None listed
Conditions
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: 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
Study design
Eligibility
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