{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:13:10Z","timestamp":1789495990117,"version":"build-2803163510"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Colorectal cancer (CRC) is the third leading cause of cancer and the second cause of cancer-related deaths in the world. Despite the infrastructure and the availability of organized screening programs, participation in their screening programs is less than the set goals. Considering the importance of informing the society about the prevention and early detection of colorectal cancer symptoms and the positive impact of mobile health technologies, the present research was conducted with the aim of designing and evaluating a colon cancer mobile application.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The present research was conducted in two phases: software design and evaluation. In the first phase, the software was prepared using the cascade method. First, all the educational content related to colorectal cancer was collected through an expert panel with the participation of 10 specialists. Then the software was evaluated with alpha and beta testing, and the initial version was approved by users in terms of simplicity and usability. In the second phase, a parallel clinical randomized trial study was conducted with the aim of investigating the effect of a colon cancer mobile application on the early detection of colorectal cancer. In this stage, 204 volunteers participated; inclusion criteria were age 18\u201385 years, owning a smartphone and the ability to read and write. Participants were randomized into control and intervention groups. The intervention group was educated with the colon cancer application for education about colorectal cancer, and the control group was educated with a pamphlet. After education, both groups were screened for colorectal cancer symptoms, and the results were compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In the software evaluation phase, the application was used by 204 users. In this stage, 84 (41.2%) women and 120 (58.8%) men, with an average (Standard Deviation) age of 47.53 (13.68) participated. Participants were randomized in two groups, 103 people with an average (Standard Deviation) age of 47.62 (14.65) in intervention group and 101 people with an average (Standard Deviation) age of 47.44 (12.70) in control group. There were no significant differences between the demographic characteristics of age, gender, marriage, occupation, instruction level, digestive disease history, cancer history, cancer risk factors, and family history of cancer between the two groups (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). The Mann-Whitney U test indicated that there is a significant difference between the two groups of participants in self-assessment, willingness to do the screening, and the results of the assessment of colorectal cancer (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The results of the research indicated the positive impact of the Colon Cancer Application on the abilities of the users of self-assessment of colon cancer. Therefore, based on the findings, it can be concluded that the use of the colon cancer mobile application is effective for colon cancer prevention and self-care.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial registration<\/jats:title>\n                <jats:p>This study was registered in the Iranian Registry of Clinical Trials (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/irct.behdasht.gov.ir\">https:\/\/irct.behdasht.gov.ir<\/jats:ext-link>) on 13\/2\/2024, with the IRCT ID: IRCT20210131050189N9.