“High touch” strategy
Clinics randomized to the “high touch” strategy have pre-implementation activities, training, and ongoing support (Table 
At each site, a clinic champion is identified who will guide the local implementation effort. Champions typically arise through self or peer-nomination [
Two members of the study team visit each practice to conduct a training session for clinic staff identified by the local clinic champion. This training includes hands-on practice with mPATH™-CheckIn and mPATH™-CRC to increase staff’s comfort with the program, increase their self-efficacy, and demonstrate its usability. A separate brief training session is held for the clinic providers. The provider training includes an overview of the mPATH™ program and its functionality. Because providers will not directly interact with the mPATH™ program, the provider training does not include hands-on practice scenarios.
The study team provides at-elbow technical support the day the clinic launches mPATH™ in their practice.
The study team conducts a conference call with the clinic champion and alternate 2–3 business days after the launch date, and then at weeks 2, 4, 8, 16, and 24 post-launch to discuss the clinic’s experiences with mPATH™, review QA reports generated from mPATH™ data (frequency of use, patient demographics), explore the need for adaptations, and provide support. If program usage is below goal levels, barriers are reviewed with the clinic champion and additional on-site training is offered. Monthly “shout-out” memos are also provided to highlight clinic and staff performance. Clinics may request technical support and additional training at any time.