Optimal Bowel Preparation in Geriatric Patients With a Instructional Animation Video Before Colonoscopy

NCT06794112 | Recruiting

• 1 other identifier: 2024/1269
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Our study presents an innovative educational approach combining visual and auditory elements, targeting the specific needs of the geriatric population. Generally, before colonoscopy, participants are given a written instruction describing the standard bowel preparation with the use of laxatives and enemas. In our study, in addition to this written instruction, the investigators aimed to support the bowel preparation procedure with visual training by using an animated video. The use of animated video has the potential to present complex medical instructions in a simple and understandable format. This approach is especially designed for elderly participants who have limited literacy skills or have difficulty in following written instructions. In addition, it was aimed to reduce the anxiety of the participants before the colonoscopy procedure and to increase patient compliance.

Conditions

Bowel Preparation Before Colonoscopy; Geriatric Patient; Instructional Methods

Outcome Measures

Primary Outcomes (1)

• Quality of Bowel Preparation

  The primary outcome measure of this study is the quality of bowel preparation, which will be assessed using the Boston Bowel Preparation Scale (BBPS). This validated scale will be used to evaluate the cleanliness of each colonic segment during colonoscopy. The BBPS assigns a score of 0 to 3 for each of the three segments of the colon (right colon, transverse colon, and left colon), resulting in a total score ranging from 0 to 9. Adequate bowel preparation will be defined as a total BBPS score ≥ 6 with all segment scores ≥ 2. The assessment will be performed by endoscopists who are blinded to the patient's group allocation to minimize bias. This standardized evaluation will provide an objective measure of the effectiveness of our video-based educational intervention compared to standard written instructions in achieving optimal bowel preparation in the geriatric population.

  During colonoscopy procedure

Secondary Outcomes (1)

• colonoscopy completion rate

  During colonoscopy procedure

Study Arms (2)

Animation video group

EXPERIMENTAL

Patients will receive standard written instructions and will additionally watch an animated training video

Other: Animated Educational Video; Other: Written Instructions

Written instructions only (Standard care) group

ACTIVE COMPARATOR

Patients will only receive standardised written instructions

Other: Written Instructions

Interventions

Animated Educational Video OTHER

Both arms will receive standard care (written instructions), with the experimental arm receiving an additional animated video intervention.

Animation video group

Written Instructions OTHER

Standard written instructions for bowel preparation before colonoscopy

Animation video group; Written instructions only (Standard care) group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or older
• Indication for colonoscopy
• Volunteering to participate in the study
• Preparing for colonoscopy for the first time
• No history of previous operations on the small intestine and colon
• No diagnosed bowel disease
• Language proficiency to watch the animation
• Full understanding of visual and auditory messages

You may not qualify if:

• Previous colonoscopy experience
• History of previous small bowel and colon surgery
• Diagnosis of inflammatory bowel disease
• Presence of toxic colon and/or megacolon
• The presence of a mass in the intestine that does not allow colonoscopy to pass
• Unwillingness to participate in the study
• Lack of language proficiency
• Lack of ability to understand visual and auditory messages

Sponsors & Collaborators

• Mersin University: lead

Study Sites (1)

Mersin University Faculty of Medicine

Mersin, 33110, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Ye Z, Chen J, Xuan Z, Gao M, Yang H. Educational video improves bowel preparation in patients undergoing colonoscopy: a systematic review and meta-analysis. Ann Palliat Med. 2020 May;9(3):671-680. doi: 10.21037/apm.2020.03.33. Epub 2020 Apr 13.

  PMID: 32312062 BACKGROUND

• Ho LH, Montealegre JR, Al-Arabi S, Jibaja-Weiss ML, Suarez MG. Impact of Colonoscopy Preparation Video on Boston Bowel Preparation Scale Score. Gastroenterol Nurs. 2019 May/Jun;42(3):251-258. doi: 10.1097/SGA.0000000000000391.

  PMID: 31145249 BACKGROUND

• Hayat U, Lee PJ, Lopez R, Vargo JJ, Rizk MK. Online Educational Video Improves Bowel Preparation and Reduces the Need for Repeat Colonoscopy Within Three Years. Am J Med. 2016 Nov;129(11):1219.e1-1219.e9. doi: 10.1016/j.amjmed.2016.06.011. Epub 2016 Jul 6.

  PMID: 27393880 BACKGROUND

Study Officials

• Simge Tuna

  Mersin University

  STUDY CHAIR

Central Study Contacts

Hilmi Bozkurt

CONTACT

0905321780880; hilmibozkurt27@gmail.com

Simge Tuna

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: January 20, 2025
• First Posted: January 27, 2025
• Study Start: February 15, 2025
• Primary Completion (Estimated): May 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: March 25, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)