{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:54:28Z","timestamp":1770814468144,"version":"3.50.1"},"reference-count":42,"publisher":"American Health Information Management Association","issue":"2","funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"crossref","award":["5 NU58DP006768-02-00"],"award-info":[{"award-number":["5 NU58DP006768-02-00"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Adv Health Inf Sci Pract"],"published-print":{"date-parts":[[2025,10,29]]},"abstract":"\n Background<\/jats:title>\n Despite widespread adoption of electronic health records (EHRs), colorectal cancer (CRC) screening rates remain suboptimal, particularly in underserved regions. This study aimed to evaluate the impact of a secure, HIPAA-compliant REDCap system on patient navigation and CRC screening outcomes within the West Virginia Program to Increase Colorectal Cancer Screening (WVPICCS) initiative.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A REDCap database was developed to complement existing EHRs, capturing patient demographics, CRC screening history, and navigation activities. Structured forms documented referrals, results, and follow-up actions for various screening modalities. Custom EHR reports and Microsoft Access queries combined REDCap and EHR data, enabling teams to identify at-risk patients, address barriers (eg, insurance, transportation), and prioritize care. Descriptive statistics and contingency analyses were performed to assess screening completion rates and the association of navigation with screening uptake.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among 4,654 identified patients, 2,222 (47.7%) were screened for colorectal cancer. A subset of 893 patients was tracked for navigation outcomes; 109 (12.2%) received navigation. Navigation uptake varied by site, ranging from 9.2% to 17.7%. Patients receiving navigation were more likely to complete CRC screening (39.5% vs.\u00a031.0%), although this difference did not meet conventional significance in two-tailed tests (p > 0.05). Subgroup analyses indicated that even among patients with documented barriers (n = 42), navigated individuals achieved higher screening rates (38.1%) than those without navigation (31.0%), suggesting potential clinical benefit.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Implementing a REDCap-based patient navigation system helped identify, track, and support at-risk patients, contributing to modest yet meaningful improvements in CRC screening rates. Refining and expanding these data systems is important in overcoming persistent challenges in CRC early detection, supporting better health outcomes and reduced CRC burden.<\/jats:p>\n <\/jats:sec>","DOI":"10.63116\/crzv8041","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:33:38Z","timestamp":1761766418000},"source":"Crossref","is-referenced-by-count":0,"title":["Using REDCap to Address Gaps in Electronic Health Record Data for Strengthening Colorectal Cancer Screening and Navigation"],"prefix":"10.63116","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8993-3680","authenticated-orcid":true,"given":"Adam","family":"Baus","sequence":"first","affiliation":[{"name":"Social and Behavioral Sciences West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Eason","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Whitworth","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelcie","family":"Sturgeon","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Mezzanotte","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dannell","family":"Boatman","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecil","family":"Pollard","sequence":"additional","affiliation":[{"name":"Social and Behavioral Sciences West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Calkins","sequence":"additional","affiliation":[{"name":"Social and Behavioral Sciences West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephenie","family":"Kennedy-Rea","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control West Virginia University https:\/\/dx.doi.org\/https:\/\/ror.org\/011vxgd24"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"52461","reference":[{"issue":"3","key":"ref-500469","series-title":"CA Cancer J Clin","first-page":"233","article-title":"Colorectal cancer statistics, 2023","volume":"73","author":"Siegel","year":"2023","unstructured":"Siegel\n R. 