Secondary objectives

Compare implementation outcomes (Reach, Adoption, Acceptability, Appropriateness, Feasibility, Fidelity, and Maintenance) for mPATH™-CRC and mPATH™-CheckIn between the “high touch” and “low touch” implementation strategies in a cluster-randomized controlled trial of primary care clinics.Evaluate the effectiveness of mPATH™-CRC in a nested pragmatic study by comparing the proportion who complete CRC screening within 16 weeks of their visit to the clinic between a pre-implementation cohort (8 months before implementation) and a post-implementation cohort (8 months after implementation). The proportion who have a CRC screening test ordered will also be captured. Pre- vs post-implementation changes will be compared between the “high touch” and “low touch” implementation strategies and between dose levels defined based on mPATH™-CRC usage.Determine the factors that facilitate or impede the maintenance of mHealth interventions like mPATH™-CRC through in-depth qualitative interviews with clinic staff, providers, and administrators.