A Patient-centered Intervention Using Technology to Reduce Colorectal Cancer Disparities in Primary Care

A Patient-centered Intervention Using Technology to Reduce Colorectal Cancer Disparities in Primary Care

The purpose of this proposal is to test the efficacy of a patient-centered, tailored message intervention delivered via virtual technology for increasing colorectal cancer (CRC) screening within guidelines among racial/ethnic minority and rural patients. This protocol focuses on the clinical portion of grant NCI 1RCA207689-01A1

Patients will be recruited via a secure, clinical data warehouse to complete a patient-randomized test of the efficacy of the intervention for promoting initial and repeat FIT testing. Patients identified as eligible will be contacted through MyChart to test a web-based, culturally-sensitive virtual human intervention for CRC screening. The web-application will provide information to encourage CRC screening. Therefore, this study is a minimal risk study.

Inclusion Criteria:

• able to read English or Spanish at least at eighth-grade level
• have an email account or the ability to receive texts
• willingness to be re-contacted
• consent to MRR related to CRC screening
• not remember completing any CRC screening within recommended guidelines (i.e., <10 years for colonoscopy, <1 year for stool test).
• complete a FIT test:
• a) with a negative result only
• b) complete a FIT test with a positive result AND undergo a completion screening colonoscopy,
• Or c) complete a colonoscopy only.

Exclusion Criteria:

• unable to read English at least at eighth-grade level
• doesn't have an email account or the ability to receive texts
• unwilling to be re-contacted
• Unable to consent to MRR related to CRC screening
• have not had <10 years for colonoscopy, or 1 year for stool test