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JAMA Netw Open. 2023\n 2025-2-18\n https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2777782"},{"key":"ref-500474","series-title":"Colorectal Cancer Facts & Figures 2023\u20132024","author":"American Cancer Society","year":"2023","unstructured":"American Cancer Society\n . Colorectal Cancer Facts & Figures 2023\u20132024\n American Cancer Society\n Atlanta, GA\n 2023\n 2025-2-18\n https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/colorectal-cancer-facts-and-figures\/colorectal-cancer-facts-and-figures-2023.pdf"},{"key":"ref-500475","series-title":"Colorectal cancer screening trends and barriers","author":"American Cancer Society Journals","unstructured":"American Cancer Society Journals\n . 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F.\n \n \n Outreach and in-reach strategies for colorectal cancer screening among Latinos at a federally qualified health center: a randomized controlled trial 2015\u20132018. American Journal of Public Health. 2020;110(4):587-594\n https:\/\/doi.org\/10.2105\/AJPH.2019.305524"},{"issue":"1","key":"ref-500478","series-title":"J Gen Intern Med","first-page":"39","article-title":"Effectiveness of patient and provider reminders in increasing colorectal cancer screening rates","volume":"24","author":"Singal","year":"2009","unstructured":"Singal\n A. G.\n \n \n Gupta\n S.\n \n \n Tiro\n J. A.\n \n \n Effectiveness of patient and provider reminders in increasing colorectal cancer screening rates. J Gen Intern Med. 2009;24(1):39-46\n https:\/\/doi.org\/10.1007\/s11606-008-0845-x"},{"issue":"6","key":"ref-500479","series-title":"Health Promot Pract","first-page":"891","article-title":"Cost and effectiveness of reminders to promote colorectal cancer screening uptake in rural federally qualified health centers","volume":"21","author":"Conn","year":"2020","unstructured":"Conn\n M. E.\n \n \n Redden\n J. R.\n \n \n Stewart\n R. W.\n \n \n Baus\n A. D.\n \n Cost and effectiveness of reminders to promote colorectal cancer screening uptake in rural federally qualified health centers. Health Promot Pract. 2020;21(6):891-897\n https:\/\/doi.org\/10.1177\/1524839920954164"},{"issue":"4","key":"ref-500480","series-title":"Health Expectations","first-page":"1","article-title":"Patient perspectives on a patient-facing tool for lung cancer screening","volume":"27","author":"Tiase","year":"2024","unstructured":"Tiase\n V. L.\n \n \n Patient perspectives on a patient-facing tool for lung cancer screening. Health Expectations. 2024;27(4):1-10\n https:\/\/doi.org\/10.1111\/hex.14143"},{"key":"ref-500481","series-title":"Studies in Health Technology & Informatics","first-page":"433","article-title":"Natural language processing to identify abnormal breast, lung, and cervical cancer screening test results from unstructured reports to support timely follow-up. ...18th World Congress of Medical and Health Informatics, MedInfo 2021 - One World, One Health \u2013 Global Partnership for Digital Innovation, 2-4 October, 2021","volume":"290","author":"Diamond","year":"2022","unstructured":"Diamond\n C. J.\n \n \n Natural language processing to identify abnormal breast, lung, and cervical cancer screening test results from unstructured reports to support timely follow-up. ...18th World Congress of Medical and Health Informatics, MedInfo 2021 - One World, One Health \u2013 Global Partnership for Digital Innovation, 2-4 October, 2021. Studies in Health Technology & Informatics. 2022;290:433-437\n https:\/\/doi.org\/10.3233\/SHTI220112"},{"key":"ref-500482","series-title":"JMIR Form Res","first-page":"e55202","article-title":"A health information technology protocol to enhance colorectal cancer screening","volume":"8","author":"Baus","year":"2024","unstructured":"Baus\n A. D.\n \n \n Redden\n J. R.\n \n \n Conn\n M. E.\n \n \n Stewart\n R. W.\n \n \n Taylor\n D. L.