PDF(Pubmed)
Abstract：
UNASSIGNED: US patients have increased access to their medical records, yet the information is not always understandable. To improve patient understanding, we tested a patient-centered pathology report (PCPR) containing results for recent colon cancer screening or surveillance colonoscopy.
UNASSIGNED: A pilot randomized trial assessed the impact of addition of the PCPR to a standard pathology report on knowledge accuracy, decisional self-efficacy and control, and therapeutic alliance.
UNASSIGNED: 55 participants were enrolled; 20 participants in the intervention group and 24 controls completed follow-up. There was no significant difference in polyp knowledge between groups at baseline or 30-days, with similar confidence in understanding their diagnoses, decisional self-efficacy, and therapeutic alliance. Most participants receiving a PCPR felt that it helped them understand their diagnosis better and should always be provided with the standard pathology report.
UNASSIGNED: Although patient attitudes toward the PCPR were positive, receiving it did not significantly improve knowledge accuracy or measures of self-efficacy. Further iterations should be explored to communicate key knowledge about colorectal polyp results.
UNASSIGNED: A stakeholder-driven approach to PCPR development facilitated construction of a personalized document that has potential to increase patient\'s understanding for their results and needed follow-up.
UNASSIGNED: A pilot randomized trial assessed the impact of addition of the PCPR to a standard pathology report on knowledge accuracy, decisional self-efficacy and control, and therapeutic alliance.
UNASSIGNED: 55 participants were enrolled; 20 participants in the intervention group and 24 controls completed follow-up. There was no significant difference in polyp knowledge between groups at baseline or 30-days, with similar confidence in understanding their diagnoses, decisional self-efficacy, and therapeutic alliance. Most participants receiving a PCPR felt that it helped them understand their diagnosis better and should always be provided with the standard pathology report.
UNASSIGNED: Although patient attitudes toward the PCPR were positive, receiving it did not significantly improve knowledge accuracy or measures of self-efficacy. Further iterations should be explored to communicate key knowledge about colorectal polyp results.
UNASSIGNED: A stakeholder-driven approach to PCPR development facilitated construction of a personalized document that has potential to increase patient\'s understanding for their results and needed follow-up.
摘要：
■美国患者增加了对医疗记录的访问，然而，信息并不总是可以理解的。为了提高患者的理解，我们检测了一份以患者为中心的病理报告(PCCPR),其中包含近期结肠癌筛查或结肠镜监测的结果.
■一项随机试验评估了在标准病理学报告中加入PCCPR对知识准确性的影响，决策自我效能感和控制，和治疗联盟。
■55名参与者入组；干预组20名参与者和24名对照组完成随访。在基线或30天，组间息肉知识没有显着差异，以同样的信心理解他们的诊断，决策自我效能感，和治疗联盟。大多数接受PCCPR的参与者认为，这有助于他们更好地理解他们的诊断，并应始终提供标准的病理报告。
■尽管患者对PCCPR的态度是积极的，接受它并没有显着提高知识准确性或自我效能感的测量。应探索进一步的迭代以传达有关结直肠息肉结果的关键知识。
■利益相关者驱动的PCPR开发方法促进了个性化文件的构建，该文件有可能增加患者对其结果和需要的后续行动的理解。
■一项随机试验评估了在标准病理学报告中加入PCCPR对知识准确性的影响，决策自我效能感和控制，和治疗联盟。
■55名参与者入组；干预组20名参与者和24名对照组完成随访。在基线或30天，组间息肉知识没有显着差异，以同样的信心理解他们的诊断，决策自我效能感，和治疗联盟。大多数接受PCCPR的参与者认为，这有助于他们更好地理解他们的诊断，并应始终提供标准的病理报告。
■尽管患者对PCCPR的态度是积极的，接受它并没有显着提高知识准确性或自我效能感的测量。应探索进一步的迭代以传达有关结直肠息肉结果的关键知识。
■利益相关者驱动的PCPR开发方法促进了个性化文件的构建，该文件有可能增加患者对其结果和需要的后续行动的理解。
