Improving the Quality of Bowel Preparation by Smartphone Education Platform Prior to Colonoscopy: a Randomized Trail

Overview

Journal Ann Med

Publisher Informa Healthcare

Specialty General Medicine

Date 2022 Oct 18

PMID 36254495

Authors

Kai Zhao

Ruonan Dong

Suhong Xia

Lina Feng

Wangdong Zhou

Mingyu Zhang

Yu Zhang

Dean Tian

Mei Liu

Jiazhi Liao

Affiliations

Soon will be listed here.

Abstract

Objective: Adequate bowel preparation is an essential factor in colonoscopy. Enhanced education on the procedure of bowel preparation is very necessary for patients before colonoscopy. We analysed the influence of a novel education platform on bowel preparation quality before colonoscopy.

Patients And Methods: The study enrolled outpatients who underwent colonoscopy in the digestive endoscopy centre of Wuhan Tongji Hospital. They were divided into the control group and the intervention group according to different educational ways. The control group patients were provided with the regular colonoscopy preparation leaflet. The intervention group patients were asked to add the education platform. The primary outcome was the rate of adequate bowel preparation. The study was registered at Chinese ClinicalTrials.gov (ChiCTR2100053547, 24/11/2021).

Results: A total of 378 patients who underwent colonoscopy were enrolled, including 189 patients in the control group and 189 patients in the intervention group. The Boston bowel preparation score (BBPS) was significantly higher in the intervention group than that in the control group ( < .05). The adequate rate of bowel preparation in the intervention group was significantly improved than that in the control group ( = .000). Compared with the control group, the polyp detection rate (PDR) was significantly higher in the intervention group ( = .006), especially in the left colonic ( = .006). Among constipation patients, the adequate rate of bowel preparation ( = .000) and the PDR ( = .004) were significantly improved than that in the control group.

Conclusions: The smartphone education platform may effectively improve bowel preparation quality, PDR, and patients' compliance.Key messagesThe quality of bowel preparation mainly relies on the patients' compliance with the bowel preparation instructions.The study reveals that the superiority of the smartphone education platform by Mini Program in improving bowel preparation and colorectal polyp detection rate.The smartphone education platform may provide a more effective, convenient, and labour-saving way to provide further improvements to patients prior to colonoscopy.

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