842 Use of an Educational Booklet Improves the Quality of Inpatient Colonoscopy Bowel Preparation: Results of a Prospective Randomized Controlled Trial

Ergen, William F.; Pasricha, Trisha S.; Higginbotham, Tina; Hubbard, Francie J.; Slaughter, James C.; Obstein, Keith L.

doi:10.1016/j.gie.2014.02.200

Cited by 1 publication

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“…Among the four abstracts and one research letter that met study inclusion criteria (Appendices 3–5), three reported on educational videos [ 40 – 42 ], and two reported on printed instructions presented as a brochure and “photo aids” [ 43 , 44 ]. Four of the five non-full text studies reported a beneficial effect of the tested intervention [ 40 , 42 – 44 ]. Ergen, et al was the only study in our review performed in an inpatient setting [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four of the five non-full text studies reported a beneficial effect of the tested intervention [ 40 , 42 – 44 ]. Ergen, et al was the only study in our review performed in an inpatient setting [ 44 ]. The one study that did not report a positive effect tested an online educational video, which was used by only 6% of the intervention group [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

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How Efficacious Are Patient Education Interventions to Improve Bowel Preparation for Colonoscopy? A Systematic Review

et al. 2016

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BackgroundBowel preparation is inadequate in a large proportion of colonoscopies, leading to multiple clinical and economic harms. While most patients receive some form of education before colonoscopy, there is no consensus on the best approach.AimsThis systematic review aimed to evaluate the efficacy of patient education interventions to improve bowel preparation.MethodsWe searched the Cochrane Database, CINAHL, EMBASE, Ovid, and Web of Science. Inclusion criteria were: (1) a patient education intervention; (2) a primary aim of improving bowel preparation; (3) a validated bowel preparation scale; (4) a prospective design; (5) a concurrent control group; and, (6) adult participants. Study validity was assessed using a modified Downs and Black scale.Results1,080 abstracts were screened. Seven full text studies met inclusion criteria, including 2,660 patients. These studies evaluated multiple delivery platforms, including paper-based interventions (three studies), videos (two studies), re-education telephone calls the day before colonoscopy (one study), and in-person education by physicians (one study). Bowel preparation significantly improved with the intervention in all but one study. All but one study were done in a single center. Validity scores ranged from 13 to 24 (maximum 27). Four of five abstracts and research letters that met inclusion criteria also showed improvements in bowel preparation. Statistical and clinical heterogeneity precluded meta-analysis.ConclusionCompared to usual care, patient education interventions appear efficacious in improving the quality of bowel preparation. However, because of the small scale of the studies and individualized nature of the interventions, results of these studies may not be generalizable to other settings. Healthcare practices should consider systematically evaluating their current bowel preparation education methods before undertaking new interventions.

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