Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening
Abstract Background Screening for colorectal cancer (CRC) is widely recommended but underused, even though CRC is the third most diagnosed cancer and the second leading cause of cancer death in the USA. The mPATH™ program is an iPad-based application designed to identify patients due for CRC screeni...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Trials |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13063-023-07273-5 |
| _version_ | 1797845800198340608 |
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| author | Anna C. Snavely Kristie Foley Ajay Dharod Mark Dignan Holly Brower Elena Wright David P. Miller |
| author_facet | Anna C. Snavely Kristie Foley Ajay Dharod Mark Dignan Holly Brower Elena Wright David P. Miller |
| author_sort | Anna C. Snavely |
| collection | DOAJ |
| description | Abstract Background Screening for colorectal cancer (CRC) is widely recommended but underused, even though CRC is the third most diagnosed cancer and the second leading cause of cancer death in the USA. The mPATH™ program is an iPad-based application designed to identify patients due for CRC screening, educate them on the commonly used screening tests, and help them select their best option, with the goal of increasing CRC screening rates. Methods The mPATH™ program consists of questions asked of all adult patients at check-in (mPATH™-CheckIn), as well as a module specific for patients due for CRC screening (mPATH™-CRC). In this study, the mPATH™ program is evaluated through a Type III hybrid implementation-effectiveness design. Specifically, the study consists of three parts: (1) a cluster-randomized controlled trial of primary care clinics comparing a “high touch” evidence-based implementation strategy with a “low touch” implementation strategy; (2) a nested pragmatic study evaluating the effectiveness of mPATH-CRC™ on completion of CRC screening; and (3) a mixed-methods study evaluating factors that facilitate or impede the maintenance of interventions like mPATH-CRC™. The primary objective is to compare the proportion of patients aged 50–74 who are eligible for CRC screening who complete mPATH™-CRC in the 6th month following implementation between the “high touch” and “low touch” implementation strategies. Effectiveness of mPATH™-CRC is evaluated by comparing the proportion who complete CRC screening within 16 weeks of their visit to the clinic between a pre-implementation cohort (8 months before implementation) and a post-implementation cohort (8 months after implementation). Discussion This study will provide data on both the implementation of the mPATH™ program and its effectiveness in improving screening rates for CRC. In addition, this work has the potential to have an even broader impact by identifying strategies to support the sustained use of other similar technology-based primary care interventions. Trial registration ClinicalTrials.gov NCT03843957. Registered on 18 February 2019. |
| first_indexed | 2024-04-09T17:44:47Z |
| format | Article |
| id | doaj.art-3276fe6d5c614a7aac188bac6fdb0765 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-04-09T17:44:47Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-3276fe6d5c614a7aac188bac6fdb07652023-04-16T11:24:18ZengBMCTrials1745-62152023-04-0124111810.1186/s13063-023-07273-5Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screeningAnna C. Snavely0Kristie Foley1Ajay Dharod2Mark Dignan3Holly Brower4Elena Wright5David P. Miller6Department of Biostatistics and Data Science, Wake Forest University School of MedicineDepartment of Implementation Science, Wake Forest University School of MedicineDepartment of Implementation Science, Wake Forest University School of MedicineDepartment of Internal Medicine, College of Medicine, University of KentuckyWake Forest University School of BusinessDepartment of Implementation Science, Wake Forest University School of MedicineDepartment of Implementation Science, Wake Forest University School of MedicineAbstract Background Screening for colorectal cancer (CRC) is widely recommended but underused, even though CRC is the third most diagnosed cancer and the second leading cause of cancer death in the USA. The mPATH™ program is an iPad-based application designed to identify patients due for CRC screening, educate them on the commonly used screening tests, and help them select their best option, with the goal of increasing CRC screening rates. Methods The mPATH™ program consists of questions asked of all adult patients at check-in (mPATH™-CheckIn), as well as a module specific for patients due for CRC screening (mPATH™-CRC). In this study, the mPATH™ program is evaluated through a Type III hybrid implementation-effectiveness design. Specifically, the study consists of three parts: (1) a cluster-randomized controlled trial of primary care clinics comparing a “high touch” evidence-based implementation strategy with a “low touch” implementation strategy; (2) a nested pragmatic study evaluating the effectiveness of mPATH-CRC™ on completion of CRC screening; and (3) a mixed-methods study evaluating factors that facilitate or impede the maintenance of interventions like mPATH-CRC™. The primary objective is to compare the proportion of patients aged 50–74 who are eligible for CRC screening who complete mPATH™-CRC in the 6th month following implementation between the “high touch” and “low touch” implementation strategies. Effectiveness of mPATH™-CRC is evaluated by comparing the proportion who complete CRC screening within 16 weeks of their visit to the clinic between a pre-implementation cohort (8 months before implementation) and a post-implementation cohort (8 months after implementation). Discussion This study will provide data on both the implementation of the mPATH™ program and its effectiveness in improving screening rates for CRC. In addition, this work has the potential to have an even broader impact by identifying strategies to support the sustained use of other similar technology-based primary care interventions. Trial registration ClinicalTrials.gov NCT03843957. Registered on 18 February 2019.https://doi.org/10.1186/s13063-023-07273-5Colorectal cancerScreeningImplementationMobile health |
| spellingShingle | Anna C. Snavely Kristie Foley Ajay Dharod Mark Dignan Holly Brower Elena Wright David P. Miller Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening Trials Colorectal cancer Screening Implementation Mobile health |
| title | Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening |
| title_full | Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening |
| title_fullStr | Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening |
| title_full_unstemmed | Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening |
| title_short | Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening |
| title_sort | effectiveness and implementation of mpath™ crc a mobile health system for colorectal cancer screening |
| topic | Colorectal cancer Screening Implementation Mobile health |
| url | https://doi.org/10.1186/s13063-023-07273-5 |
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