Screen for Life: National Colorectal Cancer Action Campaign

Screen for Life: National Colorectal Cancer Action Campaign is a Centers for Disease Control and Prevention (CDC) campaign to increase colorectal cancer screening among men and women ages 50 or older. The campaign provides free print materials (fact sheets, brochures, postcards, etc.), TV and radio PSAs, social media posts and images, and other materials in English and Spanish to inform men and women about the importance of colorectal cancer screening. Campaign development is based on an extensive review of communication and behavioral science literature as well as focus group studies held throughout the U.S.

Evaluation: Since 1999, CDC has conducted more than 225 focus groups in 35 U.S. cities to assess knowledge, behaviors, and screening practices of the target audiences and test campaign messages and materials. Input also is sought from state health departments on the types of materials that would be most helpful to local efforts. The campaign estimates that as of June 2017, Screen for Life PSAs have generated more than 20 billion audience impressions (the number of times the PSAs have been seen or heard), worth more than $246 million in donated placements. Learn more in the Campaign Overview.

Permissions: Made publicly available online by the Centers for Disease Control and Prevention. Visit the website to review the Usage Guidelines. Note that CDC allows state health departments and tribes/tribal organizations to add local information to printed materials and to the closing graphic of TV PSAs—e.g. “Brought to you by the Maryland Department of Public Health.” Screen for Life also provides CDC’s Colorectal Cancer Control Program grantees with specially adapted materials and other resources as needed.

Publication date: Launched in March, 1999; Regularly updated, most recently in 2017.

Post date: September 15, 2017

Contact: Submit comments, questions, and suggestions via web form.

FluFIT Program

FluFIT programs increase colorectal cancer screening rates by providing a take home fecal immunochemical test (FIT) to eligible patients when they receive their annual flu shot. Thus, the annual flu shot campaign create an opportunity to reach people who are also due for colorectal screening.

The FluFIT website offers program planning and implementational materials, including staff training, work flows, log sheets, sample reminder letters, and sample telephone call scripts. The site also provides patient educational materials, such as clinic posters, and FIT instructions (both printed materials and videos) in several languages. These materials can help prepare a healthcare team to develop the simple systems needed to implement a FluFIT program and jump start program development.

FluFIT programs have been implemented successfully in a variety of clinical settings. Many FluFIT campaigns are run by nurses, pharmacists, or medical assistants. They can be implemented and sustained with limited resources, are well accepted by patients, and can lead to higher screening rates.

Evaluation: FluFIT is a research-tested program. Visit the Publications section of the website to find research articles and reviews of the FluFIT approach.

Evaluation Assets: The Program Materials section of the website includes a sample FluFIT log sheet and sample FluFIT results tracking sheet.

Permissions: Made publicly available online by the Department of Family and Community Medicine, University of California.

Publication date: 2009; updated in 2017

Post date: September 15, 2017

Contact: Send comments, questions, and suggestions to Michael Potter, MD at

What Can Comprehensive Cancer Control Coalitions Do To Advance 80% By 2018?

Learn how CCC coalitions can be part of the national effort to make sure 80% of adults ages 50 and older are regularly screened for colorectal cancer by 2018.

Screen to Prevent (STOP) Colon Cancer

The Screen to Prevent (STOP) Colon Cancer project works to raise colorectal cancer screening rates in Federally Qualified Health Centers (FQHCs) in California, Oregon, and Washington State using fecal immunochemical testing (FIT).

The five-year project evaluates the effectiveness of the program in real-life practice conditions and is led by scientists and physicians at Kaiser Permanente’s Center for Health Research, Group Health Research Institute, and OCHIN. The project is funded by the National Institutes of Health Common Fund Health Care Systems (HCS) Research Collaboratory program.

Visit the Materials section of the website to find a variety of downloadable educational materials, including wordless instructions for multiple FITs, reminder and results letters, clinic posters, and workflow job aid templates.

Evaluation: The project began with a pilot study that found significant improvements in FIT completion rates for clinics in the STOP intervention. Visit the Findings section of the website to learn more.

Permissions: Made publicly available online by Kaiser Permanente Center for Health Research.

Publication date: 2014

Post date: September 20, 2017

Contact: Send comments, questions, and suggestions to

Steps for Increasing Colorectal Cancer Screening Rates: A Manual for Community Health Centers

This manual provides step-by-step instructions to help community health centers implement processes that will reduce physician workload and increase colorectal cancer screening. Important topics, such as conducting baseline screening rates, assessing capacity and preparing your team are covered. The goal of this manual is to offer practical advice for implementing expert-endorsed recommendations one step at a time.

The manual is organized into three primary sections: 1) An Introduction that provides information on the importance of colorectal cancer screening; 2) Steps to Increase Cancer Screening Rates, which maps out a plan for improving your screening rates and gives step by step instructions for doing so; and 3) The Appendices, which provides field-tested tools, templates, and resources to get you started.

We suggest that you use the manual in segments, focusing on the three or four pages of information you need at a time, and make good use of the appendices, which have several templates, tools, and resources to save you time.

If you use the live links throughout the manual, you can get back to where you were by pressing “Alt+Left Arrow” on a PC or “Command+Left Arrow” on a Mac.

View the September 11, 2014 webinar introducing the new manual.

The manual serves as a supplement to the existing How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidenced based Toolbox and Guide.

Note: The NCCRT issued a request for proposals to update, revise, and modernize this signature NCCRT resource in July 2020. We expect to release the updated manual in late 2020 or early 2021. 

Make It Your Own (MIYO)

Make It Your Own (MIYO) is an interactive website that allows users to print or create culturally appropriate educational materials in English and Spanish at no cost. MIYO-developed products are high quality, designed by graphic artists, and apply evidence-based strategies recommended by the Community Preventive Services Task Force in The Guide to Community Preventive Services (The Community Guide).

MIYO offers hundreds of images that vary by race, ethnicity, age, gender and location; messages targeted to specific populations, cultural groups and languages; product formats that include flyers, inserts, posters, postcards, question cards, and web banner ads; and support for health topics that include colorectal cancer screening, breast cancer screening, cervical cancer screening, HPV vaccination, tobacco cessation, and more. Many of MIYO’s colorectal cancer screening messages incorporate tested messages developed by NCCRT and the American Cancer Society found in the 80% by 2018 Communications Guidebook.

MIYO is a product of the Health Communication Research Laboratory (HCRL) at Washington University in St. Louis and Health Communication Impact, LLC.

Evaluation: MIYO uses evidence-based communication strategies that have been shown to work and that are recommended in The Community Guide. MIYO also systematically evaluates user data to create a “smart system” that recognizes which resources, designs, images and messages are most attractive to specific agencies.

Permissions: Made publicly available online by Washington University in St. Louis. Users must register to access the resource.

Publication date: Since 2007; updates made on an occasional basis

Post date: September 22, 2017

Contact: Submit comments, questions, and suggestions by web form.