What are the Determinants in Colorectal Cancer Screening?

The FPRC and CCC partnered in order to increase the rates of screening for colorectal cancer among the targeted population: residents of the Tampa Bay area of Florida who are ages 50-64 and either have health insurance or have no health insurance but who have a provider.The project sought to better understand the “upstream” determinants of colorectal cancer screening, such as social norms, in order to identify leverage points that could be used to increase the rate of screening in the state of Florida. The core modeling team (CMT) identified the problem as one of learning, coordination, and analysis and used a combination of group model building with identified stakeholders and formal modeling to achieve the project goals.

Project Lead

Peter Hovmand, PhD




Tampa Bay, FL, USA

Project Partners

University of South Florida Prevention Research Center (FPRC)

Colorectal Cancer Prevention Community Committee (CCC)

Project Goals

  • Help the FPRC and CCC partnership design a social marketing strategy for implementing evidence-based interventions that will increase the proportion of residents in priority population #1 who are up-to-date on screening
  • Understand colorectal cancer screening (CRCS) challenges as a complex adaptive system.
  • Involve community partners in the development, implementation, and scaling up of a coordinated social marketing initiative for the rest of the state of Florida.