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Updated: Jul 10, 2026
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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Informed Decision-Making for Prostate Cancer Screening: A Prospective, Randomized Study of 2 Novel Web-Based,
Joseph Presti1,2, Stephanie Prausnitz2, Andrea Altschuler2
1Department of Urology, Kaiser Permanente Northern California, San Francisco, California.
The Journal of Urology
|July 8, 2026
Summary
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:
- 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.
