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Educational web video improves bowel prep, reduces need for repeat colonoscopy
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New study data has linked a patient education intervention involving an online video to improved bowel preparation quality and a reduced need for a repeat colonoscopy within 3 years.
“Bowel preparation is crucial to the success of colonoscopies,” Maged Rizk, MD, a gastroenterologist and quality officer at Cleveland Clinic, said in a press release. “Our study shows that patient-centered education programs with video components can help.”
John J. Vargo
Rizk and colleagues from the Cleveland Clinic, including John J. Vargo, MD, MPH, identified 2,530 patients within a prospectively maintained database who underwent their first outpatient screening colonoscopy between 2010 and 2014. During this time, all patients were mailed educational literature, were given an educational phone call before the procedure, and were provided access to a standardized educational video via the internet.
The 30-minute video produced by the health care communications company Emmi Solutions provided details on the importance of polyp detection and steps for achieving adequate bowel cleansing.
A web-based code attached to the patients’ medical record numbers was used to confirm that 1,251 (49.5%) of them watched the video (median, 28 days before procedure). Patients who watched the video were more often women, white, and of a higher income area.
Multivariate analysis showed that those who watched the video had higher rates of satisfactory bowel prep quality (92.3%; 95% CI, 84.8-96.3) compared with those who did not (87.4%; 95% CI, 76.4-93.7), based on Aronchick scale scores. Despite an improvement in bowel prep quality, adenoma detection rates remained comparable between patients who did and did not watch the video.
Further, patients who did not watch the video had an increased need for a repeat procedure within 3 years due to inadequate bowel prep (6.6%; 95% CI, 2.8-14.7 vs. 3.3%; 95% CI, 1.3-7.8).
“Our results reveal that a patient-centered educational video may lead to improved bowel preparation quality and may reduce the need for an earlier repeat procedure in patients undergoing their first screening colonoscopy,” the investigators concluded. “Thus, we present a cost-effective and easy-to-implement intervention that translates to improved quality outcomes for outpatient colonoscopies.” – by Adam Leitenberger
Disclosures: The researchers report no relevant financial disclosures.
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