Feasibility of a Colorectal Cancer Screening Web App in Primary Care Patients

Digital Health Navigation Solutions

Status: Completed

Conditions: Colorectal Cancer Screening

Treatments: Other: mPATH-CRC Web app

Study type: Interventional

Funder types: Other; Industry; NIH

Identifiers

NCT06241768

93476

R42CA275665 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The goal of this clinical trial is to test the feasibility of a web app about colorectal cancer screening in patients with an upcoming primary care appointment. The main questions it aims to answer are:

• Among patients who use the web app, what proportion will request a colorectal cancer screening test via the program?
• How many patients will respond to a text message intervention to use the web app?

Participants will receive a text message informing them of the value of colorectal cancer screening, and inviting them to click a hyperlink to learn more. The hyperlink will take participants to the web app. The web app: 1) asks questions and use algorithms to determine if routine colorectal cancer screening is needed, and 2) if screening is indicated, shows a brief educational video about colorectal cancer screening and allows participants to request a screening test via the program.

Researchers will compare four different versions of the text message invitation to see if some messages result in higher program completion rates than others.

Enrollment: 921 patients

Sex: All

Ages: 45 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Have a phone number listed in the electronic health record
• Language preference of English in the electronic health record
• Have a scheduled primary care appointment within the next 15 days

Exclusion criteria

• Prior diagnosis of colorectal cancer
• Prior diagnosis of inflammatory bowel disease
• Have a record in the electronic health record of completing a colonoscopy within the last 10 years, a FIT-DNA test within the last 3 years, or a fecal immunochemical test (FIT) within the last 1 year
• Have an electronic Charlson Comorbidity Index > 2

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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921 participants in 4 patient groups

Text message 1

Experimental group

Description:

Version 1 of the text message invitation to use the cloud-based colorectal cancer screening program

Treatment:

Other: mPATH-CRC Web app

Text message 2

Experimental group

Description:

Version 2 of the text message invitation to use the cloud-based colorectal cancer screening program

Treatment:

Other: mPATH-CRC Web app

Text message 3

Experimental group

Description:

Version 3 of the text message invitation to use the cloud-based colorectal cancer screening program

Treatment:

Other: mPATH-CRC Web app

Text message 4

Experimental group

Description:

Version 4 of the text message invitation to use the cloud-based colorectal cancer screening program

Treatment:

Other: mPATH-CRC Web app