Impact of a Colonoscopy Preparation Mobile App on Colonoscopic Cleanliness and Experience

NCT06569277 | Completed

• 1 other identifier: mobilapplication
• Study Type: interventional
• Target: 104
• Locations: 1 country
• Sites: 1

Brief Summary

The most crucial factor determining the success and quality of a colonoscopy procedure is the patient's adherence to proper bowel preparation. When a colonoscopy is scheduled, patients are provided with a diet plan designed to improve the quality of bowel cleansing, in addition to bowel-cleansing medications, through the endoscopy secretariat. Typically, in cases of inadequate bowel cleansing, where the bowel wall is not sufficiently visible during the colonoscopy, it is found that patients have poor adherence to the diet plan and have consumed incorrect or insufficient foods. This inadequate bowel cleansing can lead to missed pathologies such as polyps, colitis, diverticulosis, angiodysplasia, and cancer, which may cause patient complaints or symptoms. Currently, patients who come to our secretariat from various clinics and polyclinics for colonoscopy appointments receive a single-page informational sheet containing a 5-day pre-procedure diet plan. In our study, the investigators aim to increase patient adherence to the colonoscopy diet by providing a comprehensive mobile application that includes recommendations and recipes for the foods listed in the colonoscopy preparation diet plan. This randomized study will involve selecting suitable patients who have accepted our study from routine colonoscopy requests and analyzing the impact of this mobile application on the quality of colon cleansing, the time to reach the cecum, and the detection rate of colon polyps. The quality of bowel cleansing will be assessed using the Boston Bowel Preparation Score, where a score of 6 or higher for the entire colon and scores above 2 for each individual segment indicate adequate cleaning. The time to reach the cecum will be tracked using a stopwatch on our mobile phone during the colonoscopy, and the rate of colon polyp detection will be retrospectively reviewed after the study concludes. The goal of this study is to enhance patient adherence through a free mobile application and to reduce unnecessary administrative costs.

Conditions

Bowel Preparation; Patient Experience; Patient Satisfaction

Outcome Measures

Primary Outcomes (1)

• Boston Bowel Preparation Scale (BBPS)

  The BBPS is used to evaluate the quality of bowel preparation, with a scale from 0 to 9 (0 = very poor, 9 = excellent). Total BBPS score ≥ 6 and three segments of the colon (right, transverse, and the left side of the colon) ≥ 2 accepted as good bowel preparation

  immediately after the procedure

Secondary Outcomes (4)

• cecal insertion time(minutes)

  during the procedure

• withdrawal time (minutes)

  during the procedure

• polyp detection rate

  during the procedure

• patient experience

  immediately after the procedure

Study Arms (2)

The mobile application group

EXPERIMENTAL

The research protocol was explained during the colonoscopy appointment, and patients, when they agreed to follow their diet to the mobile application, were accepted as part of the patient intervention group.

Other: A mobile application

Control

NO INTERVENTION

The control group consists of patients who prepared for colonoscopy with the standard low-residue diet list.

Interventions

A mobile application OTHER

Those who agreed to download a mobile app for colonoscopic bowel preparation on their smartphones.

The mobile application group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- All outpatients who apply for a colonoscopy appointment.

You may not qualify if:

• Patients with a history of prior colonoscopic procedures
• Using anticholinergic or gastrointestinal motility-reducing drugs
• Severe chronic kidney failure (GFR\<30 ml/min)
• Advanced heart failure (NYHA III-IV)
• History of abdominal surgery were not included in the study.

Sponsors & Collaborators

• Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital: lead

Study Sites (1)

Abdurrahman Yurtaslan Oncology and Training Research Hospital

Ankara, 06200, Turkey (Türkiye)

Location

Related Publications (4)

• Zhao K, Dong R, Xia S, Feng L, Zhou W, Zhang M, Zhang Y, Tian D, Liu M, Liao J. Improving the quality of bowel preparation by smartphone education platform prior to colonoscopy: a randomized trail. Ann Med. 2022 Dec;54(1):2777-2784. doi: 10.1080/07853890.2022.2130972.

  PMID: 36254495 RESULT

• Dao HV, Dao QV, Lam HN, Hoang LB, Nguyen VT, Nguyen TT, Vu DQ, Pokorny CS, Nguyen HL, Allison J, Goldberg RJ, Dao ATM, Do TTT, Dao LV. Effectiveness of using a patient education mobile application to improve the quality of bowel preparation: a randomised controlled trial. BMJ Open Gastroenterol. 2023 Jun;10(1):e001107. doi: 10.1136/bmjgast-2023-001107.

  PMID: 37277203 RESULT

• van der Zander QEW, Reumkens A, van de Valk B, Winkens B, Masclee AAM, de Ridder RJJ. Effects of a Personalized Smartphone App on Bowel Preparation Quality: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021 Aug 19;9(8):e26703. doi: 10.2196/26703.

  PMID: 34420924 RESULT

• Demirci S, Sezer S. Effects of a smartphone mobile application on quality of bowel preparation: A randomized controlled trial. Pak J Med Sci. 2025 Jul;41(7):1905-1912. doi: 10.12669/pjms.41.7.11852.

  PMID: 40735592 DERIVED

MeSH Terms

Conditions

Patient Satisfaction

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• selim demirci

  clinical physician

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Masking Details: All elective colonoscopies were performed by two experienced endoscopists who were unaware of the group assignments.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical physician

Study Record Dates

• First Submitted: August 22, 2024
• First Posted: August 26, 2024
• Study Start: June 15, 2024
• Primary Completion: August 1, 2024
• Study Completion: August 1, 2024
• Last Updated: August 26, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)