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Updated: Jan 22, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Digital Preprocedure Instruction Program for Outpatient Colonoscopy.

James M Richter1,2, Jasmine B Ha1, Madeline Marx1

  • 1Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|July 13, 2019
PubMed
Summary
This summary is machine-generated.

Digital health instructions significantly reduced colonoscopy no-shows and cancellations by improving patient engagement. This digital approach enhances appointment adherence and supports colorectal cancer screening efforts.

Keywords:
e-healtheducationtechnologytelehealthtelemedicine

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Area of Science:

  • Gastroenterology
  • Digital Health
  • Public Health

Background:

  • Colonoscopy preparation is complex, causing patient anxiety and potentially leading to delayed or missed screenings.
  • Patient engagement through digital health technology can improve adherence to colorectal cancer screening protocols.

Purpose of the Study:

  • To evaluate the effectiveness of a digital preprocedure instruction program for outpatient colonoscopy.
  • To assess the impact of digital reminders on appointment adherence and patient satisfaction.

Main Methods:

  • An outpatient colonoscopy program implemented digital preprocedure instructions via SMS messages and/or emails.
  • The study included English-speaking patients prescribed GoLYTELY for bowel preparation.
  • A controlled study design compared outcomes between patients receiving digital instructions and a control group.

Main Results:

  • Digital instructions significantly reduced combined no-show and same-day cancellation rates from 10.40% to 6.08% (p < 0.001).
  • Bowel preparation quality did not differ significantly between groups (p = 0.023).
  • Patient satisfaction was very high, with 90% of participants rating the digital reminders favorably.

Conclusions:

  • Digital preprocedure instruction programs positively impact operational efficiency, quality of care, and patient satisfaction.
  • Digital health tools can effectively engage patients, increase colonoscopy appointment adherence, and improve colorectal cancer screening rates.