To Access Quality of Bowel Preparation
Conditions
Keywords
Whatsapp based education
Brief summary
This randomized control trial evaluated data with WhatsApp based patient education, improves bowel preparation quality compared with standard in person counseling among patients undergoing elective colonoscopy.
Detailed description
This randomized control trial assists the effectiveness of whatsapp based education in improving or enhancing bowel preparation prior to colonoscopy. Adults' patients scheduled for elective colonoscopy were randomized into 2 groups. The Interventional group receives structured bowel preparation instructions through WhatsApp in the form of short video in reminders. While the control group received routine in person verbal counseling. The primary outcome was bowel preparation quality, measured using the Boston bowel preparation scale at the time of colonoscopy. Secondary outcomes include patient satisfaction compliance with the bowel preparation instructions and reduction in procedure related anxiety.
Interventions
BEHAVIORALStandard bowel preparation instructions
Participants will receive structured bowel preparation instructions delivered via WhatsApp, including text messages, educational videos, and reminder messages for 3 days prior to colonoscopy, with opportunity for real-time question and answer support.
DRUGPolyethylene glycol with senna
All participants will receive bowel preparation using polyethylene glycol solution combined with senna tablets as per institutional protocol prior to colonoscopy.
Sponsors
Shaukat Khanum Memorial Cancer Hospital & Research Centre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults age more than 18 years * Scheduled for elective colonoscopy * Ability to use WhatsApp * Can provide informed consent
Exclusion criteria
* Emergency colonoscopy * Unable to provide informed consent * Inability to use smartphone applications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of bowel preparation assessed using Boston Bowel Preparation Scale | At time of colonoscopy procedure (Day 0) | The quality of bowel preparation will be assessed during colonoscopy using the Boston Bowel Preparation Scale, which scores bowel cleanliness from 0 to 9. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to bowel preparation instructions assessed using self-reported adherence questionnaire | On day of colonoscopy before procedure (Day 0) | Patient adherence to bowel preparation instructions will be assessed using a custom self-reported questionnaire evaluating compliance with dietary restrictions, laxative use, and hydration. |
Countries
Pakistan
Outcome results
None listed