Online Nursing Counseling and Colonoscopy Outcomes

NCT07664800 | Completed DMC

• 1 other identifier: SANKOU-HEMS-SBS-01
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled experimental study was conducted in the endoscopy unit of a private hospital between March and June 2023 to evaluate the effect of nurse-delivered counseling on pain, anxiety, and comfort levels in patients undergoing colonoscopy. Sixty patients were assigned to intervention (n=30) and control (n=30) groups. The intervention group received counseling beginning 24 hours before the procedure, including face-to-face education, telephone support, and reminder messages, while the control group received routine care. Anxiety was assessed using the State Anxiety Scale, and pain and comfort were evaluated using the Visual Analog Scale.

Conditions

18 Years and Over; Literacy; No Communication Difficulties; Orientation; Colonoscopy Preparation Acceptance; Colonoscopy (Procedure); Internet Access; Mobile Phone Use; WhatsApp Messenger; Voluntarily Accepting to Participate in the Study

Keywords

colonoscopy; nursing; pain; anxiety; comfort

Outcome Measures

Primary Outcomes (1)

• State Anxiety Level

  Measured using the State-Trait Anxiety Inventory (State Anxiety Scale; score range 20-80, higher scores indicate higher anxiety).

  Before and after colonoscopy procedure (same day)

Secondary Outcomes (2)

• Pain Level

  Before and after colonoscopy procedure (same day)

• Comfort Level

  Before and after colonoscopy procedure (same day)

Study Arms (2)

Control Group

NO INTERVENTION

Patients receiving routine care without additional counseling

Intervention

EXPERIMENTAL

Patients receiving nurse-delivered online counseling before colonoscopy

Other: Online Nursing Counseling

Interventions

Online Nursing Counseling OTHER

Participants received nurse-delivered online counseling based on standard colonoscopy preparation materials. The intervention started approximately 24 hours before the procedure and included an initial face-to-face education session, followed by 24-hour telephone support and reminder messages. Participants were also able to contact the nurse for questions during this period.

Intervention

Eligibility Criteria

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

You may qualify if:

• Age ≥18 years
• Literate
• No communication or hearing impairment
• Conscious and able to respond to questions
• Scheduled for colonoscopy
• Not using regular analgesic or antidepressant medications
• Voluntary participation
• No prior colonoscopy
• No diagnosis of colorectal cancer
• No diagnosis of inflammatory bowel disease
• No diagnosis of Crohn's disease
• Access to the internet and a smartphone, tablet, or computer
• Able to use WhatsApp

You may not qualify if:

• Age \<18 years
• Illiterate
• Presence of communication or hearing impairment
• Cognitive impairment or inability to provide informed consent
• Not scheduled for colonoscopy
• Regular use of analgesic or antidepressant medications
• Refusal to participate
• History of prior colonoscopy
• Diagnosis of colorectal cancer
• Diagnosis of inflammatory bowel disease
• Diagnosis of Crohn's disease
• No access to the internet or lack of a smartphone, tablet, or computer
• Inability to use WhatsApp

Sponsors & Collaborators

• Sanko University: lead

Study Sites (1)

Sanko University Faculty of Health Sciences, Nursing Department

Gaziantep, Şehitkamil, 27090, Turkey (Türkiye)

Location

Related Publications (8)

• Johnson DA, Barkun AN, Cohen LB, Dominitz JA, Kaltenbach T, Martel M, Robertson DJ, Richard Boland C, Giardello FM, Lieberman DA, Levin TR, Rex DK; US Multi-Society Task Force on Colorectal Cancer. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol. 2014 Oct;109(10):1528-45. doi: 10.1038/ajg.2014.272. Epub 2014 Sep 16. No abstract available.

  PMID: 25223578 BACKGROUND

• Millien VO, Mansour NM. Bowel Preparation for Colonoscopy in 2020: A Look at the Past, Present, and Future. Curr Gastroenterol Rep. 2020 May 6;22(6):28. doi: 10.1007/s11894-020-00764-4.

  PMID: 32377915 BACKGROUND

• Shieh TY, Chen MJ, Chang CW, Hung CY, Hu KC, Kuo YC, Shih SC, Wang HY. Effect of physician-delivered patient education on the quality of bowel preparation for screening colonoscopy. Gastroenterol Res Pract. 2013;2013:570180. doi: 10.1155/2013/570180. Epub 2013 Dec 17.

  PMID: 24454341 BACKGROUND

• Alvarez-Gonzalez MA, Pantaleon Sanchez MA, Bernad Cabredo B, Garcia-Rodriguez A, Frago Larramona S, Nogales O, Diez Redondo P, Puig Del Castillo I, Romero Mascarell C, Caballero N, Romero Sanchez-Miguel I, Perez Berbegal R, Hernandez Negrin D, Bujedo Sadornill G, Perez Oltra A, Casals Urquiza G, Amoros Martinez J, Seoane Urgorri A, Ibanez Zafon IA, Gimeno-Garcia AZ. Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial. Endoscopy. 2020 Nov;52(11):1026-1035. doi: 10.1055/a-1178-9844. Epub 2020 Jun 17.

  PMID: 32557475 BACKGROUND

• Elvas L, Brito D, Areia M, Carvalho R, Alves S, Saraiva S, Cadime AT. Impact of Personalised Patient Education on Bowel Preparation for Colonoscopy: Prospective Randomised Controlled Trial. GE Port J Gastroenterol. 2017 Jan;24(1):22-30. doi: 10.1159/000450594. Epub 2016 Nov 1.

  PMID: 28848777 BACKGROUND

• Kurlander JE, Sondhi AR, Waljee AK, Menees SB, Connell CM, Schoenfeld PS, Saini SD. How Efficacious Are Patient Education Interventions to Improve Bowel Preparation for Colonoscopy? A Systematic Review. PLoS One. 2016 Oct 14;11(10):e0164442. doi: 10.1371/journal.pone.0164442. eCollection 2016.

  PMID: 27741260 BACKGROUND

• Yang C, Sriranjan V, Abou-Setta AM, Poluha W, Walker JR, Singh H. Anxiety Associated with Colonoscopy and Flexible Sigmoidoscopy: A Systematic Review. Am J Gastroenterol. 2018 Dec;113(12):1810-1818. doi: 10.1038/s41395-018-0398-8. Epub 2018 Nov 1.

  PMID: 30385831 BACKGROUND

• Yılmaz E, Aslan A, Ergın E. Kolonoskopi Yapılacak Hastalarda Bağırsak Temizliğine Öz Etkililik Düzeylerinin Etkisi. CBU-SBED. 2018;5(4):192-198.

  BACKGROUND

MeSH Terms

Conditions

Literacy; Orientation, Spatial; Cell Phone Use; Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

Communication; Behavior; Spatial Behavior; Social Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor

Study Record Dates

• First Submitted: May 7, 2026
• First Posted: June 24, 2026
• Study Start: March 1, 2023
• Primary Completion: April 1, 2023
• Study Completion: June 30, 2023
• Last Updated: June 24, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)