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Related Experiment Video

Updated: Jul 10, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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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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Informed Decision Making for Prostate Cancer Screening - A Prospective, Randomized Study of Two Novel Web-based,

Joseph Presti1,2, Stephanie Prausnitz2, Andrea Altschuler2

  • 1Department of Urology, Kaiser Permanente Northern California, San Francisco, CA, USA.

The Journal of Urology
|July 8, 2026
PubMed
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Interactive electronic visits (E-visits) improved prostate cancer screening decisions for men. While completion rates varied by race and age, the interactive format significantly increased decision-making and PSA test requests.

Area of Science:

  • Urology
  • Health Informatics
  • Public Health

Background:

  • Prostate cancer screening decisions involve complex risk-benefit analyses.
  • Web-based electronic visits (E-visits) offer a novel approach to patient education and decision support.

Purpose of the Study:

  • To evaluate two distinct E-visit formats for prostate cancer screening decision-making.
  • To assess the impact of informational versus interactive E-visits on screening decisions.

Main Methods:

  • A quality-improvement study involving 3200 screen-eligible men.
  • Random assignment to either an informational or an interactive E-visit.
  • Outcomes included E-visit completion and screening decision-making.

Main Results:

Keywords:
PSAprostate cancerscreening

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  • Overall E-visit completion rates were similar between the two types (15.6%).
  • Completion rates differed by race (White highest, Black lowest) and age (older men higher).
  • Interactive E-visits significantly increased the likelihood of making a screening decision and requesting a PSA test.

Conclusions:

  • E-visit completion rates are influenced by patient race and age.
  • Interactive E-visits are more effective in promoting informed prostate cancer screening decisions and PSA test requests.