Colorectal Cancer
Conditions
Keywords
Bowel preparation, Colonoscopy, Smart phone application, Patient satisfaction
Brief summary
Study evaluating the effect of a personalized smart phone application in addition to standard care on bowel preparation scores, compared to standard care alone.
Detailed description
Picoprep is a low-volume bowel preparation used to optimize visualization of the colonic mucosa during colonoscopy. Patients referred for a colonoscopy will be scheduled for an intake. During this intake patients receive education about Picoprep and will be asked about their health condition (medical history, medication use). Standard a face-to-face education is given by an intake nurse or doctor. The producers of Picoprep, Ferring BV designed an app including a drinking schedule adapted to the timing of the coloscopy, aiming a lag time between intake of the last Picoprep dose and the scopy of 2-4 hours. We hypothesize that the Boston Bowel Preparation Scale and patient satisfaction will be higher in patients receiving standard education plus using the bowel preparation app versus patients receiving single standard education.
Interventions
OTHERSmart phone patient education application
Smart phone patient education application including a personalized colonoscopy preparation scheme and information about the procedure.
Sponsors
Maastricht University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Masking description
colonoscopist accessing BBPS scores will be blinded; investigator will also assess BBPS scores (not blinded)
Intervention model description
Randomized clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients refered to our clinic for colonoscopy by general practitioner, colorectal cancer screening programme or outpatient clinic * Use of regular sodium picosulfate bowel preparation scheme * Possession of an Android or iOS smart phone
Exclusion criteria
* Emergency colonoscopy * Hospitalized patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Boston Bowel Preparation Score | During colonoscopy | Boston Bowel Preparation Score (BBPS) is a validated scale for scoring bowel preparation. Each colonic segment (ascending, transverse, descending) is scored on a scale ranging from 0 to 3, in which a higher value means a cleaner bowel segment. The total score is the sum of the three segment scores (total range 0-9). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction questionnaire | end of preparation procedure | Patient satisfaction questionnaire. Several questions in our PSQ (patient satisfaction questionnaire) are based on the PSQ-18. We transformed items from the PSQ-18 to bowel preparation education purposes. The PSQ-18 yields separate scores for each of seven different subscales: General Satisfaction; Technical Quality; Interpersonal Manner; Communication; Financial Aspects; Time Spent with Doctor and Accessibility and Convenience (8, 9). Our PSQ contains items for General Satisfaction (items 3 and 6), Technical Quality (items 8 and 9), Communication (items 1 and 2), Time spent on education (item 7) and Convenience (items 4 and 5). Second, general questions are asked to determine if this was the first time patient received bowel preparation education. And last, for the app users we want to know how they rate the use of the app. |
| Caecal intubation rate | during colonoscopy | Total time from insertion of the endoscope to intubation of the caecum. |
| Adenoma detection rate | during colonoscopy | percentage of patient in each group in which one or more adenoma(s) are detected. |
Countries
Netherlands
Outcome results
None listed