Trial Outcomes & Findings for Effectiveness and Implementation of mPATH-CRC (NCT NCT03843957)

Last Updated: 2024-01-31

Results Overview

mPATH-CRC Implementation: Percent of all eligible patients, ages 50 - 74, who complete the mPATH-CRC program in the 6th month following the implementation date.

Recruitment status

COMPLETED

Study phase

Target enrollment

77145 participants

Primary outcome timeframe

Month 6

Results posted on

2024-01-31

Participant Flow

18 clinics were enrolled in the study. These clinics were randomized to the "high touch" or "low touch" implementation strategy. From these 18 clinics, 77145 total participants were enrolled. This includes 67134 adult patients (13092 of whom were eligible for CRC screening) seen in the clinics sometime during the 12 months after implementation, 514 clinic personnel involved in the implementation of mPATH, and 9497 patients in the pre-implementation cohort (8 months prior to implementation).

This is a pragmatic trial, with data being pulled from the electronic health record, so there is no loss to follow-up. A patient enters the dataset once at the time of their clinic visit; they are not actively followed over time but rather a retrospective data pull was conducted at the end of the study for relevant outcomes. The periods described under the description for "high touch" and "low touch" are at the clinic level, not the patient level.

Unit of analysis: Clinics

Participant milestones

Participant milestones
Measure	"High Touch" Strategy Populations evaluated include: Patients Eligible for CRC Screening (Pre- and Post-Implementation), All Adult Patients (Post-Implementation), and Clinic Personnel (Post-Implementation) at clinics randomized to the "high touch" strategy. mPATH-CRC: mPATH-CRC is a self-administered iPad program that patients eligible for CRC screening use in primary care clinics to help them receive CRC screening. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "high touch" Implementation strategy: The "high touch" strategy consists of pre-implementation activities, training, and ongoing support. Pre-Implementation Activities * Clinic champion identified. * Study team meeting with clinic champion * Implementation adaptations as needed for clinic flow Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard * Monthly program usage report sent to clinic champions * Scheduled phone-calls with clinic champion to review QA data and explore potential barriers. * Implementation adaptations as needed for clinic flow * Goal-triggered follow-up on-site trainings * Additional on-site trainings as requested. Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	"Low Touch" Strategy Populations evaluated include: Patients Eligible for CRC Screening (Pre- and Post-Implementation), All Adult Patients (Post-Implementation), and Clinic Personnel (Post-Implementation) at clinics randomized to the "low touch" strategy. mPATH-CRC: mPATH-CRC is a self-administered iPad program that patients eligible for CRC screening use in primary care clinics to help them receive CRC screening. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "low touch" Implementation Strategy: Clinics randomized to receive the low touch implementation strategy will receive: Pre-Implementation Activities • N/A Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard
Overall Study STARTED	49583 10	27562 8
Overall Study All Adult Clinic Patients Post-Implementation: 18 or Older	43775 10	23359 8
Overall Study Adult Clinic Patients Eligible for CRC Screening Post-Implementation: Aged 50-74	7933 10	5159 8
Overall Study Clinic Personnel Post-Implementation	282 10	232 8
Overall Study Adult Clinic Patients Eligible for CRC Screening Pre-Implementation: Aged 50-74	5526 10	3971 8
Overall Study COMPLETED	49583 10	27562 8
Overall Study NOT COMPLETED	0 0	0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	All Adult Clinic Patients on "High Touch" Strategy (Post-Implementation) n=43775 Participants English or Spanish-speaking patients aged 18 or older who are seen in the study clinics randomized to mPATH utilizing the "high touch" implementation strategy in the 12 months after implementation. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "high touch" Implementation strategy: The "high touch" strategy consists of pre-implementation activities, training, and ongoing support. Pre-Implementation Activities * Clinic champion identified. * Study team meeting with clinic champion * Implementation adaptations as needed for clinic flow Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard * Monthly program usage report sent to clinic champions * Scheduled phone-calls with clinic champion to review QA data and explore potential barriers. * Implementation adaptations as needed for clinic flow * Goal-triggered follow-up on-site trainings * Additional on-site trainings as requested. Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	All Adult Clinic Patients on "Low Touch" Strategy (Post-Implementation) n=23359 Participants English or Spanish-speaking patients aged 18 or older who are seen in the study clinics randomized to mPATH utilizing the "low touch" implementation strategy in the 12 months after implementation. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "low touch" Implementation Strategy: Clinics randomized to receive the low touch implementation strategy will receive: Pre-Implementation Activities • N/A Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	Clinic Personnel on "High Touch" Strategy (Post-Implementation) n=282 Participants Clinic personnel (e.g., administrators, nurses, providers) who are involved with the implementation of mPATH-CRC, in the study clinics randomized to mPATH utilizing the "high touch" implementation strategy in the 12 months after implementation. mPATH-CRC: mPATH-CRC is a self-administered iPad program that patients eligible for CRC screening use in primary care clinics to help them receive CRC screening. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "high touch" Implementation strategy: The "high touch" strategy consists of pre-implementation activities, training, and ongoing support. Pre-Implementation Activities * Clinic champion identified. * Study team meeting with clinic champion * Implementation adaptations as needed for clinic flow Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard * Monthly program usage report sent to clinic champions * Scheduled phone-calls with clinic champion to review QA data and explore potential barriers. * Implementation adaptations as needed for clinic flow * Goal-triggered follow-up on-site trainings * Additional on-site trainings as requested. Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	Clinic Personnel on "Low Touch" Strategy (Post-Implementation) n=232 Participants Clinic personnel (e.g., administrators, nurses, providers) who are involved with the implementation of mPATH-CRC, in the study clinics randomized to mPATH utilizing the "low touch" implementation strategy in the 12 months after implementation. mPATH-CRC: mPATH-CRC is a self-administered iPad program that patients eligible for CRC screening use in primary care clinics to help them receive CRC screening. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "low touch" Implementation Strategy: Clinics randomized to receive the low touch implementation strategy will receive: Pre-Implementation Activities • N/A Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	Clinic Patients Eligible for CRC Screening on "High Touch" Strategy (Pre-Implementation) n=5526 Participants English or Spanish-speaking patients aged 50-74 who are eligible for CRC screening who are seen in the study clinics randomized to mPATH utilizing the "high touch" implementation strategy but in 8 months before implementation. "high touch" Implementation strategy: The "high touch" strategy consists of pre-implementation activities, training, and ongoing support. Pre-Implementation Activities * Clinic champion identified. * Study team meeting with clinic champion * Implementation adaptations as needed for clinic flow Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard * Monthly program usage report sent to clinic champions * Scheduled phone-calls with clinic champion to review QA data and explore potential barriers. * Implementation adaptations as needed for clinic flow * Goal-triggered follow-up on-site trainings * Additional on-site trainings as requested. Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	Clinic Patients Eligible for CRC Screening on "Low Touch" Strategy (Pre-Implementation) n=3971 Participants English or Spanish-speaking patients aged 50-74 who are eligible for CRC screening who are seen in the study clinics randomized to mPATH utilizing the "low touch" implementation strategy but in 8 months before implementation. "low touch" Implementation Strategy: Clinics randomized to receive the low touch implementation strategy will receive: Pre-Implementation Activities • N/A Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	Total n=77145 Participants Total of all reporting groups
Age, Continuous All Participants	55.0 years STANDARD_DEVIATION 17.7 • n=43775 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	52.3 years STANDARD_DEVIATION 17.8 • n=23359 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	37.0 years STANDARD_DEVIATION 8.8 • n=126 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	37.6 years STANDARD_DEVIATION 8.4 • n=78 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	59.5 years STANDARD_DEVIATION 7.1 • n=5526 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	59.4 years STANDARD_DEVIATION 6.9 • n=3971 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	54.7 years STANDARD_DEVIATION 16.9 • n=76835 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Age, Continuous Adult Clinic Patients Eligible for CRC Screening Post-Implementation	59.9 years STANDARD_DEVIATION 7.2 • n=7933 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	59.6 years STANDARD_DEVIATION 6.9 • n=5159 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	59.8 years STANDARD_DEVIATION 7.1 • n=13092 Participants • Demographics data are only available for clinic personnel who filled out a survey. "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Sex/Gender, Customized All Participants · Male	17952 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	9828 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	20 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	11 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2389 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1783 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	31983 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Sex/Gender, Customized All Participants · Female	25823 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	13530 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	162 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	108 