Feasibility of a Colorectal Cancer Screening Web App in Primary Care Patients

Feasibility of a Cloud-based Digital Health Navigation Program for Colorectal Cancer Screening

The goal of this clinical trial is to test the feasibility of a web app about colorectal cancer screening in patients with an upcoming primary care appointment. The main questions it aims to answer are:

• Among patients who use the web app, what proportion will request a colorectal cancer screening test via the program?
• How many patients will respond to a text message intervention to use the web app?

Participants will receive a text message informing them of the value of colorectal cancer screening, and inviting them to click a hyperlink to learn more. The hyperlink will take participants to the web app. The web app: 1) asks questions and use algorithms to determine if routine colorectal cancer screening is needed, and 2) if screening is indicated, shows a brief educational video about colorectal cancer screening and allows participants to request a screening test via the program.

Researchers will compare four different versions of the text message invitation to see if some messages result in higher program completion rates than others.

Inclusion Criteria:

• Have a phone number listed in the electronic health record
• Language preference of English in the electronic health record
• Have a scheduled primary care appointment within the next 15 days

Exclusion Criteria:

• Prior diagnosis of colorectal cancer
• Prior diagnosis of inflammatory bowel disease
• Have a record in the electronic health record of completing a colonoscopy within the last 10 years, a FIT-DNA test within the last 3 years, or a fecal immunochemical test (FIT) within the last 1 year
• Have an electronic Charlson Comorbidity Index > 2