Smartphone education improves embarrassment, bowel preparation, and satisfaction with care in patients receiving colonoscopy

Abstract

Background: Colonoscopy is considered a safe and effective tool for detecting colorectal cancer. Nevertheless, the proportion of patients are hesitating to receive colonoscopy. Smartphone education may decrease the barrier of colonoscopy. The aim of this study is to examine the effectiveness of smartphone education in colonoscopy. Methods: We conducted a prospective, double-blinded, randomized, controlled study to examine the effectiveness of smartphone education on embarrassment, bowel preparation, and satisfaction in colonoscopy. The patients’ embarrassment was measured by the colonoscopy embarrassment scale. The quality of the bowel preparation was evaluated by gastroenterologists according to the Aronchik Scale. The satisfaction of colonoscopy care was assessed by a satisfaction scale developed by the authors. Results: A total of 150 patients were analyzed in the smartphone education and control groups (n = 75 in each group). The smartphone education group reported fewer embarrassment ( B = −2.78, P = .02) than those of the control group, the patients who were older ( B = .15, P = .001) and who were male ( B = 2.91, P = .003) showed higher embarrassment. Additionally, smartphone education group were likely to have better colon preparation (odds ratio = 2.46, 95% confidence interval: 1.20–5.02) than that of the control group. Smartphone education also improved the satisfaction with care ( β = 4.60, P < .001), and above normal body mass index decreased the satisfaction with care ( β = −0.19, P < .05). Conclusion: Smartphone education improves embarrassment, bowel preparation, and satisfaction with care in patients receiving colonoscopy.

Patient education by smartphones for bowel preparation before colonoscopy

“…The bowel preparation education method of each study control group included verbal explanations and written instructions, and one study 21 also had web‐based educational video. In addition to the methods used in control group, the education forms of the smartphone group also used smartphones for education, including smartphone applications, 15,19–22 social media applications, 18,23,25 audiovisual instructions by smartphone, 14,16 a camera application, 17 or a smartphone education program 24 (Table 2).…”

“…By removing duplicates and screening the titles and abstracts of the literature, the full texts of 19 studies were downloaded. According to the inclusion criteria and exclusion criteria, 12 randomized controlled trials [14][15][16][17][18][19][20][21][22][23][24][25] were finally included for the meta-analysis (Fig. 1).…”

“…All 12 included studies compared the quality of bowel preparation after smartphone education and routine education. Bowel preparation quality evaluation uses internationally, widely used bowel preparation quality evaluation scales, such as the Boston Bowel Preparation Scale (BBPS), 14,15,[21][22][23]25 Ottawa Bowel Preparation Scale (OBPS), [16][17][18]20 Harefield Cleansing Scale, 19 Aronchik Scale, 20,24 and Chicago Bowel Preparation Scale. 20 According to the different evaluation scales, the definition of adequate bowel preparation is different.…”

Ações educativas e preventivas de enfermeiros à pessoa submetida ao exame de colonoscopia

“…Nesse contexto, os estudos de Champion, et al (2018);Ho, et al (2019); Wen, et al (2020) abordam as estratégias educativas utilizadas por enfermeiros no que diz respeito às orientações relacionadas ao procedimento. Os principais recursos tecnológicos de educação utilizadas pelos autores são: utilização de recursos da tecnologia da informação (redes sociais, internet e chamadas via telefone), bem como recursos audiovisuais e impressos.…”

“…Alternativamente, os profissionais clínicos também podem recomendar sedação endoscópica aos pacientes, evitando o contato com profissionais clínicos de diferentes gêneros. Em resumo, o estudo mostrou que a educação com smartphone é igualmente valiosa para pacientes que se preparam para a colonoscopia e pode desempenhar um papel crítico na preparação pré-operatória para diminuir a carga psicológica, especialmente o constrangimento (Wen, et al, 2020).…”