Below you will find information and program materials can help you implement your FluFIT Program. This includes a diagram of program components, flu shot and colorectal cancer screening procedures and guidelines, patient education materials and a link to a “train the trainers” website for FluFIT users developed by the American Cancer Society.
USPSTF Colorectal Cancer Screening Guidelines:
2016 US Preventive Services Task Force Colorectal Cancer Screening Guidelines
FOBT Clinician’s Reference from the National Colorectal Cancer Roundtable
This document explains the difference between guaiac FOBT and FIT, and the rational for using high sensitivity stool tests such as FIT for colorectal cancer screening.
FIT and FOBT Brands
There are many brands of stool tests on the market, some of which may work better than others. We do not endorse any single product, but have provided some information about commonly used brands to consider using.
Advertising your FluFIT Program
You will want to tailor your advertising to your patients and your healthcare organization. Here are some samples of materials that have been used by others.
Algorithm to Determine Who Needs FIT
Most patients aged 50-75 with no FIT in the last year and no colonoscopy in the last 10 years are eligible for FIT. Patients who have completed other types of colorectal cancer screening within the last year may also be eligible for FIT. Here is a very simple algorithm for staff to use when providing FIT patients, meant for FluFIT Program staff to use in settings where the two most commonly used colorectal cancer screening tests are FIT and colonoscopy.
Colorectal Cancer Screening and FIT: Facts and Talking Points for Staff to Use with Patients
You can provide staff with a fact sheet such as this one so they will feel comfortable with their knowledge and ability to talk to patients about colorectal cancer screening and FIT.
Patient Instructions for FIT
Test instructions may be downloaded from the manufacturer’s website. However, in some cases, these instructions may not be available in the patient’s primary language or may not match the patient’s literacy level. We present some examples of materials for some commonly used types of FIT that you may choose to use or edit for your patient population:
FIT Instructional Videos for Patients
These brief, low literacy videos in multiple languages may be useful for training clinic staff and patients. These videos explain why colorectal cancer screening is important and how to complete one of the most commonly used fecal immunochemical tests. You may download these videos onto your clinic computer and play them for your patients.
Sample FluFIT Log Sheet
It is a good idea to keep a record of FIT kits handed out on the same log where have patients sign to acknowledge receipt of flu vaccines. This helps your staff remember to offer FIT when needed with every flu shot.
Sample FluFIT Results Tracking Sheet
A tracking sheet can be used to identify patients who need reminders to complete FIT kits dispensed, and to track follow-up of abnormal test results.
Sample Postcard Reminder
Postcard reminders can encourage patients to complete FIT kits they are given. We have provided a postcard file that you may download, modify and print in double-sided format to be sent to patients.
Sample Telephone Reminder Script
Telephone calls are also effective if you have staffing and resources to provide them. They can be provided as personal calls if you have staff available to do them. They can also be done as “robo-calls” or automated telephone calls, if you have access to this technology in your clinical setting.
American Cancer Society Resources
On its new web page called “ColonMD: Clinicians’ Information Source”, the American Cancer Society has provided several useful resources for your practice, including additional materials that can support successful FluFIT Programs.
Learn About the 80% by 2018 Campaign:
Organizations across the country are working together to advance colorectal cancer control efforts. Check out the National Colorectal Cancer Roundtable’s 80% by 2018 website for more information:
Facebook and Twitter
Connect with others who have tried the FluFIT program.