Evidence map›Paper›PMID 37060023›Full record

ArticleTrials2023

Effectiveness and implementation of mPATH™-CRC: a mobile health system for colorectal cancer screening.

Anna C Snavely, Kristie Foley, Ajay Dharod, Mark Dignan, Holly Brower, Elena Wright, David P Miller

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03843957 (Effectiveness and Implementation of mPATH-CRC), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03843957 nacompletednot on this map

Effectiveness and Implementation of mPATH-CRC: a Mobile Health System for Colorectal Cancer Screening

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2023Enrolled77,145ConditionsColorectal Cancer, Cancer, Rectum Cancer, Colon CancerArmsmPATH-CRC, mPATH-Checkin, "high touch" Implementation strategy, "low touch" Implementation Strategy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anna C SnavelyDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA. asnavely@wakehealth.edu.ORCID http://orcid.org/0000-0001-6916-4255
Kristie FoleyDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Ajay DharodDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Mark DignanDepartment of Internal Medicine, College of Medicine, University of Kentucky, Lexington, KY, USA.
Holly BrowerWake Forest University School of Business, Winston-Salem, NC, USA.
Elena WrightDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
David P MillerDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

Effectiveness and Implementation of mPATH-CRC: a Mobile Health System for Colorectal Cancer ScreeningR01CA218416 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2018 to 2022
$2.5M
NCI NIH HHS R01 CA218416NCI NIH HHS R01CA218416
6 · The paper itself

Abstract

backgroundScreening for colorectal cancer (CRC) is widely recommended but underused, even though CRC is the third most diagnosed cancer and the second leading cause of cancer death in the USA. The mPATH™ program is an iPad-based application designed to identify patients due for CRC screening, educate them on the commonly used screening tests, and help them select their best option, with the goal of increasing CRC screening rates.

methodsThe mPATH™ program consists of questions asked of all adult patients at check-in (mPATH™-CheckIn), as well as a module specific for patients due for CRC screening (mPATH™-CRC). In this study, the mPATH™ program is evaluated through a Type III hybrid implementation-effectiveness design. Specifically, the study consists of three parts: (1) a cluster-randomized controlled trial of primary care clinics comparing a "high touch" evidence-based implementation strategy with a "low touch" implementation strategy; (2) a nested pragmatic study evaluating the effectiveness of mPATH-CRC™ on completion of CRC screening; and (3) a mixed-methods study evaluating factors that facilitate or impede the maintenance of interventions like mPATH-CRC™. The primary objective is to compare the proportion of patients aged 50-74 who are eligible for CRC screening who complete mPATH™-CRC in the 6th month following implementation between the "high touch" and "low touch" implementation strategies. Effectiveness of mPATH™-CRC is evaluated by comparing the proportion who complete CRC screening within 16 weeks of their visit to the clinic between a pre-implementation cohort (8 months before implementation) and a post-implementation cohort (8 months after implementation). DISCUSSION: This study will provide data on both the implementation of the mPATH™ program and its effectiveness in improving screening rates for CRC. In addition, this work has the potential to have an even broader impact by identifying strategies to support the sustained use of other similar technology-based primary care interventions.

trial registrationClinicalTrials.gov NCT03843957. Registered on 18 February 2019.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerAdultColonoscopyGovernment ProgramsHumansMass ScreeningPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicColorectal cancerImplementationMobile healthScreening

Identifiers

PMID37060023
PMCPMC10103028

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.