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	3137 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2188 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	44948 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Sex/Gender, Customized All Participants · Unknown	0 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	100 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	113 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	214 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Sex/Gender, Customized Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Male	3504 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2376 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	5880 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Sex/Gender, Customized Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Female	4429 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2782 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	7211 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Sex/Gender, Customized Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Unknown	0 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	1 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Ethnicity (NIH/OMB) All Participants · Hispanic or Latino	2412 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	955 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	14 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	7 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	361 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	114 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	3863 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Ethnicity (NIH/OMB) All Participants · Not Hispanic or Latino	41035 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	22286 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	162 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	107 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	5112 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	3840 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	72542 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Ethnicity (NIH/OMB) All Participants · Unknown or Not Reported	328 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	118 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	106 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	118 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	53 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	17 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	740 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Ethnicity (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Hispanic or Latino	444 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	195 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	639 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Ethnicity (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Not Hispanic or Latino	7419 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	4937 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	12356 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Ethnicity (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Unknown or Not Reported	70 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	27 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	97 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) All Participants · American Indian or Alaska Native	319 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	128 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	55 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	22 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	527 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) All Participants · Asian	930 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	504 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	5 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	4 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	115 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	86 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1644 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) All Participants · Native Hawaiian or Other Pacific Islander	46 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	35 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	13 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	4 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	98 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) All Participants · Black or African American	4490 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	3329 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	31 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	19 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	656 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	533 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	9058 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) All Participants · White	35542 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	18286 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	135 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	85 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	4346 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	3181 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	61575 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) All Participants · More than one race	0 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	3 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) All Participants · Unknown or Not Reported	2448 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1077 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	108 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	121 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	341 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	145 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	4240 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · American Indian or Alaska Native	63 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	44 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	107 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Asian	154 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	99 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	253 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Native Hawaiian or Other Pacific Islander	12 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	6 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	18 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Black or African American	860 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	704 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	1564 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · White	6387 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	4093 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	10480 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · More than one race	0 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	0 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Race (NIH/OMB) Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Unknown or Not Reported	457 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	213 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	670 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance All Participants · Commercial	23666 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	13028 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2922 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2124 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	41740 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance All Participants · Medicare	14644 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	6893 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1857 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1293 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	24687 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance All Participants · Medicaid	1783 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1587 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	141 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	113 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	3624 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance All Participants · Other	1374 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	722 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	222 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	128 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2446 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance All Participants · Uninsured	2308 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1129 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	384 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	313 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	4134 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance All Participants · Unknown	0 Participants n=43775 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=23359 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	282 Participants n=282 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	232 Participants n=232 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=5526 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=3971 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	514 Participants n=77145 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Commercial	4414 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	2880 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	7294 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Medicare	2627 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	1648 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	4275 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Medicaid	216 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	203 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	419 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Other	273 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	140 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	413 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Uninsured	403 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	288 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	691 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.
Insurance Adult Clinic Patients Eligible for CRC Screening Post-Implementation · Unknown	0 Participants n=7933 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	0 Participants n=5159 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.	—	—	—	—	0 Participants n=13092 Participants • "Adult Clinic Patients Eligible for CRC Screening Post-Implementation" is a subset of "All Adult Clinic Patients (Post-Implementation)." The subset is included here because the patients eligible for CRC screening is the analysis population for outcomes related to implementation of mPATH-CRC.

