A Web-based Multimedia Program Before Colonoscopy Increased Knowledge and Decreased Anxiety, Sedation Requirement,...

Area of Science:

• Gastroenterology
• Medical Education
• Patient Engagement

Background:

• Colonoscopy screening for colorectal cancer relies on patient understanding of procedures.
• Standard pre-procedure information may not fully prepare patients.
• Patient engagement is crucial for successful colonoscopy outcomes.

Purpose of the Study:

• To assess a web-based multimedia program's impact on patient anxiety, perception, and knowledge regarding colonoscopy.
• To evaluate the effect of this engagement program on colonoscopy procedure outcomes.

Main Methods:

• Randomized controlled trial comparing a web-based program to standard pre-procedure materials.
• Surveys assessed patient knowledge, perception, and anxiety (State Trait Anxiety Inventory).
• Procedure data collected included medication doses and duration.

Main Results:

• Experimental group showed higher correct knowledge answers (82% vs. 74%, P=0.0003).
• Reduced anxiety reported by 58% in the experimental group, with lower State Trait Anxiety Inventory scores (P=0.026).
• Less midazolam used and shorter procedure times observed in the experimental group (P=0.0035 and P=0.024, respectively).

Conclusions:

• Web-based multimedia engagement effectively decreases patient anxiety and improves knowledge before colonoscopy.
• The intervention reduces medication needs and procedure time, enhancing efficiency.
• This program can improve patient comfort, potentially increasing colonoscopy screening rates and reducing recovery time.