\n \n A health information technology protocol to enhance colorectal cancer screening. JMIR Form Res. 2024;8:e55202\n https:\/\/doi.org\/10.2196\/55202"},{"key":"ref-500483","series-title":"BMC Cancer","first-page":"55","article-title":"Strategies and opportunities to stop colon cancer in priority populations: Pragmatic pilot study design and outcomes","volume":"14","author":"Coronado","year":"2014","unstructured":"Coronado\n G. D.\n \n \n Vollmer\n W. M.\n \n \n Petrik\n A. F.\n \n \n Strategies and opportunities to stop colon cancer in priority populations: Pragmatic pilot study design and outcomes. BMC Cancer. 2014;14:55\n https:\/\/doi.org\/10.1186\/1471-2407-14-55"},{"issue":"3","key":"ref-500484","series-title":"Cancer Epidemiol Biomarkers Prev","first-page":"506","article-title":"Personal navigation increases colorectal cancer screening uptake","volume":"24","author":"Ritvo","year":"2015","unstructured":"Ritvo\n P.\n \n \n Myers\n R. E.\n \n \n Paszat\n L.\n \n \n Personal navigation increases colorectal cancer screening uptake. Cancer Epidemiol Biomarkers Prev. 2015;24(3):506-511\n https:\/\/doi.org\/10.1158\/1055-9965.EPI-14-0744"},{"issue":"4","key":"ref-500485","series-title":"J Appalach Health","first-page":"53","article-title":"Leveraging electronic health records data for enhanced colorectal cancer screening","volume":"2","author":"Baus","year":"2020","unstructured":"Baus\n A. D.\n \n \n Carter\n M.\n \n \n Boyd\n J.\n \n \n Leveraging electronic health records data for enhanced colorectal cancer screening. J Appalach Health. 2020;2(4):53-63\n https:\/\/doi.org\/10.13023\/jah.0204.07"},{"issue":"3","key":"ref-500486","series-title":"J Appalach Health","first-page":"86","article-title":"Case study of a comprehensive team-based approach to increase colorectal cancer screening","volume":"3","author":"Wright","year":"2021","unstructured":"Wright\n L. E.\n \n \n Bennett\n T.\n \n \n Carter\n M.\n \n \n Boyd\n J.\n \n Case study of a comprehensive team-based approach to increase colorectal cancer screening. J Appalach Health. 2021;3(3):86-96\n https:\/\/doi.org\/10.13023\/jah.0303.07"},{"key":"ref-500487","series-title":"J Biomed Inform","first-page":"103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","unstructured":"Harris\n P. A.\n \n \n Taylor\n R.\n \n \n Minor\n B. L.\n \n \n The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019;95:103208\n https:\/\/doi.org\/10.1016\/j.jbi.2019.103208"},{"issue":"1","key":"ref-500488","series-title":"J Pharm Technol","first-page":"3","article-title":"A longitudinal comparison of pharmacy documentation platforms using the technology acceptance model: experiences with opioid risk screening","volume":"39","author":"Frenzel","year":"2022","unstructured":"Frenzel\n O.\n \n \n Strand\n M.\n \n \n Welsh\n A.\n \n \n A longitudinal comparison of pharmacy documentation platforms using the technology acceptance model: experiences with opioid risk screening. J Pharm Technol. 2022;39(1):3-9\n https:\/\/doi.org\/10.1177\/87551225221128207"},{"key":"ref-500489","series-title":"JMIR Med Inform","first-page":"e49785","article-title":"User preferences and needs for health data collection using research electronic data capture: survey study","volume":"12","author":"Soni","year":"2024","unstructured":"Soni\n H.\n \n \n Ivanova\n J.\n \n \n Wilczewski\n H.\n \n \n User preferences and needs for health data collection using research electronic data capture: survey study. JMIR Med Inform. 2024;12:e49785\n https:\/\/doi.org\/10.2196\/49785"},{"issue":"3","key":"ref-500469","series-title":"CA Cancer J Clin","first-page":"233","article-title":"Colorectal cancer statistics, 2023","volume":"73","author":"Siegel","year":"2023","unstructured":"Siegel\n R. L.\n \n \n Miller\n K. D.\n \n \n Fuchs\n H. E.\n \n \n Jemal\n A.