PRIMARY outcome

Timeframe: Month 6

Population: The analysis population for this outcome is in the sixth month after implementation, so this is a subset of the overall baseline population that includes patients eligible for CRC screening over the full12 months following implementation.

mPATH-CRC Implementation: Percent of all eligible patients, ages 50 - 74, who complete the mPATH-CRC program in the 6th month following the implementation date.

Outcome measures

Outcome measures
Measure	Clinic Patients Eligible for CRC Screening on "High Touch" Strategy (Post-Implementation) n=558 Participants English or Spanish-speaking patients aged 50-74 who are eligible for CRC screening who are seen in the study clinics randomized to mPATH utilizing the "high touch" implementation strategy in the 12 months after implementation. mPATH-CRC: mPATH-CRC is a self-administered iPad program that patients eligible for CRC screening use in primary care clinics to help them receive CRC screening. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "high touch" Implementation strategy: The "high touch" strategy consists of pre-implementation activities, training, and ongoing support. Pre-Implementation Activities * Clinic champion identified. * Study team meeting with clinic champion * Implementation adaptations as needed for clinic flow Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard * Monthly program usage report sent to clinic champions * Scheduled phone-calls with clinic champion to review QA data and explore potential barriers. * Implementation adaptations as needed for clinic flow * Goal-triggered follow-up on-site trainings * Additional on-site trainings as requested. Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard	Clinic Patients Eligible for CRC Screening on "Low Touch" Strategy (Post-Implementation) n=397 Participants English or Spanish-speaking patients aged 50-74 who are eligible for CRC screening who are seen in the study clinics randomized to mPATH utilizing the "low touch" implementation strategy in the 12 months after implementation. English or Spanish-speaking patients aged 50-74 who are eligible for CRC screening who are seen in the study clinics randomized to mPATH utilizing the "high touch" implementation strategy in the 12 months after implementation. mPATH-CRC: mPATH-CRC is a self-administered iPad program that patients eligible for CRC screening use in primary care clinics to help them receive CRC screening. mPATH-Checkin: The mPATH-CheckIn program includes health questions to assist clinics with patient check-in, thereby incentivizing its use for all patients. "low touch" Implementation Strategy: Clinics randomized to receive the low touch implementation strategy will receive: Pre-Implementation Activities • N/A Implementation Kick-Off (Day 1) • On-site training with key clinic personnel Months 1 - 6 * Phone/email technical support, as needed. * Access to web-based QA dashboard Months 7 - 12 * Phone/email technical support, as needed * Access to web-based QA dashboard
Percent of Patients Who Complete the mPATH-CRC Program	5 Participants	4 Participants

