%0 Journal Article
%T Prospective randomized pilot study of a novel patient-centered pathology report for colorectal polyps.
%A Ko CW
%A Koch LK
%A Austin EJ
%A Brewer EG
%A Johnson C
%A Holt SK
%A Derleth M
%A Eugenio M
%A Gore JL
%J PEC Innov
%V 3
%N 0
%D 2023 Dec 15
%M 38076486
暂无%R 10.1016/j.pecinn.2023.100238
%X <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.