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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Related Experiment Video

Updated: Nov 20, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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A Patient Portal-Based Commitment Device to Improve Adherence with Screening for Colorectal Cancer: a Retrospective

Erin E Hahn1,2,3, Aileen Baecker4, Ernest Shen4

  • 1Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave, Pasadena, CA, 91101, USA. Erin.E.Hahn@kp.org.

Journal of General Internal Medicine
|January 21, 2021
PubMed
Summary

Patient self-ordering fecal immunochemical test (FIT) kits via patient portals significantly increased colorectal cancer (CRC) screening completion. This commitment device offers a scalable approach to improve CRC screening rates.

Keywords:
colorectal cancer screeningcommitment devicepatient portalpatient self-management

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Area of Science:

  • Oncology
  • Public Health
  • Health Informatics

Background:

  • Colorectal cancer (CRC) screening remains suboptimal in the US, with 40% of adults not up-to-date.
  • Commitment devices, utilizing psychological tailoring, show potential for enhancing adherence to health goals like CRC screening.

Purpose of the Study:

  • To evaluate the effectiveness of a patient self-ordering fecal immunochemical test (FIT) kit system as a commitment device.
  • To compare this intervention against standard CRC screening outreach methods.

Main Methods:

  • A retrospective observational study design was employed.
  • Participants aged 49-74 without prior CRC history were included.
  • An electronic screening reminder with an embedded order button for FIT kits was utilized, with outcomes analyzed using inverse probability of treatment weights.

Main Results:

  • Approximately 10% of 176,231 participants used the self-ordering button.
  • Button users demonstrated 3.8 times higher odds of completing a FIT kit compared to non-users.
  • Completion rates increased from 63% to 87% in the year following the button's availability within the user group.

Conclusions:

  • Self-ordering FIT kits function as an effective commitment device, significantly boosting CRC screening rates.
  • Scalable digital health tools integrated into patient portals can enhance existing CRC screening outreach strategies.