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Influence of a behavioural incentive and intensive education on the quality of bowel preparation prior to diagnostic colonoscopies

Influence of a behavioural incentive (reward) and of intensive nurse-led education on the quality of bowel preparation prior to diagnostic colonoscopies

Status
Terminated
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12619001198112
Enrollment
162
Registered
2019-08-27
Start date
2015-11-05
Completion date
2017-01-30
Last updated
2019-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Research Aims: To test the effect of a patient reward system (Instant scratchie lottery ticket) or augmented education improves: a) quality of bowel preparations b) and the polyp detection rate To test whether the total SAGIS score correlates with the number of polyps found Research Design & Methods to Achieve Aims: During one calendar year 300 outpatients referred for a colonoscopy will be recruited who have consented to the study. The quality of bowel preparation will be scored via the Boston bowel preparation scale, which is the most extensively validated scoring system. Block randomisation will be used to allocate all patients consented on a given day into one of three treatment groups (Scratchie ticket lottery ticket reward vs. no reward vs. intensified education).

Interventions

Arm 1: Standard care. Patients were prescribed a 3-litre split-dose PEG bowel preparation and a 12-page colour information booklet (Princess Alexandra Hospital resource: "Preparing for your colonoscopy")was mailed to them a month prior to the procedure. Arm 2: Reward. As per standard care plus offered a financial reward (an instant scratchie ticket for a state-wide lottery with a jackpot of up to $25,000) if they achieve a “good or very good” quality rating of the preparation. Arm 3: Intensif

Arm 1: Standard care. Patients were prescribed a 3-litre split-dose PEG bowel preparation and a 12-page colour information booklet (Princess Alexandra Hospital resource: "Preparing for your colonoscopy")was mailed to them a month prior to the procedure. Arm 2: Reward. As per standard care plus offered a financial reward (an instant scratchie ticket for a state-wide lottery with a jackpot of up to $25,000) if they achieve a “good or very good” quality rating of the preparation. Arm 3: Intensified education. As per standard care (12-page education booklet mailed out a month prior to procedure) plus additional one-on-one education two weeks prior to their procedure, delivered by an endoscopy nurse over the phone (duration 5 to 20 minutes where bowel preparation instructions were reviewed, and patient's queries answered).

Sponsors

PA Foundation
Lead SponsorCharities/Societies/Foundations

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

Adults from the general gastroenterology clinic referred for an elective colonoscopy

Exclusion criteria

Significant cognitive or mental impairment Known need for interventional procedures (e.g. resection of large polyps) Language barriers

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026