{Reference Type}: Journal Article
{Title}: Prospective randomized pilot study of a novel patient-centered pathology report for colorectal polyps.
{Author}: Ko CW;Koch LK;Austin EJ;Brewer EG;Johnson C;Holt SK;Derleth M;Eugenio M;Gore JL;
{Journal}: PEC Innov
{Volume}: 3
{Issue}: 0
{Year}: 2023 Dec 15
暂无{DOI}: 10.1016/j.pecinn.2023.100238
{Abstract}: <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.