Effectiveness of a Cloud-based Digital Health Navigation Program for Colorectal Cancer Screening
Digital Health Navigation Solutions, Inc
6,500 participants
Jun 9, 2025
INTERVENTIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria11
- Age 45-74 years
- Be identified in the electronic health record as due for routine CRC screening, defined as
- No colonoscopy in prior 10 years
- No flexible sigmoidoscopy in prior 5 years
- No CT colography in prior 5 years
- No FIT-DNA test (Cologuard) within prior 3 years
- No Fecal Occult Blood Test within prior 1 year
- Have a cell phone number listed in the EHR
- Have a preferred language of English or Spanish in the EHR
- Upcoming appointment within 9 to 16 days
- Georgia Market Only: Insurance type is listed as Medicare Advantage.
Exclusion Criteria5
- Prior diagnosis of colorectal cancer
- Prior history of total colectomy
- Currently enrolled in palliative care or Hospice
- Age over 65 AND currently enrolled in an Institutional SNP (I-SNP) or living in Long Term Care
- Age over 65 with frailty and advanced illness (as defined by the health system's My Panel metric which mirrors the HEDIS COL-E quality metric for CRC screening)
Interventions
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.
Locations(2)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06821009