute, with a primary goal of increasing the availability and use of approaches to CRC prevention and control, from screening through follow-up testing, diagnosis, and referral to care. In this article, we present a framework for improving CRC, follow-up, and referral to care among populations that have low CRC screening rates. We used a multistep, consensus- and data-driven approach to develop the ACCSIS framework. Eight collaborating Research Projects of the ACCSIS consortium evaluated the draft; they provided feedback in relation to their study designs, settings, populations, and methods. They also used evaluation results to refine the framework until they reached consensus. The current framework reflects common elements, expected intervention and screening outcomes, and is intended to contribute to future ACCSIS analyses and others' intervention and research plans. The framework recognizes the iterative nature of CRC screening programs and emphasizes multiple levels of influence--from baseline factors affecting selection of intervention components through measurement of process, screening, and implementation outcomes. Future researchers and practitioners can adapt the ACCSIS framework to advance CRC screening and to improve other cancer prevention and control research and practices that have created and perpetuated health disparities.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1495523
Database: ERIC
FullText Text:
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PubType: Academic Journal
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  Data: A Framework for Advancing Colorectal Cancer Screening, Follow-Up, and Care Delivery for All
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Sarah+Kobrin%22">Sarah Kobrin</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-1391-6048">0000-0002-1391-6048</externalLink>)<br /><searchLink fieldCode="AR" term="%22Sujha+Subramanian%22">Sujha Subramanian</searchLink><br /><searchLink fieldCode="AR" term="%22Sonja+Hoover%22">Sonja Hoover</searchLink><br /><searchLink fieldCode="AR" term="%22Sharon+McCarthy%22">Sharon McCarthy</searchLink><br /><searchLink fieldCode="AR" term="%22Sheila+F%2E+Castañeda%22">Sheila F. Castañeda</searchLink><br /><searchLink fieldCode="AR" term="%22Shiraz+I%2E+Mishra%22">Shiraz I. Mishra</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. 2026 53(1):44-51.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Label: Peer Reviewed
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  Data: Y
– Name: Pages
  Label: Page Count
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  Data: 8
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  Data: 2026
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  Data: National Cancer Institute (NCI) (DHHS/NIH)
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  Data: UG3/UH3CA244298<br />UG3/UH3CA233251
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  Data: Journal Articles<br />Reports - Research<br />Tests/Questionnaires
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  Data: <searchLink fieldCode="DE" term="%22Cancer%22">Cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+Diagnosis%22">Clinical Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Referral%22">Referral</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Services%22">Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Models%22">Models</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink>
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22North+Carolina%22">North Carolina</searchLink><br /><searchLink fieldCode="DE" term="%22Kentucky%22">Kentucky</searchLink><br /><searchLink fieldCode="DE" term="%22Ohio%22">Ohio</searchLink><br /><searchLink fieldCode="DE" term="%22Appalachia%22">Appalachia</searchLink><br /><searchLink fieldCode="DE" term="%22Illinois+%28Chicago%29%22">Illinois (Chicago)</searchLink><br /><searchLink fieldCode="DE" term="%22Oregon%22">Oregon</searchLink><br /><searchLink fieldCode="DE" term="%22California+%28San+Diego%29%22">California (San Diego)</searchLink><br /><searchLink fieldCode="DE" term="%22New+Mexico%22">New Mexico</searchLink><br /><searchLink fieldCode="DE" term="%22Arizona%22">Arizona</searchLink><br /><searchLink fieldCode="DE" term="%22Oklahoma%22">Oklahoma</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1177/10901981251346803
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1090-1981<br />1552-6127
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Increasing colorectal cancer (CRC) screening requires delivery and adaptation of evidence-based and theory-guided interventions. The Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) consortium is funded by the National Cancer Institute, with a primary goal of increasing the availability and use of approaches to CRC prevention and control, from screening through follow-up testing, diagnosis, and referral to care. In this article, we present a framework for improving CRC, follow-up, and referral to care among populations that have low CRC screening rates. We used a multistep, consensus- and data-driven approach to develop the ACCSIS framework. Eight collaborating Research Projects of the ACCSIS consortium evaluated the draft; they provided feedback in relation to their study designs, settings, populations, and methods. They also used evaluation results to refine the framework until they reached consensus. The current framework reflects common elements, expected intervention and screening outcomes, and is intended to contribute to future ACCSIS analyses and others' intervention and research plans. The framework recognizes the iterative nature of CRC screening programs and emphasizes multiple levels of influence--from baseline factors affecting selection of intervention components through measurement of process, screening, and implementation outcomes. Future researchers and practitioners can adapt the ACCSIS framework to advance CRC screening and to improve other cancer prevention and control research and practices that have created and perpetuated health disparities.
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  Data: As Provided
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  Data: 2026
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  Data: EJ1495523
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        Value: 10.1177/10901981251346803
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      – Text: English
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      Pagination:
        PageCount: 8
        StartPage: 44
    Subjects:
      – SubjectFull: Cancer
        Type: general
      – SubjectFull: Clinical Diagnosis
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      – SubjectFull: Oklahoma
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      – TitleFull: A Framework for Advancing Colorectal Cancer Screening, Follow-Up, and Care Delivery for All
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