Effect of Education by Messaging Software on the Quality of Bowel Preparation for Colonoscopy

Zhang, Qingxia; Li, Jie; Zhang, Qin; Li, Yang; Lei, Cong-Han; Shang, Bai-Xue; Guan, Xiao-Shuang; Zhang, Qing

doi:10.4103/0366-6999.235881

Cited by 10 publications

(40 citation statements)

References 5 publications

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“…Among the 23 studies included, 2 were designed as 3-arm trials [41,55]; among these, Lee et al [41] compared the efficacy between SMS text messaging, telephone calls, and SPIs, and Wang et al compared the efficacy between SMS text messaging, social media applications and SPIs [55]. All other studies had 2-arm designs [36][37][38][39][40][42][43][44][45][46][47][48][49][50][51][52][53][54]56,58]. Further, 2 studies had multicenter designs [49,54].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Further, 2 studies had multicenter designs [49,54]. All the studies reported the quality of BP assessed using the BBPS (9 trials) [36,41,45,50,[53][54][55][56][57], OBPS (8 trials) [39,40,42,43,[47][48][49]52], ABPS (4 trials) [37,38,51,58], Harefield Cleansing Scale (1 trial) [44], and Universal Preparation Assessment Scale (1 trial) [46].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The overall and study-level quality assessments are outlined in Figure S1 of Multimedia Appendix 4. Overall, most of the studies (18/23, 78.3%) appeared to have been at low-to-moderate risk of bias, with 4 (17.4%) not reporting the details of generating the random sequence [45,47,49,56] and 8 (34.8%) not reporting the details for allocation concealment [36,38,[45][46][47][48]53,57]. Further, 10 (43.5%) did not report the details of blinding the outcome assessor [39][40][41][43][44][45]47,51,53,54].…”

Section: Quality Assessmentmentioning

confidence: 99%

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Comparative Effectiveness of Enhanced Patient Instructions for Bowel Preparation Before Colonoscopy: Network Meta-analysis of 23 Randomized Controlled Trials

Tian¹,

Yi²,

Yang³

et al. 2021

J Med Internet Res

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Background Various enhanced patient instructions (EPIs) have been used for bowel preparation (BP) and our previous meta-analysis also demonstrated the efficacy of EPIs in increasing the colonic polyp and adenoma detection rates; however, the optimal method for adequate BP has not yet been developed. Objective We performed a network meta-analysis to determine the optimal instructions. Methods We searched for randomized controlled trials (RCTs) comparing the effectiveness of EPIs with each other or standard patient instructions (SPIs) for BP. We performed direct and Bayesian network meta-analyses for all instructions and used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) criteria to appraise the quality of evidence. Results We included 23 RCTs (7969 patients) comparing 10 different instructions. In direct meta-analyses, most of the EPIs, except visual aids and mobile apps, increased the adequate preparation rate (APR). Network meta-analyses showed that additional explanations were superior to visual aids (odds ratio [OR] 0.35, 95% CI 0.19-0.59), telephone calls (OR 0.62, 95% CI 0.37-0.99), educational videos (OR 0.79, 95% CI 0.5-0.77), and mobile apps (OR 0.33, 95% CI 0.14-0.68) with low-to-high-quality evidence; newly designed booklets (OR 3.28, 95% CI 1.59-6.16), SMS text messaging (OR 2.33, 95% CI 1.28-3.91), telephone calls (OR 1.86, 95% CI 1.03-1.78), educational videos (OR 2.33, 95% CI 1.40-3.65), and social media applications (OR 2.42, 95% CI 1.4-3.93) were superior to visual aids and mobile apps with low-to-high-quality evidence. SMS text messaging, telephone calls, and social media applications increase adherence to and satisfaction with the BP regime. Social media applications reduce the risk of adverse events (AEs). Telephone calls and social media applications increase the polyp detection rate (PDR). Conclusions Newly designed booklets, telephone calls, educational videos, and social media applications can improve the quality of BP. Telephone calls and social media applications improve adherence to and satisfaction with the BP regime, reduce the risk of AEs, and increase the PDR. Trial Registration INPLASY (International Platform of Registered Systematic Review and Meta-analysis Protocols) INPLASY2020120103; https://inplasy.com/inplasy-2020-12-0103/

