Screening To Overcome and Prevent Colorectal Cancer (STOP CRC)
A Culturally Adapted Decision Support Navigation Trial for Chinese and Korean American Primary Care Patients
Project Background
Colorectal cancer incidence and mortality continues to be high among Chinese and Korean populations in the U.S. There have been improvements over time, but the colorectal cancer screening rate remains substantially lower among Chinese and Korean Americans in comparison to other racial and ethnic groups. This is a serious concern considering that screening can reduce deaths from colorectal cancer and can help save lives through early detection when it is the most treatable.
Project Description
In order to overcome unique linguistic and cultural barriers to colorectal cancer screening, Professor Sunmin Lee and her research team have developed a culturally adapted colorectal cancer screening program that aids decision-making among Chinese and Korean patients in the primary care setting.
Target Population
The recommended screening age for colorectal cancer is between age 50 and 75. Our study targets Chinese and Korean patients between age 50 and 75 who are not up to date for their screenings.
STOP CRC fieldwork 
STOP CRC fieldwork
Project Aims
The goal of this study is to increase colorectal cancer screening among Chinese and Korean American primary care patients through culturally adapted decision support trial provided at the primary care setting.
- Implement a randomized controlled trial intervention among 400 Chinese and Korean American primary care patients to compare colorectal cancer screening outcomes between the culturally adapted decision support intervention and advanced control.
- Evaluate the effect of the intervention on overall colorectal screening adherence, change in colorectal cancer screening decision stage and colorectal cancer screening test-specific (stool blood test and colonoscopy) adherence among participants.
- Evaluate intervention reach, effectiveness, adoption, implementation, and maintenance.
Project Funding
This project is funded by the National Institute on Minority Health and Health Disparities (R01MD012778), National Institutes of Health (NIH).
Co-Investigators
Roshan Bastani
Professor, Department of Health Policy and Management
UCLA Fielding School of Public Health
Brittany N. Morey, PhD, MPH
Assistant Professor, Program in Public Health
University of California, Irvine
Natalie Slopen, Sc.D
Assistant Professor
Harvard T.H. Chan School of Public Health
Ronald E. Myers, DSW, PhD
Director, Department of Medical Oncology
Division of Population Science, Thomas Jefferson University
Min Qi Wang, PhD, MS
Professor, Behavior and Community Health
School of Public Health, University of Maryland
Primary Care Physicians Involved in Study
Dr. Mark Li, Internal Medicine Specialist, Physician Associates, Mark Li MD 
Dr. Nan Ni, internal medicine specialist, Nan Ni, M.D.
Dr. Yaoyao Zhu, internal medicine specialist, Pan Asian Volunteer Health Clinic 
Dr. Benson Yu, internal medicine specialist, Benson W. Yu, M.D. PLLC 
Dr. Sharon Yang, internal medicine specialist, Primary Care of Germantown, LC
Dr. Hon-Yuen Wong, family practice physician, Hon-Yuen Y. Wong, M.D
Gexin Wang, Nurse Practitioner, Pan Asian Volunteer Health Clinic
Dr. Michelle H. Tan, internal medicine specialist, Tan Michelle H, M.D 
Dr. Harry Li, internal medicine specialist, Harry Li, M.D
Dr. Jin Gu, internal medicine specialist, Gu Jin, M.D
Dr. Moping Chow, internal medicine specialist, Mo-Ping Chow, M.D
Dr. Ling Chin, internal medicine specialist, Pan Asian Volunteer Health Clinic
Dr. Qiufang Cheng, internal medicine specialist, Internal Medicine Associates LLC
Dr. Yoon J. Cho, Family practice physician, Cho, Yoon J, D.O.
Dr. Su Yi, internal medicine specialist, Vienna Family Medicine 
Dr. James Suh, internal medicine specialist, Internal Medicine Center of Virginia 
Dr. Yeong H. Oh, internal medicine and geriatric medicine, Mercy Personal Physicians at Glen Burnie 
Dr. Benjimin S Lee, internal medicine specialist, Lee Benjamin S MD
Dr. Kenneth Lee, internal medicine specialist, Vienna Family Medicine
Dr. Oki Kwon, internal medicine specialist 
Dr. Victor Kim, emergency medicine specialist, All Care of Maryland 
Dr. Ji Yon Hwang-Ki, internal medicine specialist, JiKi Medical Associates, LLC 
Dr. Wonsock Shin, internal medicine specialist, Maple Medical Group 
Dr. Hwang Junn, internal medicine specialist, Junn Internal Medicine & Geriatric Clinic
Community Advisory Board Members
Program Manager
Asian American Health Initiative, Montgomery County, Maryland Department of Health and Human Services
Dr. Ji-Young Cho
Executive Director
Korean Community Service Center of Greater Washington
Executive Director
Asian American Center of Frederick
Office Manager
Asian American Health Center
Gastroenterologist
Montgomery Gastroenterology
Internal Medicine Specialist
Vice Chair
Asia American Health Initiative, Steering Committee
Director
Pan Asian Volunteer Health Clinic, Chinese Culture and Community Service Center (CCACC)