Traditional Print Communication Methods, Simple Electronic Communication Methods, or Usual Care in Increasing How Often Older Women Undergo Colorectal Cancer Screening

OBJECTIVES: * Compare traditional print versus simple electronic communication versus usual care, in terms of increasing colorectal cancer (CRC) screening rates, in average-risk women attending a routine OB/Gyn visit. * Explore the moderating role of attentional style and background variables on the impact of the interventions in these participants. * Determine the mediating effect of potential cognitive-affective factors related to CRC screening in these participants. * Investigate the comparative cost-effectiveness of these interventions to improve CRC screening adherence. OUTLINE: This is a randomized study. Participants are randomized to 1 of 3 screening arms. * Arm I: Participants are contacted by simple electronic communication methods by an email message linked to a personalized website. * Arm II: Participants are contacted by traditional print communication methods. * Arm III: Participants are observed (usual care). Participants in arms I and II are randomized a second time to receive messages about colorectal cancer screening that are matched or mismatched to their attentional style. PROJECTED ACCRUAL: A total of 5,000 participants will be accrued for this study.