Accelerating Colorectal Cancer Screening and follow-up through Implementation Science (ACCSIS)

ACCSIS Overview

The Cancer MoonshotSMExternal Web Site Policy was designed to accelerate efforts to prevent, diagnose, and treat cancer and achieve 10 years of progress in 5 years.

BLUE RIBBON PANNEL RECOMMENDATION GExternal Web Site Policy: Expand use of proven cancer prevention and early detection strategies
Reduce cancer risk and cancer health disparities through approaches in development, testing and broad adoption of proven prevention strategies.

ACCSIS is improving colorectal cancer screening, follow-up, and referral for care among populations that have low colorectal cancer screening rates. ACCSIS focuses on underserved groups in particular, including racial and ethnic minority populations and people living in rural or difficult-to-reach areas.

The two-phase projects in this program are designing multilevel interventions that increase colorectal cancer screening and healthcare delivery, as well as developing guidelines for scaling-up and implementing these multilevel interventions to reduce the burden of colorectal cancer. The first phase of these projects focuses on pilot studies that demonstrate the feasibility and potential effectiveness of multilevel interventions at increasing colorectal cancer screening and follow-up. The second phase involves testing the implementation and impact of the multilevel interventions in target populations with low colorectal cancer screening rates.

For more information about ACCSIS, please visit their websiteExternal Web Site Policy.

ACCSIS Centers

The ACCSIS Program is comprised of one Coordinating Center and three Research Centers. The Coordinating Center supports organizational, administrative, scientific activities of the Program. The Research Centers develop and implement multilevel interventions.

Center PI(s) PI/MPI Institution(s) Grant
ACCSIS Coordinating Center Sujha Subramanian Research Triangle Institute U24 CA233218External Web Site Policy
ACCSIS - Appalachia Mark Dignan; Electra Paskett University of Kentucky; The Ohio State University UG3 CA233282External Web Site Policy
ACCSIS – Chicago Karen Kim University of Chicago UG3 CA233229External Web Site Policy
ACCSIS – North Carolina Daniel Reuland University of North Carolina UG3 CA233251External Web Site Policy

Overview of Projects

ACCSIS Coordinating Center

The Coordinating Center (CC) focuses on internal and external operations of the network. Internally, the CC provides logistical support to ensure productive interactions between the NCI program staff, research project awardees, the CC, and members of the ACCSIS Steering Committee and work groups. Externally, the CC provides the platform and develops processes to share ACCSIS consortium activities and results with stakeholders including policy makers, implementers at the state and local levels, and other researchers.

ACCSIS Research Centers

  • ACCSIS - Appalachia: The investigators proposed to examine the impact of a multilevel intervention, using a delayed randomized controlled trial, on improving colorectal cancer outcomes among Appalachian populations in Kentucky and Ohio. The intervention consists of academic detailing, patient activation to include distribution of fecal immunochemical tests kits, and social support via a patient navigator.
  • ACCSIS – Chicago: The investigators proposed a two-phase study to pilot test, refine, and evaluate the effectiveness of a multilevel intervention to improve colorectal cancer incidence and mortality outcomes among at-risk populations attending safety-net clinics in Cook County and Chicago, Illinois. The intervention, targeting the individual, clinic, community, and organizational levels, consists of provider education; community outreach; a provider reminder; assessment and feedback system; and patient navigation.
  • ACCSIS – North Carolina The investigators proposed a pragmatic randomized controlled trial to assess the effectiveness of a multilevel intervention to improve colorectal cancer outcomes among low-income and racial and ethnic minority populations in North Carolina. Guided by the Capability-Opportunity-Motivation Behavior System, the intervention consists of a centralized colorectal cancer screening registry, distribution of fecal immunochemical test kits, patient navigation, an in-clinic patient decision aid, and establishing a colonoscopy access network.

NCI ACCSIS Staff

  • Sarah Kobrin: Program Director/Lead
  • Wynne Norton: Project Scientist
  • Genevieve Grimes: Administrative Program Director
ACCSIS logoNCI Cancer Moonshot logo
Last Updated: 02 Aug, 2019