Impact of patient education with cartoon visual aids on the quality of bowel preparation for colonoscopy

Tae, Jae Woong; Lee, Jong Chan; Hong, Su Jin; Han, Jae Pil; Lee, Yun Hee; Chung, Jong Hee; Yoon, Hyung Geun; Ko, Bong Min; Cho, Joo Young; Lee, Joon Seong; Lee, Moon Sung

doi:10.1016/j.gie.2012.05.026

Cited by 138 publications

(131 citation statements)

References 21 publications

(22 reference statements)

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“…The reduction in non-compliance rate of 23.2% is considerably better than that of 7% found in an earlier study 22. The increase in PDR of 13.3% exceeds those of 0%21 and 0.2%20 reported by earlier studies that also focused on this variable. The caecal intubation rate of 94.9% in our study group is higher than those of 90%18 and 90.1%19 in earlier studies.…”

Section: Discussioncontrasting

confidence: 60%

“…Results were inconsistent. Nurse-delivered education with brochures,18 instructions plus educational pamphlet,19 a novel designed patient educational booklet,15 and education with cartoon visual aids20 increased the quality of bowel preparation. However, other interventions, such as photographs of ‘clean’ and ‘dirty’ colons in addition to written instructions,21 or instructions plus a question and answer session to provide additional information based on responses to a questionnaire failed to improve bowel preparation quality 22…”

Section: Introductionmentioning

confidence: 99%

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Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: a prospective, colonoscopist-blinded, randomised, controlled study

Liu

Luo

Zhang

et al. 2013

Gut

155

178

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Section: Discussioncontrasting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: a prospective, colonoscopist-blinded, randomised, controlled study

Liu

Luo

Zhang

et al. 2013

Gut

155

178

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“…Th e use of both verbal and written instructions, compared with written instructions only, is an independent predictor of adequate bowel preparation quality. Educational tools such as booklets, information leafl ets, animations, and visual aids should be standardized and validated, ( 50,51 ) , and should be eff ective across a range of health literacy and education levels ( 4,52 ). Th e use of a novel patient educational booklet on precolonoscopy preparation resulted in better bowel preparation quality scores than those achieved using conventional instructions (OR, 3.7; 95% CI, 2.3-5.8) ( 53 ).…”

Section: Recommendationsmentioning

confidence: 99%

Optimizing Adequacy of Bowel Cleansing for Colonoscopy: Recommendations From the US Multi-Society Task Force on Colorectal Cancer

Johnson

Barkun

Cohen

et al. 2014

American Journal of Gastroenterology

136

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The American Journal of GASTROENTEROLOGY PRACTICE GUIDELINESColorectal cancer (CRC) is the second leading cause of cancerrelated deaths in the United States ( 1 ). Colonoscopy can prevent CRC by the detection and removal of precancerous lesions. In addition to CRC screening and surveillance, colonoscopy is used widely for the diagnostic evaluation of symptoms and other positive CRC screening tests. Regardless of indication, the success of colonoscopy is linked closely to the adequacy of preprocedure bowel cleansing.Unfortunately, up to 20-25% of all colonoscopies are reported to have an inadequate bowel preparation ( 2,3 ). Th e reasons for this range from patient-related variables such as compliance with preparation instructions and a variety of medical conditions that make bowel cleansing more diffi cult to unit-specifi c factors (eg, extended wait times aft er scheduling of colonoscopy) ( 4 ). Adverse consequences of ineff ective bowel preparation include lower adenoma detection rates, longer procedural time, lower cecal intubation rates, increased electrocautery risk, and shorter intervals between examinations ( 3,5-7 ).Bowel preparation formulations intended for precolonoscopy cleansing are assessed based on their effi cacy, safety, and tolerability. Lack of specifi c organ toxicity is considered to be a prerequisite for bowel preparations. Between cleansing effi cacy and tolerability, however, the consequences of inadequate cleansing suggest that effi cacy should be a higher priority than tolerability. Consequently, the choice of a bowel cleansing regimen should be based on cleansing effi cacy fi rst and patient tolerability second. However, effi cacy and tolerability are closely interrelated. For example, a cleansing agent that is poorly tolerated and thus not fully ingested may not achieve an adequate cleansing.Th e goals of this consensus document are to provide expert, evidence-based recommendations for clinicians to optimize colonoscopy preparation quality and patient safety. Recommendations are provided using the Grades of Recommendation Assessment, Development and Evaluation (GRADE) scoring system, which weighs the strength of the recommendation and the quality of the evidence ( 8 ). METHODS Search StrategyComputerized medical literature searches were conducted from January 1980 (fi rst year of approval of polyethylene glycol-electrolyte lavage solution [PEG-ELS]-based preparation by the Food and Drug Administration [FDA]) up to August 2013 using MEDLINE, PubMed EMBASE, Scopus, CENTRAL, and ISI Web of knowledge. We used a highly sensitive search strategy to identify reports of randomized controlled trials ( 9 ) with a combination of medical subject headings adapted to each database and text words related to colonoscopy and gastrointestinal agents, bowel preparation, generic name, and brand name. Th e complete search terms are available in Appendix A. Recursive searches and cross-referencing also were performed using a "similar articles" function; hand searches of articles were identifi ed aft er an i...

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“…Previous studies have reported superior cleansing quality when both oral and written instructions were provided, 4,21 as well as when cartoons or illustrations were used. 22 In addition, patients were encouraged to contact the nurse navigators via phone or e-mail with any questions or concerns before and after their procedure. We believe that the additional support from nurses may have improved patient compliance, although we were not able to assess compliance because the data were unavailable.…”

Section: Commentsmentioning

confidence: 99%

Optimizing bowel preparation for colonoscopy: what are the predictors of an inadequate preparation?

Yee

Manoharan

Hall

et al. 2015

The American Journal of Surgery

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Impact of patient education with cartoon visual aids on the quality of bowel preparation for colonoscopy

Cited by 138 publications

References 21 publications

Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: a prospective, colonoscopist-blinded, randomised, controlled study

Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: a prospective, colonoscopist-blinded, randomised, controlled study

Optimizing Adequacy of Bowel Cleansing for Colonoscopy: Recommendations From the US Multi-Society Task Force on Colorectal Cancer

Optimizing bowel preparation for colonoscopy: what are the predictors of an inadequate preparation?

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