Johns Hopkins Interactive eGuide to Colonoscopy and Ipad Office Education to Improve Colonoscopy

Integration of an Electronic Education System Into Colonoscopy: Improving Education, Consent and Compliance of Patients at Colonoscopy With an Ipad-based Secure Video Intervention

The investigators will attempt to improve the patient experience before colonoscopy. The investigators will provide an in-office ipad video series and an electronic web guide to help patients learn all the best ways to prepare for colonoscopy. The investigators will then follow the patients who receive this eGuide to colonoscopy and observe whether or not they enjoyed the additional access to information from their providers, and will monitor whether or not they were better prepared for their colonoscopy.

Study Overview

• Status: Completed
• Conditions: Colon Cancer Screening; Colon Cancer Surveillance
• Intervention / Treatment: Other: eGuide to Colonoscopy and in office ipad education

Detailed Description

This study would assess the ability of an e-intervention in patient education and instructions during peri-procedure and procedural day visits to improve the experience of gastroenterology procedures. This study would seek to show that through this alternative educational measure, there would be an increased show rate to colonoscopy appointments, an increased preparation quality, and an increase in patient understanding and satisfaction with the colonoscopy procedure. The investigators will attempt to track procedure completion rate and polyp detection rate for individual providers.

The e-intervention would be multimodal. In the pre-procedure setting, ipad would be able to provide a viewpoint for the video education, a template for the patients (or caregivers) to send themselves links to appropriate instructions to remind them of their obligations by secure email. This e-intervention would supplement traditional printed and website accessible instructions.

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Maryland
    • Baltimore, Maryland, United States, 21287
      • Johns Hopkins University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Undergoing Colonoscopy at Johns Hopkins
• Ages 18 to 90
• Access to email (themselves or designee)
• Access to internet outside of physician visit

Exclusion Criteria:

• Unable to consent
• Unwilling to participate
• Unable to care for themselves

Study Plan

How is the study designed?

Design Details

• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention with eGuide to colonoscopy; The investigators will prospectively enroll and follow patients who receive the eGuide to Colonoscopy and determine benefit and satisfaction with the intervention as part of a pilot study.	Other: eGuide to Colonoscopy and in office ipad education; The investigators will follow patients who receive in office Ipad video education and at home web portal access to the Johns Hopkins eGuide to Colonoscopy.; Other Names: Educational intervention with eGuide to colonoscopy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Completion rate of colonoscopy procedure	Could the colonoscopy be completed in its entirety on the date scheduled?	1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
preparation quality	What was the quality of preparation as measured on the day of colonoscopy, preferably by the Boston Bowel Preparation score.	one day
adenoma detection rate by provider	Measurement of adenoma detection rate by provider for study patients.	6 months
Patient satisfaction	An individual patient satisfaction survey will be provided to patients via the eGuide to Colonoscopy web-portal and will assess their enjoyment and understanding. A patient satisfaction survey is employed by the division to random patients over a three month period. We will assess both of these to determine patient satisfaction with the study intervention.	3 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility of intervention in practice	What is the feasibility of the intervention? Could providers and patients navigate the eGuide? Was theft a problem with having Ipads in the office space? Was the home webportal of the eGuide able to be accessed by patients receiving information in the office?	1 year

Collaborators and Investigators

• Sponsor: Johns Hopkins University
• Collaborators: Krames Staywell Corporation
• Investigators: Principal Investigator: Ellen M Stein, MD, Johns Hopkins University

Study record dates

Study Major Dates

• Study Start: June 1, 2012
• Primary Completion (Actual): September 1, 2013
• Study Completion (Actual): September 1, 2013

Study Registration Dates

• First Submitted: July 17, 2012
• First Submitted That Met QC Criteria: July 19, 2012
• First Posted (Estimate): July 24, 2012

Study Record Updates

• Last Update Posted (Estimate): March 27, 2014
• Last Update Submitted That Met QC Criteria: March 26, 2014
• Last Verified: March 1, 2014

More Information

Terms related to this study

• Keywords: Colonoscopy; Patient education; Screening colonoscopy; Electronic education; Ipad
• Additional Relevant MeSH Terms: Digestive System Diseases; Neoplasms; Neoplasms by Site; Gastrointestinal Neoplasms; Digestive System Neoplasms; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Intestinal Neoplasms; Colorectal Neoplasms; Colonic Neoplasms
• Other Study ID Numbers: NA_00070166