Colonoscopy Education
Conditions
Keywords
colonoscopy
Brief summary
The investigators compare video education plus standard education versus standard education for bowel preparation before a colonoscopy. The primary outcome will be the quality of bowel preparation.
Detailed description
The investigators compare video education plus standard education versus standard education for bowel preparation before a colonoscopy and include a number of languages including English, Spanish, Russian, Haitian Creole, and Urdu. The educational content also includes psychological content based upon the Theory of Planned Behavior. The primary outcome will be the quality of bowel preparation, as measured by the Boston Bowel Preparation Scale (BBPS) score,
Interventions
BEHAVIORALeducation
standard talk and paper handout
BEHAVIORALvideo
use of a video
Sponsors
New York City Health and Hospitals Corporation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
all outpatients aged 18 to 75 years scheduled for their first screening colonoscopy \-
Exclusion criteria
● Contraindications for colonoscopy * History of bowel surgery, particularly colorectal surgery * Severe comorbid conditions (e.g., impaired hepatic, renal or bone marrow function, congestive heart failure, recent coronary artery disease) * Chronic constipation (typically \<3 bowel movements per week with hard stools, a feeling of incomplete evacuation, or abdominal discomfort) requiring the use of laxatives * Pregnancy or lactation * Prisoners * Diagnosis of inflammatory bowel disease * Inability to use video presentation devices (e.g., blindness) * Active cancers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Boston Bowel Preparation Scale (continuous) | Perioperative/Periprocedural | Quality of bowel preparation measured by the Boston Bowel Preparation Scale. Scores range from 0 through 3. Higher scores indicate a better outcome.. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Polyp detection rate proportion | Perioperative/Periprocedural | Proportion of individuals undergoing a colonoscopy in whom at least one polyp is detected. Values range from 0 through 1. Higher values indicate a better outcome. |
| Adenoma detection rate proportion | Perioperative/Periprocedural | Proportion of individuals undergoing a colonoscopy in whom at least one adenomatous polyp is found. Values range from 0 through 1. Higher values indicate a better outcome. |
| Cecal intubation rate proportion | Perioperative/Periprocedural | Proportion of colonoscopies in which the endoscope successfully reaches the caecum. Values range from 0 through 1. Higher values indicate a better outcome. |
| Withdrawal time | Perioperative/Periprocedural | Duration in minutes taken to withdraw the colonoscope from the caecum to the rectum. Values range from 1 through 60. Higher values indicate a worse outcome. |
| Boston Bowel Preparation Scale (categorical) | Perioperative/Periprocedural | Boston Bowel Preparation Scale adequacy of preparation score ≥ 2 in all regions. Quality measured by the Boston Bowel Preparation Scale. Scores range from 0 through 3. Higher scores indicate a better outcome.. |
| Amsterdam Preoperative Anxiety and Information Scale | baseline | Self-assessed at baseline using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Scores range from 6 through 30. Higher scores greater anxiety. |
| Overall experience with the bowel preparation process | Perioperative/Periprocedural | Self-report about experience with the bowel preparation process. One original question with 5 choices of very unpleasant, unpleasant , neutral , pleasant , very pleasant . There is no score. The best answer would be very pleasant. |
| Desire to undergo future colonoscopies if indicated | Perioperative/Periprocedural | Self-report about having another colonoscopy. One original question with 5 choices of strongly disagree, disagree, neutral, agree , strongly agree. The best answer would be strongly agree. |
| Adherence to bowel preparation instructions | Perioperative/Periprocedural | Following what was told to do by bowel preparation instructions. Total of 7 original questions scored as no for 0 or yes for 1 with a total score ranging from 0 through 7. Higher values indicate a better outcome. |
Contacts
Primary ContactJohn Trillo, MD
Backup ContactJoel Konlack, MD
Outcome results
None listed