 Objectives: The broad hypothesis of the proposed study is that helping Veterans clarify their CRC screening preferences will lead to increased adherence. The framework conceptualizes that preference clarification leads to more informed decision-making and, eventually, to better adherence with screening. The specific aims are: 1 To test the effectiveness of a preference-tailored PT vs. standard information SI intervention for increasing Veterans CRC screening adherence; 2 To assess the impact of the intervention on informed decision making, knowledge and attitudes toward screening, decisional outcomes, and intention to get screened; and 3 To conduct a cost effectiveness analysis of the PT intervention for increasing CRC screening across the VA. 