Comparing Two Ways to Help Clinicians and Older Patients Make Colorectal Cancer Screening Decisions

The enhancement addresses important two issues: how do healthcare systems deal with the growing backlog of screening tests and elective procedures due to the pandemic and what is the impact on attitudes about COVID-19 risk, willingness to screen for colorectal cancer using alternate methods, time to screening, and barriers to screening for patients who had their colonoscopy delayed due to the pandemic. The enhancement will compare the effectiveness of a shared decision making versus standard scheduling approach for patients on the wait list for rescheduling postponed screening and surveillance colonoscopy procedures. The results from this enhancement will build knowledge about patients' knowledge, attitudes, and preferences for colorectal cancer screening as health care systems return to routine operations during the COVID-19 pandemic.