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-024-03275-y","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T13:03:06Z","timestamp":1716901386000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Design and evaluation of a colon cancer mobile application"],"prefix":"10.1186","volume":"24","author":[{"given":"Amir","family":"Sadeghi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiva","family":"Salar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pardis Ketabi","family":"Moghadam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makan","family":"Cheraghpour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raziyeh","family":"Ghafouri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"issue":"1","key":"3275_CR1","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1038\/s41746-023-00786-y","volume":"6","author":"Y Zhu","year":"2023","unstructured":"Zhu Y, Zhang D-F, Wu H-L, Fu P-Y, Feng L, Zhuang K, et al. Improving bowel preparation for colonoscopy with a smartphone application driven by artificial intelligence. NPJ Digit Med. 2023;6(1):41.","journal-title":"NPJ Digit Med"},{"issue":"6","key":"3275_CR2","first-page":"e40540","volume":"15","author":"M Akanbi","year":"2023","unstructured":"Akanbi M, Santiago Rivera OJ, Dutta A, Pratiti R. A review of Community Awareness for Colorectal Cancer Screening and Prevention in North and Central Asian countries. Cureus. 2023;15(6):e40540.","journal-title":"Cureus"},{"issue":"1","key":"3275_CR3","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/s12913-022-09010-1","volume":"23","author":"F Rahimi","year":"2023","unstructured":"Rahimi F, Rezayatmand R, Shojaeenejad J, Tabesh E, Ravankhah Z, Adibi P. Costs and outcomes of colorectal cancer screening program in Isfahan, Iran. BMC Health Serv Res. 2023;23(1):13.","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"3275_CR4","first-page":"e37509","volume":"15","author":"M Jayasinghe","year":"2023","unstructured":"Jayasinghe M, Prathiraja O, Caldera D, Jena R, Coffie-Pierre JA, Silva MS, et al. Colon Cancer Screen Methods: 2023 Update Cureus. 2023;15(4):e37509.","journal-title":"Colon Cancer Screen Methods: 2023 Update Cureus"},{"issue":"5","key":"3275_CR5","doi-asserted-by":"publisher","first-page":"348","DOI":"10.4251\/wjgo.v11.i5.348","volume":"11","author":"Z Oru\u00e7","year":"2019","unstructured":"Oru\u00e7 Z, Kaplan MA. Effect of exercise on colorectal cancer prevention and treatment. World J Gastrointest Oncol. 2019;11(5):348\u201366.","journal-title":"World J Gastrointest Oncol"},{"issue":"2","key":"3275_CR6","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1053\/j.gastro.2019.06.048","volume":"158","author":"M Song","year":"2020","unstructured":"Song M, Chan AT, Sun J. Influence of the gut Microbiome, Diet, and Environment on Risk of Colorectal Cancer. Gastroenterology. 2020;158(2):322\u201340.","journal-title":"Gastroenterology"},{"issue":"3","key":"3275_CR7","doi-asserted-by":"publisher","first-page":"e00589","DOI":"10.34172\/jrhs.2023.124","volume":"23","author":"S Olyani","year":"2023","unstructured":"Olyani S, Ebrahimipour H, Mahdizadeh Taraghdari M, Jamali J, Peyman N. Colorectal Cancer awareness and related factors among adults attending primary Healthcare in North-Eastern of Iran: a cross-sectional study. J Res Health Sci. 2023;23(3):e00589.","journal-title":"J Res Health Sci"},{"key":"3275_CR8","doi-asserted-by":"publisher","first-page":"e10951","DOI":"10.7717\/peerj.10951","volume":"9","author":"S Tekiner","year":"2021","unstructured":"Tekiner S, Peker GC, Do\u011fan MC. Colorectal cancer screening behaviors. PeerJ. 2021;9:e10951.","journal-title":"PeerJ"},{"key":"3275_CR9","doi-asserted-by":"publisher","first-page":"690718","DOI":"10.3389\/fonc.2021.690718","volume":"11","author":"EL Blackman","year":"2021","unstructured":"Blackman EL, Ragin C, Jones RM. Colorectal Cancer screening prevalence and adherence for the Cancer Prevention Project of Philadelphia (CAP3) participants who Self-identify as Black. Front Oncol. 2021;11:690718.","journal-title":"Front Oncol"},{"issue":"4","key":"3275_CR10","first-page":"e37622","volume":"15","author":"SS Gude","year":"2023","unstructured":"Gude SS, Veeravalli RS, Vejandla B, Gude SS, Venigalla T, Chintagumpala V. Colorectal Cancer Diagn Methods: Present Future Cureus. 