Impact of Telephone Call on Bowel Preparation Quality in Colonoscopies

Not Applicable

• Conditions: Colonoscopy
• Interventions: Other: Phone calls; Other: Standard bowel preparation; Other: Colonoscopy

• Registration Number: NCT04644939
• Lead Sponsor: Makassed General Hospital

Brief Summary

Bowel preparation regimens typically incorporate dietary modifications along with oral cathartics. Inadequate bowel preparation can result in failed detection of prevalent neoplastic lesions and has been linked to an increased risk of procedural adverse events. Previous studies have suggested that patient compliance is important to ensure proper bowel cleansing. Patient counseling along with written instructions that are simple and easy to follow and in their native language should be provided to patients.

Thus, interventions that improve the quality of bowel preparation could have a great benefit regarding colonoscopy results. Little in the literature that studies the impact of enhanced patient education on bowel preparation quality.

In this study we aim to determine the impact of patient education using telephone call one day prior to outpatient colonoscopy on bowel preparation quality.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-11-19
• Study First Submitted QC: 2020-11-19
• Study Start: 2020-11-25
• Study First Posted: 2020-11-25
• Status Verified: 2021-08
• Primary Completion: 2021-08
• Study Completion: 2021-08
• Last Update Submitted: 2021-08-31
• Last Update Posted: 2021-09-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• patients undergoing outpatient colonoscopy

Exclusion Criteria

• History of previous inadequate bowel preparation
• History of colorectal surgeries
• Patient who did not sign the consent
• Patients with dementia
• Patients with Swallowing difficulties

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interventional group	Colonoscopy	Patients will receive bowel preparation instructions in a conventional way in addition to a telephone call for education purposes one day prior to procedure
Conventional group	Colonoscopy	Patients will receive bowel preparation instructions in a conventional way
Interventional group	Phone calls	Patients will receive bowel preparation instructions in a conventional way in addition to a telephone call for education purposes one day prior to procedure
Conventional group	Standard bowel preparation	Patients will receive bowel preparation instructions in a conventional way

Primary Outcome Measures

Name	Time	Method
Bowel preparation quality	Directly after colonoscopy	We will use Aronchick Scale as bowel preparation quality scale. This scale characterizes the percentage of the total colonic mucosal surface covered by fluid or stool, and is performed before washing or suctioning. This scale grades the adequacy of cleansing in the following: 1. Excellent: Small volume of clear liquid, or greater than 95% of surface seen; 2. Good: Large volume of clear liquid covering 5-25% of the surface but greater than 90% of surface seen; 3. Fair: Presence of some semi-solid stool that could be suctioned or washed away but greater than 90% of surface seen; 4. Poor: Semi-solid stool that could not be suctioned or washed away and less than 90% of surface seen; 5. Inadequate: Repreparation needed Bowel preparation will be considered as adequate if the score is ≤ 3 and inadequate if the score of bowel preparation is ≥ 4.

Secondary Outcome Measures

Name	Time	Method
Colonic polyps rate	Directly after colonoscopy	Detect rate of colonic polyps in both groups

Trial Locations

Locations (1)

Makassed General Hospital; 🇱🇧 Beirut, Lebanon