确定动态多媒体肠道准备指令与腺瘤检测和患者报告措施的标准指令 (DIGICLEAN试验) 的有效性:多中心,结肠镜盲目,随机对照试验的研究方案
Michael Au1,2, Patrick Low2, Michael Rennie3
1Department of Gastroenterology and Hepatology, Western Sydney Local Health District, Blacktown, New South Wales, Australia 22061203@student.westernsydney.edu.au.
BMJ open
|July 21, 2023
概括
这项研究测试了数字应用程序是否可以改善结肠镜准备. 更好的准备可以提高癌症检测和结肠镜查期间的患者体验.
科学领域:
- 胃肠病学 胃肠病学
- 临床试验 临床试验
- 医疗信息学 医疗信息学
背景情况:
- 不良的肠道准备影响了20-25%的结肠镜检查,减少了腺瘤的检测,增加了成本.
- 准备不足会对结肠镜的有效性产生负面影响,导致重复手术和患者不满.
- 优化肠道准备对于准确的结肠癌查和治疗至关重要.
研究的目的:
- 评估多媒体数字干预是否能改善结肠镜检查的肠道准备质量.
- 评估基于网络的应用程序对腺瘤检测率 (ADR) 的影响.
- 通过使用验证的问卷来衡量结肠镜检查后患者报告结果的改善.
主要方法:
- 一个前性的,并行的,多中心的,结肠镜盲目的,随机对照试验 (DIGICLEAN试验).
- 1294名年龄在45岁以上,有结肠镜检查迹象的参与者被随机分类.
- 干预臂通过Web应用程序 (短信,电子邮件,视频) 接收数字指令;控制臂接收标准指令.
主要成果:
- 同主终点是腺瘤检测率和结肠镜后患者报告的措施.
- 该研究将分析数字和标准指令组之间的准备质量和患者体验差异.
- 对膨胀和饮食坚持等症状的数字评估可能允许量身定制的干预措施.
结论:
- 这项研究旨在确定数字多媒体方法是否可以改善结肠镜检查的准备和结果.
- 这些发现可以为改善结肠镜查效率和患者护理的新策略提供信息.
- 成功实施可能会减少重复结肠镜检查和相关的医疗负担.
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