mPATH-CRC (mobile Patient Technology for Health) is an automated direct-to-patient digital health program about colorectal cancer screening. The goal of this project is to test a cloud-based version of mPATH that patients can use at home independent of a scheduled medical visit. Patients will access mPATH on their own devices using a hyperlink sent via text message. The cloud version of mPATH will have the proven effective content of the tablet version, including the ability to request a screening test directly via the program. mPATH will then share this information with the patient's healthcare organization so screening can be arranged. This cloud-based version will be highly scalable, have broad reach, and be easy to support, making it a commercially viable product. This project will (1) test the reach and effectiveness of the mPATH web app in two different healthcare settings: a Fee-for-Service setting, and a value-based care setting; and (2) determine the value generated by mPATH in each healthcare setting.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
DOUBLE
Enrollment
6,500
Individuals will receive an automated text message inviting them to use the mPATH-CRC WebApp. The WebApp takes approximately 5 to 8 minutes to complete. The WebApp verifies patients are due for routine CRC screening, educates them about their options, and lets them request a screening test via the program.
Patients randomized to the control arm will receive usual care, which includes the organizations' standard procedures for addressing CRC screening. In the participating Fee-for-Service and Value-Based settings, the EHR flags patients who are overdue for CRC screening as a "care gap" that is visible to all primary care providers.
Atrium Health Floyd
Rome, Georgia, United States
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, United States
Effectiveness of mPATH-CRC
The proportion of individuals who complete a CRC screening test (colonoscopy, FIT, or FIT-DNA) within 180 days of randomization in both arms
Time frame: 180 Days
Reach of mPATH-CRC
The proportion of patients in the mPATH-CRC arm who complete the mPATH-CRC Web App to the point of being told if screening is due or not due
Time frame: 30 Days
Reporting current CRC screening
The proportion of participants within the mPATH arm who report they are current with CRC screening within the mPATH program.
Time frame: 30 Days
CRC screening ordered
The proportion of patients who have a CRC screening test ordered within 180 days of randomization in both arms.
Time frame: 180 Days
Colorectal Neoplasia
The proportion of patients in each arm with neoplasia found on colonoscopy within 180 days after randomization.
Time frame: 180 days
Mean revenue generated in a Fee-for-Service setting
Mean revenue generated in a Fee-for-Service setting from screening and resulting downstream care within 12 months (365 days) of the screening event, assuming Medicare reimbursement rates in both arms.
Time frame: 365 Days
Quality gaps closed in a value-based care setting
Proportion of quality gaps closed in a value-based setting in each arm defined as completing screening or acquiring documentation of previously completed screening in both arms.
Time frame: 180 Days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.