Telephone Educational Intervention by the Gastrointestinal Endoscopy Nurse. Global Impact on the Quality of Colonoscopy

Not Applicable

Completed

• Conditions: Colonic Diseases; Educational Problems; Nurse-Patient Relations
• Interventions: Other: Educational telephone call

• Registration Number: NCT03458377
• Lead Sponsor: Parc de Salut Mar

Brief Summary

This study assesses what impact has on colonoscopy quality the implementation of a telephone educational intervention carried out individually on the patient in the days before the test. Half of the study patients will receive the educational intervention and the other half will not.

Detailed Description

A high-quality colonoscopy is an examination in with patients receive an indicated procedure, correct and relevant diagnoses are recognized or excluded, any therapy provided is appropriate, and all steps that minimize risk have been taken.

But quality also refers to pre-procedure and post-procedure quality issues such as information, booking, choice, privacy, dignity, aftercare and satisfaction of patients. All those issues can negatively affect the willingness of patients to perform the test and the possibility of preparing adequately. And what is more, it can diminish the quality of the own exploration, the satisfaction of the patients and their adherence to programs of endoscopic follow-up.

An action on these colonoscopy non-technical issues with a telephone educational intervention performed by the gastrointestinal endoscopy nurse can positively improve all (pre, intra and post-procedure) colonoscopy quality indicators.

Study Timeline

• Status Verified: 2018-02
• Study First Submitted: 2018-02-16
• Study Start: 2018-02-20
• Study First Submitted QC: 2018-03-01
• Study First Posted: 2018-03-08
• Primary Completion: 2018-09-01
• Study Completion: 2018-10-31
• Last Update Submitted: 2019-03-19
• Last Update Posted: 2019-03-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1534

Inclusion Criteria

• All outpatient referred from the Primary Care Centers to perform a colonoscopy in our Digestive Endoscopy Unit, regardless of the applicant's Service.

Exclusion Criteria

• Hospital patients, patients who refuse inclusion in the study, patients included in another study, impossibility of carrying out the educational intervention and patients who are unable to obtain informed consent will be excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Telephone call group	Educational telephone call	The patient receives the colonoscopy information from the primary care center on the day of the request for the test and a 20 minute educational telephone call 7 days before de procedure.

Primary Outcome Measures

Name	Time	Method
Colonoscopy non-adherence rate	At the moment of colonoscopy	Ratio of patients do not attend the test

Secondary Outcome Measures

Name	Time	Method
Anesthetist rescheduling rate	At the moment of colonoscopy	Ratio of patients attend the colonoscopy with American Society of Anesthesiologists (ASA) III / IV classification so they need rescheduling of the test under anesthesia
Bowel preparation rescheduling rate	At the moment of colonoscopy	Ratio of patients attend the colonoscopy with inadequate Boston Bowel Preparation Scale (at least one of the colon segments with less than 2 points) so they need rescheduling of the test
Adenoma detection rate	At the moment of colonoscopy	Ratio of patients with at least one adenoma in the colon
Satisfaction of the endoscopic procedure	30 days after colonoscopy	Measurement of the overall satisfaction of the colonoscopy with a questionnaire validated by the American Society for Gastrointestinal Endoscopy (ASGE)
Antiplatelet / anticoagulant rescheduling rate	At the moment of colonoscopy	Ratio of patients attend the colonoscopy with poor adjustment of antiplatelet / anticoagulant medication so they need rescheduling of the test
Cecal intubation rate	At the moment of colonoscopy	Ratio of successful complete colonoscopies (cecal intubation or in case of previous surgery, ileocolic anastomosis)
Complications related to colonoscopy	30 days after colonoscopy	Telephone interview. The patient will be asked about the appearance of perforation, hemorrhage and abdominal symptoms related to the test
Non-adequation colonoscopy cost of patient preparation for colonoscopy	From date of randomization until 30 days before colonoscopy	Cost derived from non-adequation

Trial Locations

Locations (1)

Parc de Salut Mar. Hospital del Mar; 🇪🇸 Barcelona, Spain