This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The Colorectal Cancer Screening Invention Trial (CCSIT) is an experimental study of 500 African- American men and women, ages 50+, recruited from federally designated community health center and public health units throughout the Metropolitan Atlanta area (MAA) and randomized into: 1) control cohort or 2) 3-intervention cohorts (one-on-one counseling, small group sessions, or financial incentives). This five-year study will be conducted in three phases. The three stage models hold potential for contributing to community buy-in of the CCSIT. The design tests and expands a national community education and awareness campaign, Down Home Healthy Living (DHHL), which combines social marketing and community-coalition building efforts. Phase I, the run-in phase, is anticipated to include the first 12 months of the project period and will include recruitment and randomization of participtants to a control or one of three intervention cohorts. Phase II, a multi-component intervention, will last for 36 months. During this period, participants will participate in a control cohort (n=125-pamphlets only), one-on-one counseling (n=125) control cohort), small group sessions cohort (n=125-educational intervention group); financial incentives (n=125 structural barriers cohort). Phase III, the final phase of the project is targeted for data dissemination and publications and will cover the final 12-month period.
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