2023;15(4):e37622.","journal-title":"Colorectal Cancer Diagn Methods: Present Future Cureus"},{"issue":"11","key":"3275_CR11","doi-asserted-by":"publisher","first-page":"2009","DOI":"10.1093\/tbm\/ibab033","volume":"11","author":"BW Hesse","year":"2021","unstructured":"Hesse BW, Kwasnicka D, Ahern DK. Emerging digital technologies in cancer treatment, prevention, and control. Translational Behav Med. 2021;11(11):2009\u201317.","journal-title":"Translational Behav Med"},{"issue":"7","key":"3275_CR12","first-page":"e27404","volume":"14","author":"KM Alzahrani","year":"2022","unstructured":"Alzahrani KM, Fallatah SM, Almehmadi RA, Alghamdi JS, Alsulaimani AI, Alkhaldi LM, et al. Colorectal Cancer and its Screening among Public in the Western Region of Saudi Arabia. Cureus. 2022;14(7):e27404.","journal-title":"Cureus"},{"issue":"4","key":"3275_CR13","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1007\/s11864-022-00962-4","volume":"23","author":"S Jain","year":"2022","unstructured":"Jain S, Maque J, Galoosian A, Osuna-Garcia A, May FP. Optimal strategies for Colorectal Cancer Screening. Curr Treat Options Oncol. 2022;23(4):474\u201393.","journal-title":"Curr Treat Options Oncol"},{"issue":"1","key":"3275_CR14","doi-asserted-by":"publisher","first-page":"1280","DOI":"10.1186\/s12889-021-11330-6","volume":"21","author":"JJ Brown","year":"2021","unstructured":"Brown JJ, Asumeng CK, Greenwald D, Weissman M, Zauber A, Striplin J, et al. Decreased colorectal cancer incidence and mortality in a diverse urban population with increased colonoscopy screening. BMC Public Health. 2021;21(1):1280.","journal-title":"BMC Public Health"},{"issue":"7","key":"3275_CR15","doi-asserted-by":"publisher","first-page":"e26759","DOI":"10.2196\/26759","volume":"23","author":"A Ruco","year":"2021","unstructured":"Ruco A, Dossa F, Tinmouth J, Llovet D, Jacobson J, Kishibe T, et al. Social media and mHealth Technology for Cancer Screening: systematic review and Meta-analysis. J Med Internet Res. 2021;23(7):e26759.","journal-title":"J Med Internet Res"},{"issue":"2","key":"3275_CR16","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1159\/000505150","volume":"236","author":"M Janda","year":"2020","unstructured":"Janda M, Soyer HP. Using Mobile Health Technology and Social Media for the Prevention and early detection of skin Cancer. Dermatology. 2020;236(2):72\u20134.","journal-title":"Dermatology"},{"issue":"3","key":"3275_CR17","first-page":"145","volume":"11","author":"R Ghafouri","year":"2023","unstructured":"Ghafouri R. Facilitators and barriers of using Mobile for Patient Education. J Patient Saf Qual Improv. 2023;11(3):145\u201352.","journal-title":"J Patient Saf Qual Improv"},{"key":"3275_CR18","unstructured":"Ali WNAW, Yahaya WAJW, Waterfall -ADDIE, Model. An Integration of Software Development Model and Instructional Systems Design in Developing a Digital Video Learning Application. 2023."},{"issue":"5","key":"3275_CR19","doi-asserted-by":"publisher","first-page":"e0233269","DOI":"10.1371\/journal.pone.0233269","volume":"15","author":"S Rodr\u00edguez","year":"2020","unstructured":"Rodr\u00edguez S, Sanz AM, Llano G, Navarro A, Parra-Lara LG, Krystosik AR, et al. Acceptability and usability of a mobile application for management and surveillance of vector-borne diseases in Colombia: an implementation study. PLoS ONE. 2020;15(5):e0233269.","journal-title":"PLoS ONE"},{"issue":"10","key":"3275_CR20","doi-asserted-by":"publisher","first-page":"3093","DOI":"10.31557\/APJCP.2021.22.10.3093","volume":"22","author":"A Elepa\u00f1o","year":"2021","unstructured":"Elepa\u00f1o A, Fusingan AS, Yasay E, Sahagun JA. Mobile health interventions for improving colorectal cancer screening rates: a systematic review and meta-analysis. Asian Pac J cancer Prevention: APJCP. 2021;22(10):3093.","journal-title":"Asian Pac J cancer Prevention: APJCP"},{"issue":"8","key":"3275_CR21","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1038\/s41575-022-00612-y","volume":"19","author":"A Shaukat","year":"2022","unstructured":"Shaukat A, Levin TR. Current and future colorectal cancer screening strategies. Nat Reviews Gastroenterol Hepatol. 2022;19(8):521\u201331.","journal-title":"Nat Reviews Gastroenterol Hepatol"},{"issue":"2","key":"3275_CR22","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1177\/0969141319879712","volume":"27","author":"E Toes-Zoutendijk","year":"2020","unstructured":"Toes-Zoutendijk E, Portillo I, Hoeck S, de Brabander I, Perrin P, Dubois C, et al. Participation in faecal immunochemical testing-based colorectal cancer screening programmes in the northwest of Europe. J Med Screen. 