Improving the quality of colonoscopy bowel preparation using a smart phone application: <scp>A</scp> randomized trial

Lorenzo-Zúñiga, Vicente; Vega, Vicente Moreno de; Marín, Íngrid; Barberá, Marta; Boix, Jaume

doi:10.1111/den.12467

Cited by 70 publications

(88 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Five English databases (PubMed, Web of Science, EMBASE, EBSCO, and OVID) and four Chinese databases (the Wanfang Database, Chongqing VIP Database, Chinese National Knowledge Infrastructure, and Chinese Biomedical Database) were searched from their respective inception dates to February 2018. Three categories of search terms were used (‘coloscopy’, ‘bowel preparation’, and ‘smartphone’) and two studies (Kang et al, ; Lorenzo‐Zúñiga, Moreno De Vega, Marín, Barberá, & Boix, ) were identified that had examined the educational effect of a smartphone application on bowel preparation and had included only outpatients; no trial was identified in an inpatient setting. Here, we report the results of the use of mobile applications with inpatients undergoing coloscopy.…”

Section: Introductionmentioning

confidence: 99%

“…With the development of technology, mobile applications have made receiving information any time and any place much easier than it was with traditional educational interventions. By providing an easily accessible and interactive channel of communication between patients and information providers, these applications have the potential to affect public health (Kang et al, 2016) Three categories of search terms were used ('coloscopy', 'bowel preparation', and 'smartphone') and two studies (Kang et al, 2016;Lorenzo-Zúñiga, Moreno De Vega, Marín, Barberá, & Boix, 2015) were identified that had examined the educational effect of a smartphone application on bowel preparation and had included only outpatients; no trial was identified in an inpatient setting. Here, we report the results of the use of mobile applications with inpatients undergoing coloscopy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

Guo

Zuo

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims To explore whether educational information delivered via a medical smartphone app in conjunction with verbal and written instructions, compared with traditional booklet‐based and verbal instructions, could improve the quality of bowel preparation for hospitalized patients undergoing colonoscopy. Design A prospective, single‐blinded, randomized controlled trial. Methods We performed a prospective, endoscopist‐blinded, randomized, controlled trial at Qilu Hospital of Shandong University in China between October 2017–March 2018. Inpatients who are eligible, based on the inclusion criteria, were randomized into two groups. Both groups received oral and written instructions for bowel preparation. In addition, the smartphone app group received instructions through a medical smartphone app. The primary outcome was the rate of adequate bowel preparation according to the Boston bowel preparation scale score. The secondary outcomes included patient compliance with instructions on how to take laxatives, side effects and rates of adenoma detection. Results A total of 293 patients were enrolled in this study. Demographic characteristics were comparable between the two groups. The χ2 test showed that the medical smartphone app group showed significant improvement in the rate of adequate bowel preparation compared with the control group (77.2% vs. 56.8%, p < .001). The adenoma detection rate (ADR) was significantly higher in the smartphone app group than in the control group (21.4% vs. 12.8%, p = .029) based on the χ2 test. The rates of incomplete compliance with instructions were 15.17% in the smartphone app group and 33.11% in the control group (p < .001) based on the χ2 test. The overall adverse events were 23.45% and 37.84% in the smartphone app and control groups, respectively (p = .008), based on the χ2 test. Conclusion Instructions provided via a mobile social media app in conjunction with traditional verbal and written methods could improve the quality of bowel preparation, increase the ADR and decrease adverse effects. App instructions could be an effective addition to oral and written instructions for inpatients undergoing colonoscopy. Impact This study suggested that clinical personnel could deliver information via smartphone as a powerful addition to traditional educational methods that could improve work efficiency and help patients increase the success rate of bowel preparation. Trial registration: Chinese clinical trial registration number: ChiCTR1900024666.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

Guo

Zuo

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Another prospective RCT reported that a new smart phone app was created for BP, with the functions of providing various educational tools (e.g. written text, visual aids and educational video) and timed alerts that remind patients of all steps to be taken during BP.…”

Section: Enhanced Education For Making Instructions Easily Accessiblementioning

confidence: 99%

“…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%

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

Zhu

Zhang

et al. 2017

J of Digest Diseases

View full text Add to dashboard Cite

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.

