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Here, we describe the mixed\u2010methods approach used to develop a tailored message guidebook to promote CRC screening among Black individuals in the setting of recently updated screening guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This mixed\u2010methods study included 10 in\u2010depth qualitative interviews and 490 surveys in a nationally representative sample of unscreened Black individuals age\u2009\u2265\u200945. Messages were developed based on American Cancer Society (ACS) and National Colorectal Cancer Roundtable (NCCRT) research findings, tested among Black individuals using MaxDiff analytic methods, and reviewed by a multi\u2010sector expert advisory committee of NCCRT members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most frequently reported screening barrier in all age groups was self\u2010reported procrastination (40.0% in age 45\u201349, 42.8% for age 50\u201354, 34.2% for age\u2009\u2265\u200955). Reasons for procrastination varied by age and included financial concerns, COVID\u201019 concerns, and fear of the test and bowel preparation. Additional screening barriers included lack of symptoms, provider recommendation, and family history of CRC. Most individuals age 45\u201349 preferred to receive screening information from a healthcare provider (57.5%); however, only 20% reported that a provider had initiated a screening conversation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We identified age\u2010specific barriers to CRC screening and tailored messaging to motivate participation among unscreened Black people age\u2009\u2265\u200945. Findings informed the development of the NCCRT and ACS guidebook for organizations and institutions aiming to increase CRC screening participation in Black individuals.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.6461","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T02:52:48Z","timestamp":1692672768000},"page":"19047-19056","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Use of a mixed\u2010methods approach to develop a guidebook with messaging to encourage colorectal cancer screening among Black individuals 45 and older"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7919-4105","authenticated-orcid":false,"given":"Adjoa","family":"Anyane\u2010Yeboa","sequence":"first","affiliation":[{"name":"Division of Gastroenterology MGH  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Aubertine","sequence":"additional","affiliation":[{"name":"KS&amp;R  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisha","family":"Parker","sequence":"additional","affiliation":[{"name":"Ally Research Partners  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlin","family":"Sylvester","sequence":"additional","affiliation":[{"name":"American Cancer Society National Colorectal Cancer Roundtable  Kennesaw Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb","family":"Levell","sequence":"additional","affiliation":[{"name":"American Cancer Society National Colorectal Cancer Roundtable  Kennesaw Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Bell","sequence":"additional","affiliation":[{"name":"American Cancer Society National Colorectal Cancer Roundtable  Kennesaw Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0685-6446","authenticated-orcid":false,"given":"Karen M.","family":"Emmons","sequence":"additional","affiliation":[{"name":"Harvard TH Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6706-8171","authenticated-orcid":false,"given":"Folasade P.","family":"May","sequence":"additional","affiliation":[{"name":"Vatche and Tamar Manoukian Division of Digestive Diseases, UCLA Kaiser Permanente Center for Health Equity and Jonsson Comprehensive Cancer Center, University of California Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21708"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21601"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.07.017"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-12-0023"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.4417"},{"key":"e_1_2_12_7_1","unstructured":"Hispanics\/Latinos and Colorectal Cancer Companion Guide.National Colorectal Cancer Roundtable.https:\/\/nccrt.org\/resource\/hispanicslatinos\u2010colorectal\u2010cancer\u2010companion\u2010guide\/"},{"key":"e_1_2_12_8_1","unstructured":"Asian Americans And Colorectal Cancer Companion Guide.National Colorectal Cancer Roundtable.https:\/\/nccrt.org\/resource\/asian\u2010americans\u2010colorectal\u2010cancer\u2010companion\u2010guide\/"},{"key":"e_1_2_12_9_1","volume-title":"2022 Messaging Guidebook for Black & African American People: Messages to Motivate for Colorectal Cancer Screening","year":"2022"},{"key":"e_1_2_12_10_1","unstructured":"Schlesginer Group.https:\/\/www.schlesingergroup.com\/en\/"},{"key":"e_1_2_12_11_1","unstructured":"Prodege.https:\/\/www.prodege.com\/"},{"key":"e_1_2_12_12_1","unstructured":"2019 Colorectal Cancer Screening Messaging Guidebook: Recommended Messaging to Reach the Unscreened.https:\/\/nccrt.org\/resource\/2019messagingguidebook\/"},{"key":"e_1_2_12_13_1","unstructured":"80% By 2018 Communications guidebook: recommended messaging to reach the unscreened. 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