Impact of Telephone Call for Patient Education on Bowel Preparation Quality in Outpatient Colonoscopies
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Makassed General Hospital
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Bowel preparation quality
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Single (Investigator)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Interventional group
Patients will receive bowel preparation instructions in a conventional way in addition to a telephone call for education purposes one day prior to procedure
Intervention: Phone calls (Other)
Interventional group
Patients will receive bowel preparation instructions in a conventional way in addition to a telephone call for education purposes one day prior to procedure
Intervention: Colonoscopy (Other)
Conventional group
Patients will receive bowel preparation instructions in a conventional way
Intervention: Standard bowel preparation (Other)
Conventional group
Patients will receive bowel preparation instructions in a conventional way
Intervention: Colonoscopy (Other)
Outcomes
Primary Outcomes
Bowel preparation quality
Time Frame: 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 Outcomes
- Colonic polyps rate(Directly after colonoscopy)
Investigators
Dr. Walid Nassreddine
Head of Gastroenterology division
Makassed General Hospital