The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 主要终点
- Smartphone application use was associated with increased number of "excellent" colonoscopy preps.
研究概览
简要总结
The investigators developed a smartphone app that guides pediatric patients and their families through colonoscopy prep in an attempt to see if an app could improve the colonoscopy process.
详细描述
The investigators created a smartphone app designed for pediatric patients and their families that informs patients about their colonoscopy procedure, alerts them when to take their medications throughout the hours-long colonoscopy prep process and tells them when to arrive to the endoscopy suite. The investigators designed a study to determine if this app will yield improved colonoscopy cleanouts, better patient understanding of the procedure, fewer calls to the GI service and more punctual arrival times to the endoscopy suite compared to patients who receive written instructions that do not actively interact with the patient before, during or after their colonoscopy prep.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
盲法说明
Subjects were randomly assigned via block randomization to receive either written or software-based prep instructions. To eliminate bias, the four grading gastroenterologists who judged the quality of the subject's cleanout did not know whether subjects had used written or app instructions.
入排标准
- 年龄范围
- 5 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged 5-18 years scheduled to undergo a diagnostic and/or therapeutic colonoscopy
排除标准
- •Patients who had undergone a colonoscopy within the past one year
- •Patients admitted for a nasogastric (NG) cleanout
- •Patients requiring colonoscopy preparation medication other than Polyethylene Glycol
- •Patients with poor understanding of English.
结局指标
主要结局
Smartphone application use was associated with increased number of "excellent" colonoscopy preps.
时间窗: Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects. Subjects were scored on their colonoscopies immediately following the procedure once the patient was stable
Prep quality was measured with the validated Boston Scoring Scale. A score of 0, 1, 2 or 3 is given to the right, transverse and left colon based on the amount and consistency of stool visualized as well as the ease or difficulty of guiding endoscopic instrumentation during a colonoscopy. Higher scores indicate a cleaner colon and as per Lai, a Boston Score of 7 or above indicates an "excellent" prep. To eliminate bias, the four grading gastroenterologists did not know whether subjects had used written or app instructions.
次要结局
- The difference in the number of calls to the gastroenterology service between app users and controls.(Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects)
- The difference between app users and controls regarding patient arrival time.(Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects)
- The significant difference between app users and controls regarding patient knowledge about the procedure.(Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects)
研究者
James Brief
Principal Investigator
Stony Brook University