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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.
Goals:
Our goal was to assess the validity of a Web-based educational program on the Boston Bowel Preparation Scale (BBPS).
Background:
Data on Web-based education for improving the practice and quality of colonoscopy are limited.
Study:
Endoscopists worldwide participated in the BBPS Educational Program. We assessed program completion rates, satisfaction, short-term (0 to 90 d) and long-term (91 to 180 d) uptake of the BBPS, and the validity of the program by measuring the reliability of the BBPS among participants.
Results:
A total of 207 endoscopists completed the program. Overall, 93% found the content relevant, 89% felt confident in using the BBPS, and 97% thought the quality was good or excellent. Uptake of the BBPS into clinical practice was robust with 91% and 98% of colonoscopy reports containing the BBPS at short-term and long-term follow-up, respectively. The interobserver and test-retest reliability of BBPS segment and total scores were both substantial.
Conclusions:
A BBPS Web-based educational program facilitates adoption into clinical practice and teaches the BBPS to be used reliably by a diverse group of endoscopists worldwide.
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