\n \n Colorectal cancer statistics, 2023. CA Cancer J Clin. 2023;73(3):233-254\n https:\/\/doi.org\/10.3322\/caac.21772"},{"key":"ref-500470","series-title":"State Cancer Profiles. Age-adjusted incidence rates by cancer site, all stages (2017\u20132021)","author":"National Cancer Institute","unstructured":"National Cancer Institute\n . State Cancer Profiles. Age-adjusted incidence rates by cancer site, all stages (2017\u20132021)\n 2025-2-18\n https:\/\/statecancerprofiles.cancer.gov\/quick-profiles\/index.php?statename=westvirginia"},{"key":"ref-500471","series-title":"Colorectal Cancer Facts & Figures 2023\u20132025","author":"American Cancer Society","year":"2023","unstructured":"American Cancer Society\n . Colorectal Cancer Facts & Figures 2023\u20132025\n American Cancer Society\n Atlanta, GA\n 2023\n 2025-2-18\n https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/colorectal-cancer-facts-and-figures\/colorectal-cancer-facts-and-figures-2023.pdf"},{"key":"ref-500472","series-title":"Colon and Rectum Cancer in West Virginia","author":"West Virginia Cancer Registry","year":"2024","unstructured":"West Virginia Cancer Registry\n . Colon and Rectum Cancer in West Virginia\n West Virginia Department of Health and Human Resources\n \n 5\n 2024\n 2025-2-18\n https:\/\/oeps.wv.gov\/cancer\/Documents\/Community\/Colon_and_Rectum_Fact_Sheet.pdf"},{"key":"ref-500473","series-title":"JAMA Netw Open","article-title":"Interoperability of EHRs in healthcare systems","author":"JAMA Health Forum","year":"2023","unstructured":"JAMA Health Forum\n Interoperability of EHRs in healthcare systems. JAMA Netw Open. 2023\n 2025-2-18\n https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2777782"},{"key":"ref-500474","series-title":"Colorectal Cancer Facts & Figures 2023\u20132024","author":"American Cancer Society","year":"2023","unstructured":"American Cancer Society\n . Colorectal Cancer Facts & Figures 2023\u20132024\n American Cancer Society\n Atlanta, GA\n 2023\n 2025-2-18\n https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/colorectal-cancer-facts-and-figures\/colorectal-cancer-facts-and-figures-2023.pdf"},{"key":"ref-500475","series-title":"Colorectal cancer screening trends and barriers","author":"American Cancer Society Journals","unstructured":"American Cancer Society Journals\n . Colorectal cancer screening trends and barriers\n 2025-2-18\n https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/full\/10.3322\/caac.21820"},{"issue":"4","key":"ref-500476","series-title":"Cancer","first-page":"848","article-title":"Using navigators to improve care of underserved patients: Current practices and approaches","volume":"104","author":"Dohan","year":"2005","unstructured":"Dohan\n D.\n \n \n Schrag\n D.\n \n Using navigators to improve care of underserved patients: Current practices and approaches. Cancer. 2005;104(4):848-855\n https:\/\/doi.org\/10.1002\/cncr.21214"},{"issue":"4","key":"ref-500477","series-title":"American Journal of Public Health","first-page":"587","article-title":"Outreach and in-reach strategies for colorectal cancer screening among Latinos at a federally qualified health center: a randomized controlled trial 2015\u20132018","volume":"110","author":"Castaneda","year":"2020","unstructured":"Castaneda\n S. F.\n \n \n Outreach and in-reach strategies for colorectal cancer screening among Latinos at a federally qualified health center: a randomized controlled trial 2015\u20132018. American Journal of Public Health. 2020;110(4):587-594\n https:\/\/doi.org\/10.2105\/AJPH.2019.305524"},{"issue":"1","key":"ref-500478","series-title":"J Gen Intern Med","first-page":"39","article-title":"Effectiveness of patient and provider reminders in increasing colorectal cancer screening rates","volume":"24","author":"Singal","year":"2009","unstructured":"Singal\n A. G.\n \n \n Gupta\n S.\n \n \n Tiro\n J. A.\n \n \n Effectiveness of patient and provider reminders in increasing colorectal cancer screening rates. J Gen Intern Med. 2009;24(1):39-46\n https:\/\/doi.org\/10.1007\/s11606-008-0845-x"},{"issue":"6","key":"ref-500479","series-title":"Health Promot Pract","first-page":"891","article-title":"Cost and effectiveness of reminders to promote colorectal cancer screening uptake in rural federally qualified health centers","volume":"21","author":"Conn","year":"2020","unstructured":"Conn\n M. E.\n \n \n Redden\n J. R.\n \n \n Stewart\n R. W.\n \n \n Baus\n A. D.\n \n Cost and effectiveness of reminders to promote colorectal cancer screening uptake in rural federally qualified health centers. Health Promot Pract. 