eNav Digital Toolkit to Improve Colorectal Cancer Screening for Patients at Federally Qualified Health Centers

PRIMARY OBJECTIVES:

I. To develop the finalized eNav Toolkit. (Aim 1)

II. To evaluate the efficacy of eNav Toolkit for improving CRC screening completion. (Aim 2)

III. To evaluate the theoretical underpinnings of the eNav Toolkit. (Aim 3)

OUTLINE:

AIM 1: Participants view the eNav toolkit and provide feedback via a "think aloud" exercise, interview and surveys. The feedback is used to refine and finalize the intervention. This part is observational.

AIM 2: Patients are randomized to 1 of 2 arms.

ARM I: Patients receive access to the eNav toolkit. The digital navigation tool includes a website and text messaging support. The website includes information, motivational support, decisional support and cues to action (e.g., ability to request a CRC screening test). The eNav tool also includes text-messaging based navigation (e.g., reminders, instructions to complete the screening test).

ARM II: Patients receive standard clinical care for colorectal cancer screening.

After completion of study intervention, patients are followed up at 3-6 weeks after their scheduled primary care appointment and at 6-12 months.