The purpose of this study is to determine whether a multilevel mHealth intervention (mCRC) can increase the percentage of patients who receive colorectal cancer screening. The mCRC intervention will include a tablet-based patient education program, clinic protocols to facilitate the ordering of CRC screening tests, and electronic messaging with patients to promote screening. The investigators hypothesize that participants randomized to mCRC will be more likely to complete screening compared with those randomized to the control arm of the study. Additionally, the investigators hypothesize mCRC will increase several intermediate outcomes (such as knowledge, attitudes, beliefs, and test ordering) which will predict completion of screening. Lastly, the investigators hypothesize the mCRC intervention will add little to the overall cost of screening.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
450
a multilevel intervention consisting of tablet-based patient education about CRC screening, post-visit patient electronic messaging, and clinic protocols to facilitate ordering of screening tests
a brief video about healthy lifestyle habits displayed on a tablet device
Hillsdale Family Medicine
Advance, North Carolina, United States
Foothills Family Medicine
Mount Airy, North Carolina, United States
Wilkes Internal Medicine
Wilkesboro, North Carolina, United States
Downtown Health Plaza
Winston-Salem, North Carolina, United States
Peace Haven Family Medicine
Winston-Salem, North Carolina, United States
Reynolda Family Medicine
Winston-Salem, North Carolina, United States
Completion of CRC Screening
Patient completion of a colorectal cancer screening test, such as the fecal occult blood test, a flexible sigmoidoscopy, or a colonoscopy.
Time frame: 24 weeks
CRC Screening Attitudes and Beliefs
A survey scale measuring the participant's attitudes and beliefs about CRC screening
Time frame: Day of enrollment
Intention to receive CRC screening
Participant's stated intention to receive CRC screening
Time frame: Day of enrollment
Self-efficacy
Participant's belief that they are capable of completing CRC screening
Time frame: Day of enrollment
Ability to make a screening decision
Time frame: Day of enrollment
CRC screening discussions
Participants' self-report of whether they discussed CRC screening with a medical provider
Time frame: Up to 5 days
Satisfaction with screening decision
Survey questions based on the Satisfaction with Decision Scale
Time frame: Up to 5 days
CRC screening test order
Whether or not a CRC screening test was ordered for the participant
Time frame: 24 weeks
Cost of the mCRC intervention
Additional cost of the mCRC intervention as captured by additional time and technology costs
Time frame: 24 weeks
Usability of the mCRC system
Participant's rating of the usability of the mCRC system
Time frame: Day of enrollment
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