Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video

Colonoscopy is the preferred modality for colon cancer screening. A successful colonoscopy requires proper bowel preparation. Adequate bowel preparation continues to remain a limiting factor. One hundred thirty-three patients scheduled for an outpatient colonoscopy were prospectively randomized in a...

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Main Authors: Sateesh R Prakash, Siddharth Verma, John McGowan, Betsy E Smith, Anjali Shroff, Gregory H Gibson, Michael Cheng, Douglas Lowe, Kavitha Gopal, Smruti R Mohanty
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2013/292636
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author Sateesh R Prakash
Siddharth Verma
John McGowan
Betsy E Smith
Anjali Shroff
Gregory H Gibson
Michael Cheng
Douglas Lowe
Kavitha Gopal
Smruti R Mohanty
author_facet Sateesh R Prakash
Siddharth Verma
John McGowan
Betsy E Smith
Anjali Shroff
Gregory H Gibson
Michael Cheng
Douglas Lowe
Kavitha Gopal
Smruti R Mohanty
author_sort Sateesh R Prakash
collection DOAJ
description Colonoscopy is the preferred modality for colon cancer screening. A successful colonoscopy requires proper bowel preparation. Adequate bowel preparation continues to remain a limiting factor. One hundred thirty-three patients scheduled for an outpatient colonoscopy were prospectively randomized in a single-blinded manner to video or nonvideo group. In addition to written bowel preparation instructions, patients in the video group viewed a brief instructional video. Quality of colon preparation was measured using the Ottawa Bowel Preparation Quality scale, while patient satisfaction with preparation was evaluated using a questionnaire. Statistical analyses were used to evaluate the impact of the instructional colonoscopy video. There were significant differences in the quality of colonoscopy preparation between the video and the nonvideo groups. Participants who watched the video had better preparation scores in the right colon (P = 0.0029), mid-colon (P = 0.0027), rectosigmoid (P = 0.0008), fluid content (P = 0.03) and aggregate score (median score 4 versus 5; P = 0.0002). There was no difference between the two groups with regard to patient satisfaction. Income, education level, sex, age and family history of colon cancer had no impact on quality of colonoscopy preparation or patient satisfaction. The addition of an instructional bowel preparation video significantly improved the quality of colon preparation.
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spelling doaj-art-36da18812dfc4d1693fed2469261472e2025-02-03T01:08:53ZengWileyCanadian Journal of Gastroenterology0835-79002013-01-01271269670010.1155/2013/292636Improving the Quality of Colonoscopy Bowel Preparation Using an Educational VideoSateesh R Prakash0Siddharth Verma1John McGowan2Betsy E Smith3Anjali Shroff4Gregory H Gibson5Michael Cheng6Douglas Lowe7Kavitha Gopal8Smruti R Mohanty9Southern Gastroenterology Specialists, PC, Locust Grove, USANew York Methodist Hospital, Brooklyn, New York, USABraintree Laboratories, Braintree, Massachusetts, USAMercer University School of Medicine, Macon, GeorgiaSouthern Gastroenterology Specialists, PC, Locust Grove, USASouthern Gastroenterology Specialists, PC, Locust Grove, USASouthern Gastroenterology Specialists, PC, Locust Grove, USASouthern Gastroenterology Specialists, PC, Locust Grove, USASouthern Gastroenterology Specialists, PC, Locust Grove, USANew York Methodist Hospital, Brooklyn, New York, USAColonoscopy is the preferred modality for colon cancer screening. A successful colonoscopy requires proper bowel preparation. Adequate bowel preparation continues to remain a limiting factor. One hundred thirty-three patients scheduled for an outpatient colonoscopy were prospectively randomized in a single-blinded manner to video or nonvideo group. In addition to written bowel preparation instructions, patients in the video group viewed a brief instructional video. Quality of colon preparation was measured using the Ottawa Bowel Preparation Quality scale, while patient satisfaction with preparation was evaluated using a questionnaire. Statistical analyses were used to evaluate the impact of the instructional colonoscopy video. There were significant differences in the quality of colonoscopy preparation between the video and the nonvideo groups. Participants who watched the video had better preparation scores in the right colon (P = 0.0029), mid-colon (P = 0.0027), rectosigmoid (P = 0.0008), fluid content (P = 0.03) and aggregate score (median score 4 versus 5; P = 0.0002). There was no difference between the two groups with regard to patient satisfaction. Income, education level, sex, age and family history of colon cancer had no impact on quality of colonoscopy preparation or patient satisfaction. The addition of an instructional bowel preparation video significantly improved the quality of colon preparation.http://dx.doi.org/10.1155/2013/292636
spellingShingle Sateesh R Prakash
Siddharth Verma
John McGowan
Betsy E Smith
Anjali Shroff
Gregory H Gibson
Michael Cheng
Douglas Lowe
Kavitha Gopal
Smruti R Mohanty
Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video
Canadian Journal of Gastroenterology
title Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video
title_full Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video
title_fullStr Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video
title_full_unstemmed Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video
title_short Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video
title_sort improving the quality of colonoscopy bowel preparation using an educational video
url http://dx.doi.org/10.1155/2013/292636
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