Impact of reinforced education by telephone and short message service on the quality of bowel preparation: a randomized controlled study

Lee, Yoo Jin; Kim, Eun Soo; Choi, Jae Hyuk; Lee, Kyung In; Park, Kyung Sik; Cho, Kwang Bum; Jang, Byoung Kuk; Chung, Woo Jin; Hwang, Jae Seok

doi:10.1055/s-0034-1392406

Cited by 79 publications

(87 citation statements)

References 27 publications

(50 reference statements)

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“…The results indicated that the SMS reminder system was technically feasible and could lead to a higher BBPS score than the stand‐alone use of standard instructions (7.3 vs 6.4, P = 0.035). However, a further larger study needs to focus on researching the optimal delivering time of the enhanced education for sending reminders …”

Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

“…Furthermore, Lee et al . evaluated the efficacy of reminders via both SMS and telephone, including dietary and purgative instructions.…”

Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

“…With regard to cost‐effectiveness, education reinforced by SMS was the optimal method of education, and was as effective as the telephone in improving BP. As a result, the SMS may be a more suitable method in actual clinical practice with lower cost and time demands than the telephone to remind patients of BP instructions, unless telephone reminders can be centralized and automated ( e.g. in an interactive voice response system) in the future.…”

Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

“…Third, the SMS mobile network is unstable, and clinicians cannot be sure that the message has been delivered to the patients . Telephone or SMS reminders should be individualized, for example, the telephone reminder can be employed in the health promotion center where only a small number of patients undergo colonoscopy, whereas the automated SMS reminder system might be better for endoscopy units with a large number of patients.…”

Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

“…The first comprises counseling sessions, educational booklets, cartoon visual aids and educational videos, which have the main advantage of promoting patients’ comprehension of BP. The second category, including the short message service (SMS) and telephone, has the main advantages of reminding the patients. The third contains a smart phone application (app), which makes instructions easily accessible (Table ).…”

Section: Introductionmentioning

confidence: 99%

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

Zhu

Zhang

et al. 2017

J of Digest Diseases

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Colonoscopy remains the mainstay in diagnosing and monitoring colorectal cancer and other colorectal lesions. The diagnostic efficiency of colonoscopy greatly depends on the quality of bowel preparation, which is closely associated with the patient's compliance with the preparation instructions. In addition, the procedural requirements of bowel preparation are often complex and difficult for patients to comprehend and memorize, especially those with lower health literacy and motivation. Therefore, in recent years, many educational methods have been developed, such as educational booklets, cartoon visual aids, educational videos, short message service, telephone, social media and smart phone applications. These educational methods have significantly improved compliance with the instructions for bowel preparation and ultimately promoted the visualization of the colon in patients undergoing colonoscopy.

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Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

“…Furthermore, Lee et al . evaluated the efficacy of reminders via both SMS and telephone, including dietary and purgative instructions.…”

Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

Section: Enhanced Education Mainly For Issuing Remindersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Zhu

Zhang

et al. 2017

J of Digest Diseases

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Effect of Text Messaging on Bowel Preparation and Appointment Attendance for Outpatient Colonoscopy

et al. 2021

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IMPORTANCEOutpatient colonoscopy is important for colorectal cancer screening. However, nonadherence and poor bowel preparation are common. OBJECTIVE To determine if an automated text messaging intervention with a focus on informational and reminder functions could improve attendance rates and bowel preparation quality for outpatient colonoscopy. DESIGN, SETTING, AND PARTICIPANTSThis randomized clinical trial was conducted in an endoscopy center at an urban academic medical center. Adult patients scheduled for outpatient colonoscopy between January and September 2019 were enrolled by telephone call (early phase) or by automated text message (late phase). Data were analyzed from October 2019 to January 2020. INTERVENTIONSAfter enrollment, patients were randomized in a 1:1 ratio to usual care (ie, written instructions and nurse telephone call) or to the intervention (ie, usual care plus an automated series of 9 educational or reminder text messages in the week prior to scheduled colonoscopy). MAIN OUTCOMES AND MEASURESThe primary outcome was appointment attendance rate with good or excellent bowel preparation. Secondary outcomes included appointment attendance rate, bowel preparation quality (poor or inadequate, fair or adequate, and good or excellent), and cancellation lead time (in days). RESULTS Among 753 patients included and randomized in the trial (median [interquartile range]age, 56 [49-64] years; 364 [48.3%] men; 429 [57.2%] Black), 367 patients were randomized to the intervention group and 386 patients were randomized to the control group. There was no significant difference in the primary outcome between groups (patients attending appointments with good or excellent bowel preparation: intervention, 195 patients [53.1%]; control, 210 patients [54.4%]; P = .73), including when stratified by early or late phase enrollment groups. Similarly, there were no significant differences in secondary outcomes. CONCLUSIONS AND RELEVANCEThis randomized clinical trial found no significant difference in appointment attendance or bowel preparation quality with an automated text messaging intervention compared with the usual care control. Future work could optimize the content and delivery of text message interventions or identify patient subgroups that may benefit from this approach.

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The unmet needs for identifying the ideal bowel preparation

et al. 2021

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Colonoscopy, since it was first employed over 60 years ago, is now the gold standard method for visualizing the mucosa of the colon, but should be of good quality. Many factors affect quality, including the type of health service organization, type of facility, staff, equipment, patient characteristics, and bowel preparation (BP). The adequacy of bowel cleansing is critical, but, unfortunately, may be inadequate in up to one‐third of procedures. The current article will present and discuss the main BPs and their drawbacks, which include patient‐dependent and procedure‐dependent factors. Cleansing quality depends on the ease/complexity of solution preparation, volume, taste, and timing of consumption. Consequently, important positive factors include simple instructions, easy preparation of the solution, low volume, pleasant taste, short drinking time (e.g. <30 min), and splitting the dose between the evening before and the morning of the colonoscopy (or even better, only one dose in the early morning to avoid night‐time problems), and short onset of action. The BP solution must also be safe with negligible side effects. Furthermore, a positive experience supports patient willingness to repeat the procedure.

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Impact of reinforced education by telephone and short message service on the quality of bowel preparation: a randomized controlled study

Abstract: ClinicalTrials.gov (NCT01911052).

Cited by 79 publications

References 27 publications

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

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

Effect of Text Messaging on Bowel Preparation and Appointment Attendance for Outpatient Colonoscopy

The unmet needs for identifying the ideal bowel preparation

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