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Updated: May 3, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Validity of a Web-based educational program to disseminate a standardized bowel preparation rating scale
Audrey H Calderwood1, Judith R Logan, Michael Zurfluh
1*Section of Gastroenterology, Boston University Medical Center §Department of Biostatistics, Boston University School of Public Health, Boston, MA †Department of Medical Informatics and Clinical Epidemiology ‡Division of Gastroenterology, Oregon Health & Science University, Portland, OR.
A Web-based educational program effectively trained endoscopists worldwide on the Boston Bowel Preparation Scale (BBPS). The program demonstrated high satisfaction and robust adoption into clinical practice, ensuring reliable BBPS use.
Area of Science:
- Gastroenterology and Endoscopy
- Medical Education Technology
Background:
- Limited data exists on web-based educational programs for enhancing colonoscopy practice and quality.
- The Boston Bowel Preparation Scale (BBPS) is a critical tool for assessing colon cleansing quality.
Purpose of the Study:
- To evaluate the validity and effectiveness of a web-based educational program for the Boston Bowel Preparation Scale (BBPS).
Main Methods:
- A global cohort of 207 endoscopists completed the BBPS Educational Program.
- Assessed program completion, participant satisfaction, and BBPS adoption rates at short-term and long-term follow-up.
- Measured interobserver and test-retest reliability of BBPS scores to determine program validity.
Main Results:
- High participant satisfaction reported: 93% found content relevant, 89% felt confident using BBPS, 97% rated quality as good/excellent.
- Significant clinical uptake observed: 91% and 98% of colonoscopy reports included BBPS at short-term and long-term follow-up.
- Substantial interobserver and test-retest reliability of BBPS scores confirmed program validity.
Conclusions:
- A web-based BBPS educational program successfully facilitates adoption into clinical practice.
- The program effectively teaches diverse endoscopists worldwide to use the BBPS reliably.
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