Effectiveness of an mHealth Colorectal Cancer Screening Intervention

A Primary Care Multilevel mHealth Colorectal Cancer Screening (mCRC) Intervention

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.

Inclusion Criteria:

• English-speaking patients aged 50 - 74 years
• Scheduled to see a primary care provider for a routine (i.e., non-urgent care) visit
• Due for colorectal cancer screening

Exclusion Criteria:

• A personal history of CRC
• Specific CRC risk factors, including: First degree relative with CRC; Personal history of adenomatous polyps; Recent blood in stools
• Obvious physical or mental disability that would prevent participant from interacting with a tablet device.
• Receipt of treatment for cancer (excluding non-melanoma skin cancers) within the last 6 months.