Journal: PLOS digital health
This scoping review evaluates digital health interventions (DHIs) aimed at increasing colorectal cancer (CRC) screening uptake across various global settings. It analyzes 51 studies from diverse healthcare environments.
The review identifies four key themes influencing screening outcomes:
- Patient-centered technology and adherence
- Behavioral design and personalization
- Clinical workflow and provider interaction
- Equity and community engagement
Interventions such as tailored telephone outreach, mailed fecal immunochemical tests with navigation support, EMR-based reminders, and personalized mobile apps improved screening rates by 20.9% to 37.7% compared to traditional methods.
Hybrid approaches that combine digital tools with human facilitation were especially effective for underserved populations.
However, gaps remain concerning younger adults at risk for early-onset CRC, inconsistent reporting on intervention timing, and limited evidence on long-term sustainability and cost-effectiveness.
The review highlights the need for future research focused on digital health literacy, implementation challenges, and culturally responsive, scalable solutions to sustain CRC screening adherence.