2020;27(2):68\u201376.","journal-title":"J Med Screen"},{"issue":"2","key":"3275_CR23","doi-asserted-by":"publisher","first-page":"e12103","DOI":"10.2196\/12103","volume":"6","author":"MFM Marzuki","year":"2019","unstructured":"Marzuki MFM, Yaacob NA, bin Yaacob NM, Hassan MRA, Ahmad SB. Usable mobile app for community education on colorectal cancer: development process and usability study. JMIR Hum Factors. 2019;6(2):e12103.","journal-title":"JMIR Hum Factors"},{"issue":"5","key":"3275_CR24","doi-asserted-by":"publisher","first-page":"e316","DOI":"10.1016\/S2589-7500(23)00049-3","volume":"5","author":"KM Shaffer","year":"2023","unstructured":"Shaffer KM, Turner KL, Siwik C, Gonzalez BD, Upasani R, Glazer JV, et al. Digital health and telehealth in cancer care: a scoping review of reviews. Lancet Digit Health. 2023;5(5):e316\u201327.","journal-title":"Lancet Digit Health"},{"issue":"1","key":"3275_CR25","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s10916-023-02026-y","volume":"48","author":"C Espina","year":"2024","unstructured":"Espina C, Feliu A, Gonz\u00e1lez Vingut A, Liddle T, Jimenez-Garcia C, Olaya-Caro I, et al. Population-Based Cancer Prevention Education intervention through mHealth: a Randomized Controlled Trial. J Med Syst. 2024;48(1):9.","journal-title":"J Med Syst"},{"issue":"1","key":"3275_CR26","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1186\/s12876-023-02774-8","volume":"23","author":"P Gautom","year":"2023","unstructured":"Gautom P, Escaron AL, Garcia J, Thompson JH, Rivelli JS, Ruiz E, et al. Developing patient-refined colorectal cancer screening materials: application of a virtual community engagement approach. BMC Gastroenterol. 2023;23(1):179.","journal-title":"BMC Gastroenterol"},{"issue":"6","key":"3275_CR27","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1111\/codi.16541","volume":"25","author":"SH Ketelaers","year":"2023","unstructured":"Ketelaers SH, Ham Nv P, KAv, Timmers T, Nieuwenhuijzen GA, Rutten HJ, et al. The development and implementation of an interactive application for new ostomy patients. Colorectal Dis. 2023;25(6):1228\u201337.","journal-title":"Colorectal Dis"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-024-03275-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-024-03275-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-024-03275-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T13:04:19Z","timestamp":1716901459000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-024-03275-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,28]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["3275"],"URL":"https:\/\/doi.org\/10.1186\/s12876-024-03275-y","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,28]]},"assertion":[{"value":"16 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the ethics committee of Shahid Beheshti University of Medical Sciences (IR.SBMU.PHARMACY.REC.1402.109), and all methods were carried out in accordance with the research ethical codes of Iran National Committee for Ethics in Biomedical Research.The authors guarantee that they have followed the ethical principles stated in the Declaration of Helsinki (to protect the life, health, dignity, integrity, right to self-determination, privacy, and confidentiality of personal information of research subjects) in all stages of the research. This is the online certificate of research ethical code: .This study was registered in the Iranian Registry of Clinical Trials () on February 13, 2024, with the IRCT ID: IRCT20210131050189N9.To observe the ethical considerations, hospitals were directed to agree to be part of the study; the research goals and procedures were elucidated to the participants; they were assured of information anonymity and confidentiality; and informed written consent was obtained from each participant and documented it. They participated in the study voluntarily and could leave the study at any stage.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"185"}}