Prix Desig

Innovative Programs to Provide Colorectal Cancer Screening during Annual Influenza Vaccination Campaigns

Prix Desig


Below you will find information and program materials can help you implement your FLU-FIT or FLU-FOBT Program. Downloadable materials are provided in an editable format so you can customize them for your clinical setting. At the bottom of this page, you will also find a link to a new Staff Training Slides that can be used by program leaders to orient staff, and a downloadable Implementation Guide from the American Cancer Society that includes many of the materials listed below.

CDC Flu Vaccine Guidelines and Resources:

Information, Resources, and Education Materials from the US Centers For Disease Control and Prevention:

USPSTF Colorectal Cancer Screening Guidelines:

2008 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 for colorectal cancer screening.

FIT and FOBT Brands

There are many FIT and FOBT brands on the market. We do not endorse any single product, but have provided some information about commonly used brands to consider using.

Advertising your FLU-FIT or FLU-FOBT 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.

Tools to Determine Who Needs FIT or FOBT

In general, patients aged 50-75 with no FIT or FOBT in the last year and no colonsoscopy in the last 10 years are eligible for FIT or FOBT. Patients with felxiblle sigmoidoscopy in the the last 5 years are eligible for FIT or FOBT. Here is an algorithm for staff to use when providing FIT or FOBT to patients.

Colorectal Cancer Screening and FIT/FOBT: 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/FOBT.

Patient Instructions for FIT and FOBT

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 and FOBT that you may choose to use or edit for your patient population:
FIT - InSure Brand Instructions

FIT - OC Check Brand Instructions

FOBT Visual Instructions
Visual Aid for dietary restrictions and collection if using FOBT

FOBT Instructions for Low Literacy Patients in English, Spanish, Chinese, Vietnamese and Russian

Multilingual Video Instructions for FOBT and FIT, See Sidebar for Links

These brief, low literacy videos in multiple languages may be useful for training clinic staff and patients about the importance of FOBT or FIT, and how to complete the test.

Sample FLU-FIT or FLU-FOBT Log Sheet

It is a good idea to keep a record of FIT or FOBT 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 or FOBT when needed with every flu shot.

Sample FIT/FOBT Results Tracking Sheet

A tracking sheet can be used to identify patients who need reminders to complete FIT or FOBT kits dispensed, and to track follow-up of abnormal test results.

Sample Postcard Reminder

Postcard reminders can encourage patients to complete FIT/FOBT 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 FLU-FOBT and FLU-FIT Staff Training Slides

With our assistance, the American Cancer Society has created a slide set to help local program leaders teach clinic staff about colorectal cancer and about how to implement these programs:

American Cancer Society FluFOBT Website:
For additional FluFOBT Program information and materials developed in collaboration with the American Cancer Society, go to:
Website Link

Colorado Colorectal Cancer Screening Program – Recorded Flu-FOBT Webinar:

The University of Colorado, Denver has posted a recorded webinar on the FluFOBT Program oriented to community health centers on YouTube:
Youtube Video Link