show abstract

“…ABD'de uzun dönemli polipek-turmakta ve ekonomik yükü artırmaktadır. Bağırsak hazırlığı ilaçlarının hastalar tarafından tolere edilememesi, bulantı, ağrı gibi şikayetlere yol açması, işlem öncesinde bilgilendirmedeki eksiklikler gibi çeşitli faktörler bağırsak hazırlığına uyumu olumsuz yönde etkilemektedir (12,14). Bağırsak hazırlığının maliyet, güvenlik, tolerasyon, komorbidite, hastanın tercihleri ve genel sağlık durumu göz önünde bulundurularak bireyselleştirilmesi gerekmektedir (15).…”

unclassified

Kolonoskopi yapılan hastalarda retrospektif analizle yetersiz bağırsak hazırlığı nedeniyle tamamlanamayan kolonoskopi işlemlerinin sıklığının belirlenmesi*

Özkan

Ünver

Fındık

et al. 2017

Endoskopi Gastrointestinal

View full text Add to dashboard Cite

Giriş ve Amaç:Kolonoskopi işleminin başarısında bağırsak hazırlığının yeterliliği çok önemlidir. Bağırsak hazırlığının yetersiz olması kolonoskopinin başarısını olumsuz etkilemektedir ve işlemin tekrarlanmasına sebep olmaktadır. Tekrarlanan kolonoskopiler hastaların yeniden bağırsak hazırlığı sürecine maruz kalmasına ve hastanenin mali yükünün ve hastane personelinin iş yükünün artmasına ve hastanın invaziv bir işlem olan kolonoskopi sürecinde anksiyete yaşamasına neden olmaktadır. Bu çalışmanın amacı; 2015 yılında kolonoskopi yapılan hastalarda retrospektif analizle yetersiz bağırsak hazırlığı nedeniyle tamamlanamayan kolonoskopi işlemlerinin sıklığını belirlemektir. Gereç ve Yöntem: Çeşitli endikasyonlar ile 01.01.2015-31.12.2015 tarihleri arasında bir üniversite hastanesinin genel cerrahi polikliniği endoskopi ünitesinde kolonoskopi yapılan 320 hastanın kolonoskopi raporu incelendi. Veriler SPSS programında frekans ve yüzde kullanarak ve t testten yararlanılarak analiz edildi. Bulgular: Hastalarda yetersiz bağırsak hazırlığı nedeniyle tamamlanamayan kolonoskopi veya rektosigmoidoskopi oranı %14 bulundu. Bağırsak hazırlığının 45 yaş üstü grupta daha yetersiz olduğu ve yaş gruplarına göre bu farkın istatistiksel açıdan anlamlı olduğu saptandı (p<0.05). Sonuç: Sağlık personeli; hastaların bağırsak hazırlığında yeterli düzeye ulaşabilmeleri için hastalara önerilen diyet, oral laksatifler ve lavmanları etkin bir şekilde uygulamaları konusunda detaylı bilgilendirme yapmalıdır. Sonuç olarak, hastaların bağırsak hazırlığı sürecinde yaşadığı problemlerin ve hastaların bağırsak hazırlığına uyum sağlayamamalarının nedenlerinin araştırılması önemli bir belirteç olacaktır. Anahtar kelimeler: Kolonoskopi, retrospektif inceleme, yetersiz bağırsak hazırlığıBackground and Aims: The adequacy of bowel preparation is very important ın the success of a colonoscopy. Inadequate bowel preparation affects the success of this process negatively, which causes patients to be exposed to repeated bowel preparations for a colonoscopy. A repetition of the process leads to increase costs for the hospital and causes an increased work load for the health professionals, and also the invasive procedure increases the anxiety of the patients. The aim of this study was to determine the adequacy of bowel preparation for colonoscopy patients by a retrospective analysis. Materials and Methods: The colonoscopy reports of the patients (n = 320) who had undergone a colonoscopy with various indications between January 1, 2015 and December 31, 2015, in the General Surgery Department of a university hospital were evaluated. The data were analyzed using frequency and percentage in an SPSS program. Results: The rate of the inadequate bowel preparation for a colonoscopy and rectosigmoidoscopy was 14%. The inadequate bowel preparation was lower in patients older than 45 years, and according to age groups, this difference was statistically significant (p < 0.05). Conclusion: Patients should be instructed carefully about recommendations, such as following a prescr...

show abstract

Improving the quality of colonoscopy bowel preparation using a smart phone application: A randomized trial

Abstract: Successful cleansing and patient acceptability with the use of SPA were superior to written instructions in outpatients submitted for colonoscopy using 2 L PEG solution plus ascorbic acid.

Cited by 70 publications

References 14 publications

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

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

Kolonoskopi yapılan hastalarda retrospektif analizle yetersiz bağırsak hazırlığı nedeniyle tamamlanamayan kolonoskopi işlemlerinin sıklığının belirlenmesi*

Contact Info

Product

Resources

About