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Impact of reinforced education by telephone and short message service on the quality of bowel preparation: a randomized controlled study

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Author(s)
Yoo Jin LeeEun Soo KimJae Hyuk ChoiKyung In LeeKyung Sik ParkKwang Bum ChoByoung Kuk JangWoo Jin ChungJae Seok Hwang
Keimyung Author(s)
Lee, Yoo JinKim, Eun SooPark, Kyung SikCho, Kwang BumJang, Byoung KukChung, Woo JinHwang, Jae Seok
Department
Dept. of Internal Medicine (내과학)
Journal Title
Endoscopy
Issued Date
2015
Volume
47
Issue
11
Abstract
Background and study aims: High quality bowel preparation is essential for successful colonoscopy. This study aimed to assess the impact of reinforced education by telephone or short message service (SMS) on the quality of bowel preparation.

Patients and methods: A prospective, endoscopist-blinded, randomized, controlled study was conducted. Reinforced education groups received additional education via reminders by telephone or SMS 2 days before colonoscopy. The primary outcome was the quality of the bowel preparation according to the Boston Bowel Preparation Scale (BBPS). The secondary outcomes included polyp detection rate (PDR), adenoma detection rate (ADR), tolerance, and subjective feelings of patients.

Results: A total of 390 patients were included. Total BBPS score was significantly higher in the reinforced education groups than in the control group (mean [SD] telephone vs. control: 7.1 [1.2] vs. 6.3 [1.4], P < 0.001; SMS vs. control: 6.8 [1.3] vs. 6.3 [1.4], P = 0.027). Between the two interventions, there was no significant difference in total BBPS score. PDR and ADR were not different among groups. Reinforced education groups showed lower anxiety and better tolerance compared with controls. A preparation-to-colonoscopy time of > 6 hours and < 80 % of the purgative ingested were independent factors associated with inadequate bowel preparation (BBPS < 5), whereas re-education by telephone was inversely related to inadequate bowel preparation.

Conclusion: SMS was the optimal education modality, and was as effective as telephone reminders for the quality of bowel preparation. A reinforced educational approach via telephone or SMS should be individualized, depending on the resource availability of each clinical practice.
Keimyung Author(s)(Kor)
이유진
김은수
박경식
조광범
장병국
정우진
황재석
Publisher
School of Medicine
Citation
Yoo Jin Lee et al. (2015). Impact of reinforced education by telephone and short message service on the quality of bowel preparation: a randomized controlled study. Endoscopy, 47(11), 1018–1027. doi: 10.1055/s-0034-1392406
Type
Article
ISSN
0013-726X
Source
https://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1392406
DOI
10.1055/s-0034-1392406
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33122
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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