2020;21(6):891-897\n https:\/\/doi.org\/10.1177\/1524839920954164"},{"issue":"4","key":"ref-500480","series-title":"Health Expectations","first-page":"1","article-title":"Patient perspectives on a patient-facing tool for lung cancer screening","volume":"27","author":"Tiase","year":"2024","unstructured":"Tiase\n V. L.\n \n \n Patient perspectives on a patient-facing tool for lung cancer screening. Health Expectations. 2024;27(4):1-10\n https:\/\/doi.org\/10.1111\/hex.14143"},{"key":"ref-500481","series-title":"Studies in Health Technology & Informatics","first-page":"433","article-title":"Natural language processing to identify abnormal breast, lung, and cervical cancer screening test results from unstructured reports to support timely follow-up. ...18th World Congress of Medical and Health Informatics, MedInfo 2021 - One World, One Health \u2013 Global Partnership for Digital Innovation, 2-4 October, 2021","volume":"290","author":"Diamond","year":"2022","unstructured":"Diamond\n C. J.\n \n \n Natural language processing to identify abnormal breast, lung, and cervical cancer screening test results from unstructured reports to support timely follow-up. ...18th World Congress of Medical and Health Informatics, MedInfo 2021 - One World, One Health \u2013 Global Partnership for Digital Innovation, 2-4 October, 2021. Studies in Health Technology & Informatics. 2022;290:433-437\n https:\/\/doi.org\/10.3233\/SHTI220112"},{"key":"ref-500482","series-title":"JMIR Form Res","first-page":"e55202","article-title":"A health information technology protocol to enhance colorectal cancer screening","volume":"8","author":"Baus","year":"2024","unstructured":"Baus\n A. D.\n \n \n Redden\n J. R.\n \n \n Conn\n M. E.\n \n \n Stewart\n R. W.\n \n \n Taylor\n D. L.\n \n A health information technology protocol to enhance colorectal cancer screening. JMIR Form Res. 2024;8:e55202\n https:\/\/doi.org\/10.2196\/55202"},{"key":"ref-500483","series-title":"BMC Cancer","first-page":"55","article-title":"Strategies and opportunities to stop colon cancer in priority populations: Pragmatic pilot study design and outcomes","volume":"14","author":"Coronado","year":"2014","unstructured":"Coronado\n G. D.\n \n \n Vollmer\n W. M.\n \n \n Petrik\n A. F.\n \n \n Strategies and opportunities to stop colon cancer in priority populations: Pragmatic pilot study design and outcomes. BMC Cancer. 2014;14:55\n https:\/\/doi.org\/10.1186\/1471-2407-14-55"},{"issue":"3","key":"ref-500484","series-title":"Cancer Epidemiol Biomarkers Prev","first-page":"506","article-title":"Personal navigation increases colorectal cancer screening uptake","volume":"24","author":"Ritvo","year":"2015","unstructured":"Ritvo\n P.\n \n \n Myers\n R. E.\n \n \n Paszat\n L.\n \n \n Personal navigation increases colorectal cancer screening uptake. Cancer Epidemiol Biomarkers Prev. 2015;24(3):506-511\n https:\/\/doi.org\/10.1158\/1055-9965.EPI-14-0744"},{"issue":"4","key":"ref-500485","series-title":"J Appalach Health","first-page":"53","article-title":"Leveraging electronic health records data for enhanced colorectal cancer screening","volume":"2","author":"Baus","year":"2020","unstructured":"Baus\n A. D.\n \n \n Carter\n M.\n \n \n Boyd\n J.\n \n \n Leveraging electronic health records data for enhanced colorectal cancer screening. J Appalach Health. 2020;2(4):53-63\n https:\/\/doi.org\/10.13023\/jah.0204.07"},{"issue":"3","key":"ref-500486","series-title":"J Appalach Health","first-page":"86","article-title":"Case study of a comprehensive team-based approach to increase colorectal cancer screening","volume":"3","author":"Wright","year":"2021","unstructured":"Wright\n L. E.\n \n \n Bennett\n T.\n \n \n Carter\n M.\n \n \n Boyd\n J.\n \n Case study of a comprehensive team-based approach to increase colorectal cancer screening. J Appalach Health. 2021;3(3):86-96\n https:\/\/doi.org\/10.13023\/jah.0303.07"},{"key":"ref-500487","series-title":"J Biomed Inform","first-page":"103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","unstructured":"Harris\n P. A.\n \n \n Taylor\n R.\n \n \n Minor\n B. L.\n \n \n The REDCap consortium: Building an international community of software platform partners. 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