Educational Colonoscopy Video Enhances Bowel Preparation Quality and Comprehension in an Inner City Population

Pillai, Ajish; Menon, Radha; Oustecky, David; Ahmad, Asyia S.

doi:10.1097/mcg.0000000000000893

Cited by 30 publications

(52 citation statements)

References 12 publications

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“…Our search yielded a total of 2,148 potentially relevant clinical trials that used either educational video or conventional education methods on patients who underwent colonoscopy. After further review and screening, eight RCTs comprising of 1,977 subjects met the inclusion criteria (6,(19)(20)(21)(22)(23)(24)(25) and were pooled for the meta-analyses (Figure 1). The baseline characteristics of each trial are shown in Table 1.…”

Section: Characteristics Of Studies Included In This Studymentioning

confidence: 99%

Educational video improves bowel preparation in patients undergoing colonoscopy: a systematic review and meta-analysis

Chen

Xuan

et al. 2020

Ann Palliat Med

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Background: Unsatisfactory bowel preparation has been reported in 1/3 of colonoscopy cases, with lack of good bowel preparation knowledge being one of the major causes. Although still unclear, educational video is thought to be a good method of improving bowel preparation.Methods: A systematic review of eight randomized controlled trials (RCTs) comparing the educational video to control group among 1,977 patients was conducted. PubMed, Embase, Clinical Trials.gov, Cochrane Library, and reference lists were searched for relevant reported studies from inception until June 2019. Outcomes of interest included adequate bowel preparation, Ottawa scores, polyp detection, withdraw time, pain scores, and the anxiety state of patients. Besides random events meta-analyses, we also performed a sensitivity analysis to examine whether the results of the meta-analysis were robust.Results: Compared with the conventional group, the educational video group had significantly higher incidence of adequate bowel preparation [overall risk ratio (RR) =1.20, 95% CI: 1.14, 1.25, P<0.001], lower total Ottawa scores [overall standard mean difference (SMD) =−0.66, 95% CI: −0.91, −0.42, P<0.001].However, there was no statistical difference in polyp detection, and withdraw time between the educational video and conventional groups (P>0.05). In addition, there were no sufficient RCTs to compare the pain scores and anxiety state of patients between the two groups through meta-analysis.Conclusions: Our findings have demonstrated that educational video can improve bowel preparation in patients undergoing colonoscopy.

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Section: Characteristics Of Studies Included In This Studymentioning

confidence: 99%

Educational video improves bowel preparation in patients undergoing colonoscopy: a systematic review and meta-analysis

Chen

Xuan

et al. 2020

Ann Palliat Med

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“…The trial is aimed to explore whether VR videos can improve bowel preparation quality through increasing patient adherence and experience, and reduce pre-procedure anxiety, compared with the conventional patient education methods. To date, there have been several studies demonstrating that extensive patient education methods7–18 are effective in enhancing bowel preparation quality. However, there is a lack of evidence on the effect of VR videos, a novel technology which can arouse patients’ interests and motivation.…”

Section: Discussionmentioning

confidence: 99%

“…In most occasions, such education is offered only once through either oral or written instructions by clinicians during an initial appointment. Strong evidence has shown that extensive education methods, including booklet,7 telephone,8 9 message reminders,10 11 smartphone applications,12 13 social media14 and online videos,15–18 have been used to aid patient education with variable effectiveness. These methods can increase patient motivation which can improve bowel preparation quality 19.…”

Section: Introductionmentioning

confidence: 99%

Educational virtual reality videos in improving bowel preparation quality and satisfaction of outpatients undergoing colonoscopy: protocol of a randomised controlled trial

