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Updated: May 23, 2026
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Examining utilization of a natural medicine Web-based tool among non-primary care physicians, academic faculty, and
Kelly Dowhower Karpa1, Sue Boehmer
1Department of Pharmacology, College of Medicine, Penn State University, Hershey, PA, USA. kjd136@psu.edu
Background:
Consumer use of herbal and natural products (H/NP) is increasing, yet physicians may be unprepared to provide guidance because of lack of educational training. This knowledge deficit may place consumers at risk of adverse effects. We had previously evaluated the impact of a natural medicine Web-based resource on primary care providers at our institution.
Objectives:
To ascertain the value of an H/NP Web-based resource to non-primary care physicians, academic faculty, and nurses practicing within a hospital setting.
Methods:
Non-primary care physicians, academic faculty, and nurses at our medical center were invited to complete an electronic survey 1 year after access to an H/NP clinical decision tool had been obtained.
Results:
Survey responses were obtained from 226 of 2720 (8%) individuals invited to participate. Overall, respondents indicated a relatively low comfort level (mean 3.5 [2.28] [SD] on a 10-point scale) in discussing H/NP prior to introduction of the electronic H/NP resource. Following a year-long trial subscription to an evidence-based H/NP electronic resource, 29% of physician and nurse survey respondents (60 of 207) reported use of the tool. These individuals ranked their comfort level with H/NP discussions at a 6.96 [1.76] on a 10-point scale. Seventy-six percent of physicians (16 of 21) and 72% of nurses (28 of 39) who had used the tool indicated that because of the resource, they were more likely to ask patients about H/NP use when taking a drug history; 44% (23 of 52) had been able to intervene when a patient was using an H/NP deemed to be unsafe.
Conclusions:
Our results suggest that an evidence-based H/NP resource boosts physician and nursing comfort in discussing H/NP with patients and enables interventions to be made. Such H/NP clinical decision tools have potential to improve patient care.
