The Role of Mobile Phone Text Message Reminders in Adherence to Bowel Preparation for Outpatient Colonoscopies

Patel, Varun; Patel, Hiren; Cavanagh, Yana; DeBari, Vincent A.; Baddoura, Walid

doi:10.1053/j.gastro.2018.06.072

Cited by 3 publications

(9 citation statements)

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“…A recent U.S. multicenter study randomized 155 patients to five text message reminders prior to colonoscopy in addition to standard instructions or to standard instructions alone. There were no significant differences in Boston Bowel Preparation Scores between groups (9 texting vs. 8 nontexting, p = .174; Patel, Patel, Cavanagh, Debari, & Baddoura, 2018). A Korean study applied a similar design with a single reminder text message sent when it was time to ingest the second half of the split dose preparation.…”

Section: Discussionmentioning

confidence: 81%

An Automated Text Message Navigation Program Improves the Show Rate for Outpatient Colonoscopy

et al. 2019

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Background. Numerous barriers to outpatient colonoscopy completion exist, causing undue procedure cancellations and poor bowel preparation. We piloted a text message navigation program to improve colonoscopy adherence. Method. We conducted a prospective study of patients aged 18 to 75 years scheduled for outpatient colonoscopy at an urban endoscopy center in April 2018. An intervention arm consisting of bidirectional, automated text messages prior to the procedure was compared with a usual care arm. We enrolled 21 intervention patients by phone and randomly selected 50 controls. Outcomes included colonoscopy appointment adherence, bowel preparation quality, and colonoscopy completion. Results. The arms had similar demographics and comorbidities. Intervention patients had higher colonoscopy appointment adherence (90% vs. 62%, p = 0.049). There were no significant differences in preparation quality or procedure completeness. Poststudy surveys indicated high patient satisfaction and perceived usefulness of the program. Conclusion. A bidirectional, automated texting navigation program improved colonoscopy adherence rates as compared with usual care.

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Section: Discussionmentioning

confidence: 81%

An Automated Text Message Navigation Program Improves the Show Rate for Outpatient Colonoscopy

et al. 2019

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“…Similarly, a 2020 study in 3 clinics in Hong Kong, China, by Lam et al found that text message reminders in the 7 to 10 days prior to outpatient colonoscopy reduced nonadherence rates, and a 2020 study by Rogers et al demonstrated improved appointment attendance rates with an interactive text messaging program among patients receiving care at Veterans Health Administration centers. By contrast, a 2018 prospective randomized clinical trial by Patel et al found no benefit in terms of bowel preparation quality associated with a text message intervention compared with usual care. A 2015 study in Korea by Lee et al also showed similar Boston Bowel Preparation Scale scores in patients receiving a texting intervention compared with telephone reminders.…”

Section: Discussionmentioning

confidence: 93%

Effect of Text Messaging on Bowel Preparation and Appointment Attendance for Outpatient Colonoscopy

et al. 2021

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IMPORTANCEOutpatient colonoscopy is important for colorectal cancer screening. However, nonadherence and poor bowel preparation are common. OBJECTIVE To determine if an automated text messaging intervention with a focus on informational and reminder functions could improve attendance rates and bowel preparation quality for outpatient colonoscopy. DESIGN, SETTING, AND PARTICIPANTSThis randomized clinical trial was conducted in an endoscopy center at an urban academic medical center. Adult patients scheduled for outpatient colonoscopy between January and September 2019 were enrolled by telephone call (early phase) or by automated text message (late phase). Data were analyzed from October 2019 to January 2020. INTERVENTIONSAfter enrollment, patients were randomized in a 1:1 ratio to usual care (ie, written instructions and nurse telephone call) or to the intervention (ie, usual care plus an automated series of 9 educational or reminder text messages in the week prior to scheduled colonoscopy). MAIN OUTCOMES AND MEASURESThe primary outcome was appointment attendance rate with good or excellent bowel preparation. Secondary outcomes included appointment attendance rate, bowel preparation quality (poor or inadequate, fair or adequate, and good or excellent), and cancellation lead time (in days). RESULTS Among 753 patients included and randomized in the trial (median [interquartile range]age, 56 [49-64] years; 364 [48.3%] men; 429 [57.2%] Black), 367 patients were randomized to the intervention group and 386 patients were randomized to the control group. There was no significant difference in the primary outcome between groups (patients attending appointments with good or excellent bowel preparation: intervention, 195 patients [53.1%]; control, 210 patients [54.4%]; P = .73), including when stratified by early or late phase enrollment groups. Similarly, there were no significant differences in secondary outcomes. CONCLUSIONS AND RELEVANCEThis randomized clinical trial found no significant difference in appointment attendance or bowel preparation quality with an automated text messaging intervention compared with the usual care control. Future work could optimize the content and delivery of text message interventions or identify patient subgroups that may benefit from this approach.

