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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
Mobile app-based bowel preparation training: effects on compliance, quality, and anxiety in colonoscopy patients-a
Kübra Şengör1, Metin Keskin2, Nuray Akyüz3
1Department of Surgical Nursing, Faculty of Health Sciences, Kütahya Health Sciences University, Germiyan Campus, Kütahya, Turkey. kubra.sengor@ksbu.edu.tr.
Background:
Effective bowel preparation is essential for successful colonoscopy, allowing for optimal mucosal visualization and polyp detection. While standard educational materials are commonly used, mobile health technologies offer potential for improving patient adherence and preparation quality.
Methods:
This study aimed to evaluate the impact of mobile application-based bowel preparation training on bowel preparation compliance, quality, and anxiety levels in patients scheduled for colonoscopy. This prospective, single-blind, randomized controlled trial included 160 adult outpatients scheduled for elective colonoscopy. Patients were randomly assigned to either a mobile application-based education group (n = 80) or a control group receiving standard verbal and written instructions (n = 80). All patients received the same purgative regimen. The primary outcome was bowel preparation quality assessed by the Boston Bowel Preparation Scale (BBPS). Secondary outcomes included compliance with dietary and preparation protocols and pre-procedural anxiety measured by the State-Trait Anxiety Inventory (STAI). The mobile application was developed using the ADDIE instructional design model.
Results:
Adequate bowel preparation (BBPS ≥ 6) was achieved in 94.9% of the mobile app group versus 83.8% of the control group (p = 0.022). Segmental BBPS scores for the right, transverse, and left colon were significantly higher in the intervention group (p < 0.01 for all). Compliance with the clear liquid diet (p = 0.002) and overall adherence (96% vs. 90%, p = 0.005) were also significantly better in the app group. Patients in the intervention group reported fewer difficulties with preparation (p = 0.009). No significant difference was observed in state anxiety scores between groups (p > 0.05).
Conclusions:
Mobile application-based bowel preparation education significantly improved bowel cleansing quality and patient compliance compared to standard methods. The findings support the integration of mobile health tools into pre-procedural patient education to enhance colonoscopy outcomes.
Clinical Trial Number:
NCT05973266.
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