Successfully implementing eHealth research and design (R&D) requires a combination of rapid-cycle, flexible, and field-based design, development, and testing methods not readily achievable within traditional academic research programs. We report on an attempt to establish a model for facilitating and speeding up R&D projects, wherein academic faculty, design experts, students, and clinicians cooperate to produce, test, and deploy eHealth products in clinical practice. The first test of this model was performed in a project called Project T, a test of tablet use by older adults with depression, dementia, or both, recruited from a safety net health system. Fifteen tests were performed in a six-month period, which included purchasing, instrument development, approval, coordination, data collection, and interim analysis. The project exceeded its anticipated two-month timeline due to multiple barriers and delays. Having learned from this initial attempt, plans to reorganize the team’s working model for translational field research are described.

Background Lung cancer is the leading cause of cancer death for both men and women in the United States. The National Lung Screening Trial (NLST) demonstrated that low-dose computed tomography (LDCT) screening can reduce lung cancer mortality among high-risk individuals, but uptake of lung screening remains low. Social media platforms have the potential to reach a large number of people, including those who are at high risk for lung cancer but who may not be aware of or have access to lung screening. Methods This paper discusses the protocol for a randomized controlled trial (RCT) that leverages FBTA to reach screening-eligible individuals in the community at large and intervene with a public-facing, tailored health communication intervention (LungTalk) to increase awareness of, and knowledge about, lung screening. Discussion This study will provide important information to inform the ability to refine implementation processes for national population efforts to scale a public-facing health communication focused intervention using social media to increase screening uptake of appropriate, high-risk individuals. Trial registration The trial is registered at clinicaltrials.gov (#NCT05824273).

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