David P. Miller|Nancy Denizard-Thompson|Kathryn E. Weaver|L. D. Case|Jennifer L. Troyer|John G. Spangler|Donna Lawler|Michael Pignone
Effect of a Digital Health Intervention on Receipt of Colorectal Cancer Screening in Vulnerable Patients
Wake Forest University|Wake Forest University|Wake Forest University|Wake Forest University|University of North Carolina at Charlotte|Wake Forest University|Wake Forest University|The University of Texas at Austin
background screening colorectal cancer crc reduces mortality yet one third ageeligible americans unscreened objective examine effect digital health intervention mobile patient technology healthcrc mpathcrc rates crc screening design randomized clinical trial clinicaltrialsgov nct02088333 setting 6 communitybased primary care practices participants 450 patients 223 mpathcrc group 227 usual care scheduled primary care visit due routine crc screening intervention ipad application displays crc screening decision aid lets patients order screening tests sends automated followup electronic messages support patients measurements primary outcome chartverified completion crc screening within 24 weeks secondary outcomes ability state screening preference intention receive screening screening discussions orders screening tests outcome assessors blinded randomization results baseline characteristics similar groups 37 participants limited health literacy 53 annual incomes less 20 000 screening completed 30 mpathcrc participants 15 receiving usual care logistic regression odds ratio 25 95 ci 16 40 compared usual care mpathcrc participants could state screening preference planned screened within 6 months discussed screening provider screening test ordered half mpathcrc participants 53 118 223 selfordered test via program limitation participants english speakers single health care system conclusion digital health intervention allows patients selforder tests increase crc screening future research identify methods implementing similar interventions clinical care primary funding source national cancer institute