Enhanced education for bowel preparation before colonoscopy: <scp>A</scp> state‐of‐the‐art review

Zhu, Liu; Zhang, Ming Ming; Li, Yue Yue; Li, Li Xiang; Li, Yan Qing

doi:10.1111/1751-2980.12446

Cited by 52 publications

(54 citation statements)

References 46 publications

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“…There are programs that incorporate elements aimed at reducing fear and anxiety and helping to ensure patient understanding of written material, and they ensuring that all patients receive the same information and follow proper instructions that improve the quality of BP for colonoscopy 10 . Such programs include counseling sessions, educational booklets, visual aids and educational videos to improve patient comprehension as well as reminders to patients about the details of BP instructions through Short Messenger Service (SMS) and telephone calls 12 . Use of a telephone call 1 day before screening improves BP and reduces incidence of non-compliance with instructions 9 .…”

Section: Introductionmentioning

confidence: 99%

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

et al. 2017

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Background and study aims Addition of a reminder program to conventional indications improves colonoscopy. The aim of this study was to evaluate the effectiveness of a short telephone call reminder (STCR) on a patient’s first colonoscopy. Patients and methods One day before colonoscopy, we made a STCR of < 10 minutes to 141 randomly selected patients of 258 recruited. The STCRs informed patients about the procedure date, indications for taking laxatives, and dietetic requirements. Questions were clarified only when patients asked directly. We evaluated bowel preparation, quality indicators, and patient satisfaction. Data were expressed as mean ± SD and percentages. Statistical differences were evaluated by Student’s t and Chi squared tests; alpha = 0.05. All authors had access to the study data and reviewed and approved the final manuscript. Results The STCR group had better bowel preparation which was demonstrated by higher completion frequency (97.16 % vs. 82.05 %), in less time (4.52 ± 3.06 vs. 5.38 ± 3.03 hours) intake of laxative, and higher Boston’s scale (7.66 ± 2.42 vs. 5.2 ± 1.65). Quality indicators of colonoscopy were better in patients that received a STCR [cecal intubation rate: 100.00 % vs. 87.18 %; polyp detection: 42.55 % vs. 9.4 %; and cecal arrival time (min): 12.09 ± 3.62 vs. 15.09 ± 5.02]. STCR patients were more satisfied (97.87 % vs. 55.56 %) and would repeat colonoscopy (21.99 % vs. 11.11 %). Conclusions A simple additional step such as a STCR improves quality of bowel preparation, quality indicators, and satisfaction of patients undergoing their first colonoscopy. Clinical trial registry in Mexico City General Hospital: DI/16/107/3/108.

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Section: Introductionmentioning

confidence: 99%

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

et al. 2017

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“…Patient educational strategies have been used to improve patient adherence to colonoscopy follow-up. Tools including booklets, cartoons, and short message service (SMS) text messaging have been shown to boost rates of colonoscopy follow-up compared with usual care [13]. More recently, smartphone-based strategies have been developed to help patients prepare for colonoscopy [14-24].…”

Section: Introductionmentioning

confidence: 99%

What Patients Want in a Smartphone App That Supports Colonoscopy Preparation: Qualitative Study to Inform a User-Centered Smartphone App

Sewitch

Fallone

Ghali

et al. 2019

JMIR Mhealth Uhealth

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Background The preparation for colonoscopy is elaborate and complex. In the context of colorectal cancer screening, up to 11% of patients do not keep their colonoscopy appointments and up to 33% of those attending their appointments have inadequately cleansed bowels that can delay cancer diagnosis and treatment. A smartphone app may be an acceptable and wide-reaching tool to improve patient adherence to colonoscopy. Objective The aim of this qualitative study was to employ a user-centered approach to design the content and features of a smartphone app called colonAPPscopy to support individuals preparing for their colonoscopy appointments. Methods We conducted 2 focus group discussions (FGDs) with gastroenterology patients treated at the McGill University Health Centre in Montreal, Canada. Patients were aged 50 to 75 years, were English- or French-speaking, and had undergone outpatient colonoscopy in the previous 3 months; they did not have inflammatory bowel disease or colorectal cancer. FGDs were 75 to 90 min, conducted by a trained facilitator, and audiotaped. Participants discussed the electronic health support tools they might use to help them prepare for the colonoscopy, the content needed for colonoscopy preparation, and the features that would make the smartphone app useful. Recordings of FGDs were transcribed and analyzed using thematic analysis to identify key user-defined content and features to inform the design of colonAPPscopy . Results A total of 9 patients (7 male and 2 female) participated in one of 2 FGDs. Main content areas focused on bowel preparation instructions, medication restrictions, appointment logistics, communication, and postcolonoscopy expectations. Design features to make the app useful and engaging included minimization of data input, reminders and alerts for up to 7 days precolonoscopy, and visual aids. Participants wanted a smartphone app that comes from a trusted source, sends timely and tailored messages, provides reassurance, provides clear instructions, and is simple to use. Conclusions Participants identified the need for postcolonoscopy information as well as reminders and alerts in the week before colonoscopy, novel content, and features that had not been included in previous smartphone-based strategies for colonoscopy preparation. The ability to tailor instructions made the smartphone app preferable to other modes of delivery. Study findings recognize the importance of including potential users in the development phase of building a smartphone app.

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“…There are many different tools and methods to provide educational material to increase adequate bowel preparation ahead of a colonoscopy. These can be booklets, cartoon-based visual aids, educational videos, short message services or social media-based interventions[ 33 ]. A major goal of digital interventions is to provide patients with essential knowledge regarding good health information about the aim of the preparation procedure to improve adherence and the overall quality of the colonoscopy[ 34 , 35 ].…”

Section: Opportunitiesmentioning

confidence: 99%

Impact of mobile health and medical applications on clinical practice in gastroenterology

Kernebeck¹,

Busse²,

Böttcher³

et al. 2020

WJG

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Mobile health apps (MHAs) and medical apps (MAs) are becoming increasingly popular as digital interventions in a wide range of health-related applications in almost all sectors of healthcare. The surge in demand for digital medical solutions has been accelerated by the need for new diagnostic and therapeutic methods in the current coronavirus disease 2019 pandemic. This also applies to clinical practice in gastroenterology, which has, in many respects, undergone a recent digital transformation with numerous consequences that will impact patients and health care professionals in the near future. MHAs and MAs are considered to have great potential, especially for chronic diseases, as they can support the self-management of patients in many ways. Despite the great potential associated with the application of MHAs and MAs in gastroenterology and health care in general, there are numerous challenges to be met in the future, including both the ethical and legal aspects of applying this technology. The aim of this article is to provide an overview of the current status of MHA and MA use in the field of gastroenterology, describe the future perspectives in this field and point out some of the challenges that need to be addressed.

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Enhanced education for bowel preparation before colonoscopy: A state‐of‐the‐art review

Cited by 52 publications

References 46 publications

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

What Patients Want in a Smartphone App That Supports Colonoscopy Preparation: Qualitative Study to Inform a User-Centered Smartphone App

Impact of mobile health and medical applications on clinical practice in gastroenterology

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