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“…All trials were included in the quantitative analyses. Eight studies (17.0%) were reported in conference proceedings, with only abstracts being available 30 , 32 , 33 , 41 , 44 , 52 , 55 , 65 . Publication dates ranged from 2001 and 2022.…”

Section: Resultsmentioning

confidence: 99%

“…We found six trials (10.4%) with multiple intervention groups; these trials were included in more than one comparison 39 , 41 , 45 , 51 , 56 , 69 . The included studies were conducted in 13 countries: the United States (12 studies) 32 , 36 , 40 , 49 , 50 , 55 , 57 – 59 , 62 , 64 , 67 , China (10 studies) 16 , 35 , 37 , 46 , 47 , 52 , 63 , 69 , 71 , 72 , the Republic of Korea (9 studies) 31 , 38 , 39 , 41 , 44 , 45 , 51 , 53 , 54 , Spain (three studies) 29 , 48 , 60 , Hong Kong 42 , 43 , Germany 12 , 68 , and the Netherlands 17 , 66 (two studies each), and Australia 56 , Canada 65 , Denmark 34 , Lebanon 61 , Taiwan 70 , and the United Kingdom 30 (one study each). One study did not report the study setting 33 (Supplementary S8).…”

Section: Resultsmentioning

confidence: 99%

“…Among the 47 included studies, 45 studies (95.7%) reported at least one of the primary outcomes 12 , 16 , 17 , 29 – 55 , 57 – 61 , 63 – 72 . The two most common outcomes were adequate bowel preparation rate and quality of bowel preparation score outcomes, which were investigated in 37 trials (78.7%) 12 , 16 , 17 , 29 , 30 , 32 , 35 – 44 , 46 – 50 , 52 – 54 , 57 , 59 – 61 , 63 – 70 , 72 and 34 trials (72.3%) 12 , 16 , 17 , 31 – 35 , 38 – 41 , 43 – 48 , 51 – 55 , 57 – 59 , 61 , 64 , 66 – 69 , 71 , 72 , respectively. (Supplementary S10) Various validated bowel preparation scales were used to evaluate the quality of bowel preparation in the included studies.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of bowel preparation innovative technology instructions (BPITIs) on clinical outcomes among patients undergoing colonoscopy: a systematic review and meta-analysis

Wonggom

Rattanakanokchai

Suebkinorn

2023

Sci Rep

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To evaluate the effectiveness of bowel preparation innovative technology instructions (BPITIs) among patients undergoing colonoscopy. We searched PubMed, MEDLINE, CINAHL, CENTRAL, Scopus, Web of Science, LILACS, ClinicalTrials.gov, and Google Scholar for randomised controlled trials (RCTs) and cluster-RCTs from inception to February 28, 2022. The Cochrane risk of bias (RoB) tool and GRADE were used to assess RoB and certainty of evidence, respectively. Meta-analyses with random-effects model were used for analysis. This review included 47 RCTs (84 records). Seven BPITIs were found among included studies: (1) mobile apps, (2) VDO stream from personal devices, (3) VDO stream from a hospital device, (4) SMS re-education, (5) telephone re-education, (6) computer-based education, and (7) web-based education. The findings demonstrate that BPITIs have a slight impact on adherence to overall instructions (RR 1.20, 95% CI 1.13–1.28; moderate-certainty evidence), adequate bowel preparation (RR 1.10, 95% CI 1.07–1.13; low-certainty evidence), and quality of bowel preparation score (SMD 0.42, 95% CI 0.33–0.52; low-certainty evidence) compared to routine care. BPITIs may enhance the clinical outcomes. Due to the low-certainty evidence and heterogeneity of the included studies, the findings should be interpreted cautiously. Well-designed and reported RCTs are required to confirm the findings.PROSPERO registration number: CRD42021217846.

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The Role of Mobile Phone Text Message Reminders in Adherence to Bowel Preparation for Outpatient Colonoscopies

Cited by 3 publications

References 0 publications

An Automated Text Message Navigation Program Improves the Show Rate for Outpatient Colonoscopy

An Automated Text Message Navigation Program Improves the Show Rate for Outpatient Colonoscopy

Effect of Text Messaging on Bowel Preparation and Appointment Attendance for Outpatient Colonoscopy

Effectiveness of bowel preparation innovative technology instructions (BPITIs) on clinical outcomes among patients undergoing colonoscopy: a systematic review and meta-analysis

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