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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
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Educational strategies for colonoscopy bowel prep overcome barriers against split-dosing: A randomized controlled
Alida Andrealli1, Silvia Paggi1, Arnaldo Amato1
1Division of Digestive Endoscopy and Gastroenterology, Valduce Hospital, Como, Italy.
United European Gastroenterology Journal
|March 8, 2018
Summary
A dedicated leaflet significantly improved split-dose (SD) regimen adoption for early morning colonoscopy preparation. This approach ensures excellent adherence, potentially reducing the need for additional oral counseling.
Area of Science:
- Gastroenterology
- Endoscopy
- Patient Education
Background:
- Split-dose (SD) bowel preparation is vital for colonoscopy quality.
- Compliance with SD for early morning procedures is often poor.
- This study investigates if pre-procedure counseling enhances SD uptake.
Purpose of the Study:
- To evaluate the effectiveness of pre-colonoscopy counseling combined with a dedicated leaflet in increasing split-dose (SD) regimen uptake.
- To assess predictors of SD uptake, preparation compliance, and cleansing adequacy.
Main Methods:
- 50-69-year-old patients scheduled for early morning screening colonoscopies were randomized.
- One group received only written information (Written Group, WG).
- The other group received written and oral instructions (Written and Oral Group, WaOG), with a leaflet encouraging SD.
Main Results:
- SD uptake was 79.7% in WG and 87.4% in WaOG (p=0.079).
- No significant differences in preparation compliance or cleansing adequacy were observed between groups.
- Longer travel times (>1 hour) were inversely correlated with SD uptake (OR 0.30).
Conclusions:
- The provided leaflet ensured satisfactory SD uptake and excellent adherence for early morning colonoscopy.
- The leaflet may reduce the necessity for extra oral instructions, especially in open-access settings.
- Further research could explore optimizing patient education for bowel preparation.
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