et al. 2019

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IntroductionColonoscopy is the reference method in screening and diagnosis of colorectal neoplasm, but its efficacy is closely related to the quality of bowel preparation. Poor patient compliance is a major risk factor for inadequate bowel preparation likely due to poor patient education. Such an education is usually provided via either oral or written instructions by clinicians. However, multiple education methods, such as smartphone applications, have been proved useful in aiding patients through bowel preparation. Also, it was reported that a large proportion of patients feel anxious before colonoscopy. Virtual reality (VR) is a novel method to educate patients and provides them with an immersive experience. Theoretically, it can make patients better prepared for bowel preparation and colonoscopy. However, no prospective studies have assessed the role of this novel technology in patient education before colonoscopy. We hypothesise that VR videos can improve bowel preparation quality and reduce pre-procedure anxiety.Methods/designThe trial is a prospective, randomised, single-blinded, single-centre trial. Outpatients who are scheduled to undergo colonoscopy for screening or diagnostic purposes for the first time will be randomised to receive either the conventional patient education or the conventional methods plus VR videos, and 322 patients will be enrolled from the Peking Union Medical College Hospital. The primary endpoint is the quality of bowel preparation, measured by the Boston bowel preparation score. Secondary endpoints include polyp detection rate, adenoma detection rate, cecal intubation rate, patient compliance to complete bowel cleansing, withdrawal time, pre-procedure anxiety, overall satisfaction and willingness for the next colonoscopy.Ethics and disseminationThe study has been approved by the institutional review board of the Peking Union Medical College Hospital (No. ZS-1647). The results of this trial will be published in an open-access way and disseminated among gastrointestinal physicians and endoscopists.Trial registration numberNCT03667911

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“…Nguyen and Wieland [19] suggested that low health literacy may lead to inadequate preparation, which underscores the importance of making information accessible to people of all backgrounds. Educational videos are advantageous as they may be more accessible to those with low health literacy [20]. The methodology presented in this study allows for an evaluation of the information quality of 2 colonoscopy videos and for clearer judgments about how different resources compare with each other.…”

Section: Information Qualitymentioning

confidence: 99%

“…The advantages of some of these approaches are that they are widely accessible and cost less [38]. A video may have an additional advantage of being comprehensible to people of varying levels of health literacy [20]. Previous research has demonstrated that the comprehension of colonoscopy information is one factor that is related to health literacy and suggests the importance of developing materials for individuals with varying levels of health literacy [39].…”

Section: Principal Findingsmentioning

confidence: 99%

New Patient Education Video on Colonoscopy Preparation: Development and Evaluation Study

et al. 2020

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Background Although several patient education materials on colonoscopy preparation exist, few studies have evaluated or compared them; hence, there is no professional consensus on recommended content or media to use. Objective This study aims to address this need by developing and evaluating a new video on colonoscopy preparation. Methods We developed a new video explaining split-dose bowel preparation for colonoscopy. Of similar content videos on the internet (n=20), the most favorably reviewed video among patient and physician advisers was used as the comparator for the study. A total of 232 individuals attending gastroenterology or urology clinics reviewed the new and comparator videos. The order of administration of the new and comparator videos was randomly counterbalanced to assess the impact of presentation order. Respondents rated each video on the following dimensions: information amount, clarity, trustworthiness, understandability, new or familiar information, reassurance, information learned, understanding from the patient’s point of view, appeal, and the likelihood of recommending the video to others. Results Overall, 71.6% (166/232) of the participants preferred the new video, 25.0% (58/232) preferred the comparator video, and 3.4% (8/232) were not sure. Furthermore, 64.0% (71/111) of those who viewed the new video first preferred it, whereas 77.7% (94/121) of the participants who viewed the new video second preferred it. Multivariable logistic regression analysis also demonstrated that participants were more likely to prefer the new video if they had viewed it second. Participants who preferred the new video rated it as clearer and more trustworthy than those who preferred the comparator video. Conclusions This study developed and assessed the strengths of a newly developed colonoscopy educational video.

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Educational Colonoscopy Video Enhances Bowel Preparation Quality and Comprehension in an Inner City Population

Cited by 30 publications

References 12 publications

Educational video improves bowel preparation in patients undergoing colonoscopy: a systematic review and meta-analysis

Educational video improves bowel preparation in patients undergoing colonoscopy: a systematic review and meta-analysis

Educational virtual reality videos in improving bowel preparation quality and satisfaction of outpatients undergoing colonoscopy: protocol of a randomised controlled trial

New Patient Education Video on Colonoscopy Preparation: Development and Evaluation Study

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