Effectiveness of video instruction on anxiety, knowledge of procedure and quality of bowel cleanliness among patients undergoing colonoscopy

Murugesan, Malathy; Anand, Jasmin; Durai, S.; Dutta, Amit Kumar; Mahasampath, Gowri

doi:10.4103/ijcn.ijcn_49_20

Cited by 3 publications

(7 citation statements)

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“…who reported a statistically significant difference between video or verbal information group after endoscopy i.e. information provided by video helps reduce anxiety of the patients [ 11 ]. Similarly, Kannan et al.…”

Section: Discussionmentioning

confidence: 99%

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Effects of visual aid on state anxiety, fear and stress level in patients undergoing endoscopy: a randomized controlled trial

et al. 2023

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Objectives The present study aimed to calculate the estimated size and confidence interval for the effects of adding visual aid to counselling on anxiety, stress and fear of patients undergoing upper gastrointestinal endoscopy. The secondary aim was to calculate confidence interval for endoscopy-related variables that predict which patients are likely to benefit from visual aids. Method In a randomized, single-blind, two arm, parallel group, superiority trial, 232 consecutive patients who were scheduled to undergo either gastroscopy or colonoscopy were randomly divided into two intervention groups; counselling with video of endoscopic procedure and counselling with no-video ( n = 116 in each group). Primary outcome was anxiety and secondary outcomes were stress and fear. Results One-way ANCOVA showed that there was significant between group differences of anxiety, stress and fear after controlling for the effect of covariates. Planned contrasts revealed that counselling along with visual aid of endoscopy procedure significantly decreased anxiety [Mean difference at post; −4.26 (−4.47, −4.05), p < .001, partial η 2 = 0.88], stress [−5.35 (−5.63, −5.07), p < .001, partial η 2 = 0.86] and fear [−2.82 (−2.97, −2.67), p < .001, partial η 2 = 0.86] compared to counselling alone. Linear regression showed that gender, nature of complaints and concern over seniority of endoscopist were significant negative predictors, however, satisfaction on briefing of endoscopy procedure was significant positive predictor of outcome variables in visual aid condition. Conclusion The increase in anxiety, acute stress and fear related to endoscopic procedures can be alleviated with psychological counselling coupled with visual aids before the procedure. Visual aid could lead to supplementary benefits in reducing anxiety scores. Trial Registration ClinicalTrial.gov Number: NCT05241158. Registered 16/11/2022; https://clinicaltrials.gov/ct2/show/NCT05241158 KEY MESSAGES Counselling along with visual aid of endoscopy procedure significantly decreased anxiety, stress and fear as compared to counselling alone. Male patients were less stressed after visual aid intervention as compared to female patients. Patients who had chronic GI symptoms were less stressed after visual aid intervention as compared to those who had acute GI symptoms. Patients who had concern over seniority of endoscopist were less stressed after visual aid intervention as compared to those who had no concerns over seniority. Satisfaction on briefing of endoscopy procedure was significant posi...

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Section: Discussionmentioning

confidence: 99%

“…Patients were divided into two groups; video or control (verbal) group. They concluded that patients who were shown information video before colonoscopy had low anxiety levels [ 11 ]. Similarly, other randomized controlled trials were done to see the efficacy of music on patient’s anxiety who underwent endoscopy.…”

Section: Introductionmentioning

confidence: 99%

Effects of visual aid on state anxiety, fear and stress level in patients undergoing endoscopy: a randomized controlled trial

et al. 2023

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“…The study did have limitations; for instance, the small sample size and any patients who had any prior surgical history, significant cognitive impairment or psychological disorder that would impact the study outcomes were excluded, and the study was designed without any comparison intervention. Murugesan et al (2020) showed that teaching with video relieves anxiety, improves knowledge and patient outcomes. This quantitative experimental study design enrolled 120 patients who were randomly assigned to a group.…”

Section: Search Strategymentioning

confidence: 99%

“…There were also 6 out of 8 articles that documented the duration of the video intervention. Researchers who clearly established the intervention as solely a video education noted that the video content was 5, 7, or 15 minutes long (Kim et al, 2019;Murugesan et al, 2020;Paripoorani et al, 2015). Three studies (Cakmak et al, 2018;Haddad et al, 2018;Sayadi et al, 2018) used video education as the experimental intervention but combined it with written and verbal education.…”

Section: Synthesis Of Literaturementioning

confidence: 99%

“…The majority of the studies had appropriate enrolled participants, ranging from 32-198. There was a total of six studies that had both a control and intervention group that demonstrated statistical significance in showing that video education decreased anxiety levels pre-procedure (Akca et al, 2020;Cakmak et al, 2018;Haddad et al, 2018;Murugesan et al, 2020;Paripoorani et al, 2015). Cakmak et al (2018) demonstrates statistical significance in the pre-test and post-test experimental group but did not reach statistical significance when compared to the control group.…”

Section: Synthesis Of Literaturementioning

confidence: 99%

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