About this trial
This single-center, prospective, parallel-group, 1:1 randomized controlled trial compares standardized verbal counseling with AI-assisted written patient information in adults with symptomatic hemorrhoidal disease receiving initial conservative/medical treatment. The primary objective is to determine whether AI-assisted written information improves complete treatment adherence at day 14. Secondary objectives include quality-of-life change, Patient Global Impression of Change, time to symptom improvement, change in pain/discomfort scores, change in bleeding, swelling, itching, and soiling symptoms, and unplanned repeat healthcare visits.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 years or older
Diagnosis of symptomatic hemorrhoidal disease in the outpatient clinic
Conservative/medical treatment planned at first evaluation
Ability to read and understand Turkish
Disqualifiers
Planned office procedure or surgery
Emergency conditions such as thrombosed external hemorrhoid, strangulation, or massive bleeding
Concomitant anal fissure, anal fistula, perianal abscess, inflammatory bowel disease, or suspicion of anal/colorectal malignancy
History of hemorrhoidal intervention or surgery within the last 3 months
Trial design
Parallel
Treatments tested in this trial
AI-assisted written patient information
BehavioralInvestigator-validated written patient information prepared with AI assistance and provided in addition to standard medical treatment.
Standardized verbal counseling
BehavioralStandardized verbal counseling regarding medical treatment and lifestyle measures, provided in addition to standard medical treatment.
Treatment groups
Trial outcomes
Primary outcomes
Complete treatment adherence at Day 14
Complete treatment adherence at Day 14, defined as full adherence to the prescribed medical treatment and lifestyle recommendations according to the study follow-up form.
Secondary outcomes
Change in HEMO-FISS-QoL total score from baseline to Day 28
Change in health-related quality of life measured by the HEMO-FISS-QoL total score from baseline to Day 28.
Patient Global Impression of Change at Day 28
Patient Global Impression of Change assessed at Day 28.
Time to symptom improvement
Time from baseline to the first patient-reported improvement in hemorrhoidal symptoms, measured in days.
Change in pain/discomfort score from baseline to Day 28
Change in pain or discomfort assessed using a Visual Analog Scale from baseline to Day 28.
Sponsors and contacts
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