Computer-assisted Instruction Before Colonoscopy is as Effective as Nurse Counselling, a Controlled Trial

NCT02656602 | Completed

• 1 other identifier: L013-011
• Study Type: interventional
• Target: 385
• Locations: 0 countries
• Sites: N/A

Brief Summary

Better patient education prior to colonoscopy improves adherence to instructions for bowel preparation and leads to cleaner colons. The hypothesis of this trial is that computer assisted instruction (CAI) using video and 3D animations can maximize the effectiveness of nurse counselling and consequently improves bowel cleanliness. Furthermore, CAI will positively influence the patient experience. Adults referred for colonoscopy were included in a Dutch large volume endoscopy unit. Exclusion criteria were illiteracy in Dutch and audiovisual handicaps. Patients were prospectively divided into two groups, one receiving nurse counselling and one receiving CAI and a nurse contact before colonoscopy. The main outcome, cleanliness of the colon during examination, was measured with the Ottawa Bowel Preparation Scale (OBPS) and the Boston Bowel Preparation Scale (BBPS). Patient comfort and anxiety were assessed at multiple time points: directly after the instruction and one hour before colonoscopy. Comfort was rescored 2 hours after colonoscopy. We also tested knowledge and comprehension one hour before colonoscopy. Statistical analyses included Mann-Whitney.

Conditions

Colonoscopy; Education, Patient; eHealth

Keywords

Computer Assisted Instruction; Patient Counselling; Endoscopy

Outcome Measures

Primary Outcomes (2)

• Bowel Cleanliness during colonoscopy measured with the Boston Bowel Preparation Scale

  Bowel Cleanliness during colonoscopy measured by the endoscopist. The tool used was the Boston Bowel Preparation Scale (Cumulative score of three bowel segments, graded 0-3. Total 10-point scale, ranging from 0=unsatisfactory, 9=excellent).

  During colonoscopy

• Bowel Cleanliness during colonoscopy measured with the Ottowa Bowel Preparation Scale

  Bowel Cleanliness during colonoscopy measured by the endoscopist. The tool used was the Ottowa Bowel Preparation Scale (Cumulative score of three bowel segments, 0 is excellent, 4 is poor. Two points can be added for fluid residue in the complete colon. Total 14-point scale, ranging from 14=completely unprepared, 0=perfect).

  During colonoscopy

Secondary Outcomes (3)

• Patient Comfort was measured in a five-point Likert scale

  Multiple time points: in the hour after instruction, one hour before colonoscopy and two hours after colonoscopy

• Anxiety was measured in a five-point Likert scale

  Multiple time points: in the hour after instruction and one hour before colonoscopy

• Knowledge and comprehension prior to colonoscopy was measured in a 10 questions knowledge test

  One hour before colonoscopy

Study Arms (2)

Nurse Counseling

NO INTERVENTION

A trained endoscopy nurse provided patients with all information on their scheduled colonoscopy.

Computer Assisted Instruction

EXPERIMENTAL

The computer assisted instruction consisted of a platform using video mimicking the patient journey with voice-over supported by photo's, 3D animation and instructive texts. The video was presented in short clips, maximal 45 seconds, to maintain the focus of patient. Patient interaction was ascertained by mandatory mouse-click after each item in the CAI.All elements of informed consent for colonoscopy (risks, alternatives) were included.

Other: Computer Assisted Instruction

Interventions

Computer Assisted Instruction OTHER

The computer assisted instruction consisted of a platform using video mimicking the patient journey with voice-over supported by photo's, 3D animation and instructive texts. The video was presented in short clips, maximal 45 seconds, to maintain the focus of patient. Patient interaction was ascertained by mandatory mouse-click after each item in the CAI. All elements of informed consent for colonoscopy (risks, alternatives) were included.

Also known as: MEx (Medical Experience)

Computer Assisted Instruction

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients \>18 years who were referred for colonoscopy

You may not qualify if:

• Illiteracy in Dutch and audiovisual or mental handicaps

Sponsors & Collaborators

• Govert Veldhuijzen: lead

Study Officials

• Michael Klemt-Kropp, MD PhD

  Medical Centre Alkmaar

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Resident Gastroenterology

Study Record Dates

• First Submitted: January 11, 2016
• First Posted: January 15, 2016
• Study Start: February 1, 2013
• Primary Completion: November 1, 2013
• Study Completion: November 1, 2013
• Last Updated: January 15, 2016

Record last verified: 2016-01

Data Sharing

• IPD Sharing: Will not share