Objectives {7}
SECONDARY
The overall goal of this study is to evaluate both the implementation and effectiveness of the mPATH™ program, which consists of two modules: mPATH™-CheckIn that asks routine questions of all adult patients presenting for a primary care visit, and mPATH™-CRC that is specific for patients due for CRC screening. To accomplish the overall goal, this study consists of three parts: (1) a cluster-randomized controlled trial of primary care clinics comparing a “high touch” evidence-based mHealth implementation strategy with a “low touch” implementation strategy; (2) a nested pragmatic study evaluating the effectiveness of mPATH™-CRC on completion of CRC screening; and (3) a mixed-methods study evaluating factors that facilitate or impede the maintenance of mHealth interventions like mPATH™-CRC. This study utilizes a Type III hybrid implementation-effectiveness design, meaning the primary objective is related to implementation, and a key secondary objective addresses effectiveness. The specific objectives are: