Using a Multilingual AI Care Agent to Reduce Disparities in Colorectal Cancer Screening for Higher Fecal Immunochemical Test Adoption Among Spanish-Speaking Patients: Retrospective Analysis

AI-powered outreach achieved significantly higher engagement among Spanish-speaking patients, challenging the assumption that technological interventions inherently disadvantage non-English-speaking populations. The 2.6-fold higher FIT test opt-in rate among Spanish-speaking patients represents a notable departure from historical patterns of health care disparities. These findings suggest that language-concordant AI interactions may help address longstanding disparities in preventive care access. Study limitations include its single health care system setting, short duration, and lack of follow-up data on completed screenings. Future research should assess long-term adherence and whether higher engagement translates to improved clinical outcomes.