SECONDARY outcome

Timeframe: up to month 6

mPATH-CRC Reach: The proportion of patients, ages 50 - 74, who are given mPATH-CRC or have risk factors identified by mPATH-CheckIn in months 1-6 by varying socioeconomic strata (Describe strata)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 6

The mean usage of mPATH-CRC among staff and providers over the first 6 months following implementation; usage is calculated for each staff/provider as the proportion of times mPATH-CRC is completed out of the total times mPATH-CRC should have been launched.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 6

The proportion of patients aged 18 or older who complete mPATH-CheckIn in months 1-6; this outcome will be calculated overall and within socioeconomic strata

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 6

The mean usage of mPATH-CheckIn among staff and providers over the first 6 months following implementation; usage is calculated for front desk staff as the proportion of times mPATH-CheckIn is completed out of the total times mPATH-CheckIn should have been handed out; usage is calculated for nurses/providers as the proportion of times mPATH-CheckIn is completed and data is transmitted to the EHR out of the total times mPATH-CheckIn should have been handed out

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to month 6

The proportion of patients who use mPATH-CRC and request a CRC screening test who have a test ordered or have the order dismissed (i.e., "self-order" feature is used as designed) in months 1-6

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: months 7-12

The proportion of patients aged 50-74 who are eligible for CRC screening who complete mPATH-CRC or have risk factors identified by mPATH-CheckIn in months 7-12

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: months 7-12

The proportion of patients aged 18 or older who complete mPATH-CheckIn in months 7-12

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 16 weeks from index visit

The outcome is defined as the proportion of patients aged 50-74 who are eligible for CRC screening who have a CRC screening test ordered (colonoscopy, flexible sigmoidoscopy, fecal testing for blood, or fecal DNA testing) within 16 weeks of their index visit to the clinic. This outcome will also be compared between the pre- and post-implementation cohorts.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 16 weeks from index visit

The proportion of patients aged 50-74 who are eligible for CRC screening who complete CRC screening within 16 weeks of their index visit to the clinic. Effectiveness is determined by comparing the proportion who complete screening in a pre-implementation cohort (months 12 - 4 before implementation) to a post-implementation cohort (months 1 - 8 after implementation).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Month 12 or month of discontinuation of mPATH use

These will be identified through semi-structured interviews. Interviews will explore how mPATH-CRC was incorporated in the clinic's work flow and factors that affected maintenance such as intervention adaptations, organizational characteristics, and the champion's role. Interviews will be conducted with four members of each selected clinic: the clinic champion, one clinician, one front desk team member, and one medical assistant/nursing team member.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Months 1-5

The proportion of patients aged 50-74 who are eligible for CRC screening who complete mPATH-CRC or have risk factors identified by mPATH-CheckIn in months 1-5 following implementation

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: month 6

The Acceptability of Intervention Measure (AIM) is a 4-item measure scored on a 5-point scale and summed. The Range of Scores is from 4 to 20. Higher Scores indicate higher acceptability.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: month 6

The Intervention Appropriateness Measure (IAM) is a 4-item measure scored on a 5-point scale and summed. The Range of Scores is from 4 to 20. Higher Scores indicate higher appropriateness.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: month 6

The Feasibility of Intervention Measure (FIM) is a 4-item measure scored on a 5-point scale and summed. The Range of Scores is from 4 to 20. Higher Scores indicate higher feasibility.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: month 6

The Acceptability of Intervention Measure (AIM) is a 4-item measure scored on a 5-point scale and summed. The Range of Scores is from 4 to 20. Higher Scores indicate higher acceptability.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: month 6

The Intervention Appropriateness Measure (IAM) is a 4-item measure scored on a 5-point scale and summed. The Range of Scores is from 4 to 20. Higher Scores indicate higher appropriateness.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: month 6

The Feasibility of Intervention Measure (FIM) is a 4-item measure scored on a 5-point scale and summed. The Range of Scores is from 4 to 20. Higher Scores indicate higher feasibility.