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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Computerized counseling for folate knowledge and use: a randomized controlled trial.

Eleanor Bimla Schwarz¹, Mindy Sobota, Ralph Gonzales

¹Center for Research on Health Care-Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA. schwarzeb@upmc.edu

American Journal of Preventive Medicine

|November 13, 2008

Summary

This summary is machine-generated.

Computer-assisted counseling and free folate supplements effectively increased women's knowledge of folate's role in preventing birth defects and their supplement use. This intervention proved beneficial for periconception health even six months post-intervention.

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes

Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes

Published on: June 28, 2024

Area of Science:

Public Health
Reproductive Health
Nutritional Science

Background:

Periconception folate supplementation is crucial for preventing neural-tube defects.
Limited clinician time and low pre-pregnancy folate initiation rates in the U.S. necessitate innovative approaches.
This study addresses the need to enhance women's knowledge and use of folate supplements.

Purpose of the Study:

To evaluate the effectiveness of computer-assisted counseling combined with free folate provision.
To determine if this intervention increases women's knowledge of folate's benefits and their supplement usage.

Main Methods:

A randomized controlled trial involving 446 women aged 18-45 years.
Participants received a 15-minute computerized educational session and 200 folate tablets.
Follow-up assessments occurred approximately 7 months after enrollment.

Main Results:

Intervention group showed significantly higher knowledge of folate preventing birth defects (46% vs 27%).
Increased awareness of folate's importance in early pregnancy was observed (36% vs 17%).
Self-reported recent folate supplement use was higher in the intervention group (32% vs 21%).

Conclusions:

A brief, one-time computer-assisted counseling session with free folate significantly improved knowledge.
The intervention led to sustained increases in folate supplement use for at least six months.
This model offers a scalable solution for improving periconception folate status.