Evidence map›Paper›PMID 42216438›Full record

Trial reportCancer medicine2026

A Personalised and Gamified Digital Decision Aid for Colorectal Cancer Screening: A Randomised Controlled Pilot Study.

Mattia Celebrin, Asia Filosa, Manuela Anelli, Francesco Brucchi, Paolo La Torraca Vittori, Alessandro Incremona, Mattia Rogledi, Alessandro Summer, Maria Vizzardi, Paola Ghidini and 5 more

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07269028 (Personalised and Gamification-based Decision Aid), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07269028 nacompletednot on this map

Personalised and Gamification-based Decision Aid (DA): a Randomized Controlled Pilot Study About Colorectal Cancer (CRC) Screening

TypeinterventionalSponsorUniversity of PaviaRan2023 to 2024Enrolled248ConditionsColo-rectal CancerArmsGamified Mobile App
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Mattia CelebrinUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Asia FilosaUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0009-0005-7381-0869
Manuela AnelliUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Francesco BrucchiUniversity of Milan, Milan, Italy.
Paolo La Torraca VittoriDepartment of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.
Alessandro IncremonaDepartment of Mathematics and Physics "Niccoló Tartaglia"; Faculty of Mathematical, Physical and Natural Sciences, Università Cattolica del Sacro Cuore, Brescia, Italy.
Mattia RoglediDepartment of Industrial and Information Engineering, University of Pavia, Pavia, Italy.
Alessandro SummerSchool of Physics, Trinity College, Dublin, Ireland.
Maria VizzardiDepartment of Public Health and Preventive Medicine, ATS Brescia, Brescia, Italy.
Paola GhidiniDepartment of Public Health and Preventive Medicine, ATS Brescia, Brescia, Italy.
Michela BregoliDepartment of Public Health and Preventive Medicine, ATS Brescia, Brescia, Italy.
Enri HoxhaDepartment of Public Health and Preventive Medicine, ATS Brescia, Brescia, Italy.
Giovanni MarazzaDepartment of Public Health and Preventive Medicine, ATS Brescia, Brescia, Italy.
Alessandra GoriniDepartment of Clinical Sciences and Community Health (Department of Excellence 2023-2027), University of Milan, Milan, Italy.
Cristina MontomoliUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.

Funding

Agenzia di Tutela della Salute di Brescia (ATS Brescia)
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) is the second leading cause of tumour-related mortality worldwide, accounting for approximately 903,000 deaths annually. Despite the proven effectiveness of population-based screening in reducing mortality, participation rates remain suboptimal, hindered by cognitive, psychological, and socioeconomic barriers.

objectiveThis study assessed the effectiveness of the PREVenGO smartphone application, a digital decision aid (DA) incorporating personalisation and gamification elements, in supporting informed decision-making and adherence to CRC screening.

methodsDA-CRC is a two-arm randomised controlled pilot trial. Individuals born in 1973-1974 and invited for the first time to the CRC screening programme by the Local Health Authority of Brescia (Northern Italy) were eligible. Invitation letters included instructions to download the PREVenGO app, which randomised participants into intervention or control arms. The intervention app integrated questionnaires on family history, prevention knowledge, and locus of control (LoC), together with gamified features and rewards, while the control version provided static educational material. Both groups received follow-up notifications at 3 (T1) and 6 months (T2).

resultsAmong those invited, 1% (n = 248) downloaded the app and completed onboarding. Follow-up retention was limited: only 18 participants (7.3%) completed the 3-month questionnaire (T1) and 1 (0.4%) the 6-month assessment (T2). The overall faecal occult blood test (FOBT) screening uptake was 86.7% (n = 215), with comparable rates in both arms (control: 84.3%, n = 102; intervention: 89.0%, n = 113; p = 0.278). Only 17% (n = 43) of participants met all Marteau framework criteria for informed choice, with critical knowledge gaps, particularly regarding overdiagnosis, false positives, and absolute screening benefit.

conclusionsPreliminary findings suggest that a digital DA with personalised and gamified content may enhance CRC screening uptake and partially support informed choice. Larger, multisite studies are warranted to evaluate scalability, inclusivity, and long-term effectiveness in population-based cancer prevention. CLINICAL REGISTRATION: ClinicalTrials.gov RCT n. NCT07269028. (https://clinicaltrials.gov/study/NCT07269028?term=NCT07269028&rank=1).

Indexed as

Colorectal NeoplasmsDecision Support TechniquesEarly Detection of CancerMobile ApplicationsAgedFemaleHumansItalyMaleMiddle AgedOccult BloodPilot ProjectsSurveys and Questionnairescolorectal cancerdecision aideHealthgamificationscreening

Identifiers

PMID42216438
PMCPMC13240130

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.