Tested Messages to Reach the Unscreened 80% by 2018 Forum Mary Doroshenk, MA, NCCRT Director

1. Tested Messages toReach the Unscreened80% by 2018 ForumMary Doroshenk, MA, NCCRT Director

2. Tested messages for the unscreened Objectives and Methodology • In an effort to better understand the barriers that prevent screening of colon cancer as well as the disconnect of healthcare feedback and patient actions, the following research was conducted: • An online study among 1,023 U.S. adults 50 years of age or older in early March, 2014. • An online study among 403 primary care physicians in early April, 2014. • In-depth interviews conducted among 15 consumers (45 minutes long; 5 among Black/African American, 5 among White respondents and 5 among Hispanic respondents) and 10 physicians (30 minutes long) in April – June, 2014. • A roundtable discussion with leaders from Community Health Centers. • Message testing among 1,068 unscreened adults 50 years of age or older in October, 2014. • Specific objectives of the research are to measure and probe: • Awareness of screening methods • Completion of colorectal screening • Rationale for being screened/not being screened • Identification of drivers to change behaviors and channels to communicate

3. Barriers to Screening

4. Logical and rational messages about the benefits of screening will likely be insufficient to move the unscreened base.  Consumers: Likelihood* to Get CRC Test if Knew Each of The Following *45% of unscreened give a low-medium rating for ALL statements SCREENED UNSCREENED Messages that will resonate the best should address misperceptions and fears around the test, feature testimonies from those who have been screened all while adapting messages to tap into consumers’ emotional motivations for making health decisions. * Reference to likelihood = 8-10 rating on a 10 point scale where 1 means, “Not at all likely” and 10 means, “Extremely likely”

5. Key Targets Hispanic (53% screening rate) Caucasian African American Asian American/Pacific Islander Native American/Alaska Native

6. Activating Messages that Motivate There are several screening options available, including simple take home options. Talk to your doctor about getting screened. Colon cancer is the second leading cause of cancer deaths in the U.S., when men and women are combined, yet it can be prevented or detected at an early stage. Preventing colon cancer, or finding it early, doesn’t have to be expensive. There are simple, affordable tests available. Get screened! Call your doctor today. Most successful communications campaigns relay three messages to allow consumers to comprehend what is being asked to motivate action. We would recommend utilizing these messages, or similar messaging to educate your constituents around options to help us achieve our goal of reaching the 80% screening rate by 2018.

7. 2015 Communications Guidebook Moving Consumers to Action http://nccrt.org/tools/80-percent-by-2018/80-by-2018-communications-guidebook/

8. Fight Colorectal Cancer

9. GW Cancer InstituteSocial Media Social Media Toolkits • Toolkits target specific awareness months • Explains social media basics and provides a mini-tutorial on media management and evaluation • Provides sample Facebook posts and Tweets to use

10. Health Care Service Corporation (HCSC) “How can we reach the unscreened in a more strategic way?” Utilize toolkit to identify best messages to inform health plans’ colorectal cancer strategies Co-Branded Reminders & Messaging Development

11. Next Steps Developing tested messages for Spanish speaking audience Update Communications Guidebook for March 2016 Design and share messaging strategy for March 2016 Roll out Achievement Awards program to recognize 80% by 2018 successes

12. Resources NCCRT information and materials www.nccrt.org/tools http://nccrt.org/tools/80-percent-by-2018/ Thank you!!! mdoroshenk@cancer.org