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Comparative Effectiveness of Enhanced Patient Instructions for Bowel Preparation Before Colonoscopy: Network Meta-analysis of 23 Randomized Controlled Trials

Tian¹,

Yi²,

Yang³

et al. 2021

J Med Internet Res

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“…[ 23 , 24 ] Educational interventions significantly improve the patients’ bowel preparation quality. [ 25 ] Previous studies have reported that physician- or nurse-focused education can improve the quality of bowel preparation. [ 9 , 14 ] However, the education level of healthcare staff, including physicians and nurses, may influence the efficacy of patient education.…”

Section: Discussionmentioning

confidence: 99%

Ward nurses-focused educational intervention improves the quality of bowel preparation in inpatients undergoing colonoscopy

Liu¹,

Shu-hong²,

Wang³

et al. 2020

Medicine

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Background: Adequate bowel preparation is essential for the detection of pathological lesions during colonoscopy. However, it has been found to be inadequate in approximately 20% to 30% of colonoscopy examinations. Educational interventions focused on health staff, such as physicians and nurses, may improve the patients’ understanding of the bowel preparation instructions, and consequently, increase the quality of bowel preparation. Objectives: To investigate whether enhanced education of ward nurses could improve the bowel preparation quality in inpatients undergoing colonoscopy. Design: This was a single-center randomized controlled study. Methods: A total of 190 consecutive inpatients scheduled to undergo colonoscopy from March 2019 to March 2020 were randomized to the educated (nurses with enhanced education) or control group (nurses without enhanced education). We assessed the bowel preparation quality using the Boston bowel preparation scale. Results: There were 89 patients in the educated group and 101 patients in the control group. The proportion of colonoscopies with adequate bowel preparation was 83.1% in the educated group and 69.3% in the control group. Patients’ compliance with bowel preparation in the educated group was superior to that in the control group. Furthermore, significantly better sleep quality was found in the educated group. The multivariate logistic regression analysis identified the ward nurses-focused enhanced educational intervention as a risk factor for bowel preparation quality. Conclusions: The ward nurses-focused educational intervention improved the bowel preparation quality and reduced the adverse event rates in inpatients undergoing colonoscopy. Trial registration: This study was registered in the Chinese Clinical Trial Registry under number ChiCTR2000030366.

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“…The transient direct effects provided by BoTox A can only last for 3–4 months, but fortunately, the duration of the symptom relief in this patient extended to 9 months. The efficacy of the BoTox A treatment, along with the use of laxatives, antianxiety treatment, behavioral changes, and patient education[5] after the injection, also played a significant role in the improvement of the patient's condition. However, the time of action of the BoTox A drug is limited.…”

mentioning

confidence: 99%

Treatment of Adult Hirschsprung's Disease by Botulinum Toxin A through Anorectal Injection

Liu

Zeng

Zhao

et al. 2018

Chinese Medical Journal

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Effect of Education by Messaging Software on the Quality of Bowel Preparation for Colonoscopy

Cited by 10 publications

References 5 publications

Comparative Effectiveness of Enhanced Patient Instructions for Bowel Preparation Before Colonoscopy: Network Meta-analysis of 23 Randomized Controlled Trials

Comparative Effectiveness of Enhanced Patient Instructions for Bowel Preparation Before Colonoscopy: Network Meta-analysis of 23 Randomized Controlled Trials

Ward nurses-focused educational intervention improves the quality of bowel preparation in inpatients undergoing colonoscopy

Treatment of Adult Hirschsprung's Disease by Botulinum Toxin A through Anorectal Injection

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