Importing Quality Improvement Practices and Enhance Health Education to Improving Quality of Bowel Preparation

Health Management Center, Far Eastern Memorial Hospital

Importing quality improvement practices and enhances health education to improving quality of bowel preparation for health screening colonoscopy

This is a retrospective data analysis study aimed at obtaining the types of purgative treatments used, the results of bowel preparation, and each subject's demographic characteristics (Age & Gender).

Study Overview

• Status: Completed
• Conditions: No-Show Patients
• Intervention / Treatment: Other

Detailed Description

This study aimed to check-up the result and the impact of patient education using a medical team resource management (TRM) method on the adequacy of bowel preparation.

Investigators collected a total of 2,104 (884 female, 1,220 male) healthy subjects who underwent a health check-up colonoscopy screening were enrolled before and after the application of the TRM program intervention. The efficacy of the TRM intervention and the factors affecting bowel preparation were estimated using multivariate logistic regression in this study.

Enrollment of study subjects and data collection: The subjects enrolled in this study were those who received a health check-up colonoscopy screening in a tertiary center, Far Eastern Memorial Hospital (FEMH), in Taiwan from March 2013 to August 2014. A total of 2,104 healthy subjects who underwent check-up colonoscopy screening were enrolled during the pre-intervention, post-intervention, and validation periods. Investigators need to collect each subject's demographic characteristics (Age & Gender) and the types of purgative treatments used were collected to analyze. According to the Aronchick Bowel Preparation Scale, this study divided the degree of bowel cleansing into four levels, namely, "Excellent", "Good", "Fair" and "Poor". Investigators also need to collect the results of bowel preparation to calculate of the adequate bowel cleansing rate was defined further as the percentage of the participants with "Excellent" or "Good" cleansing in our analysis.

• Study Type: Observational
• Enrollment (Actual): 2104

Contacts and Locations

Study Locations

• Taiwan
  • Pan-Chiao Dist.
    • New Taipei City, Pan-Chiao Dist., Taiwan, 22061
      • Oriental Institute of Technology / Far Eastern Memorial Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 80 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

This study was secondary data analysis, and the data contains no person's details, images, or videos. This is a retrospective data analysis study, investigators collected data enrolled in this study were those who received a health check-up colonoscopy screening in a tertiary center hospital, Far Eastern Memorial Hospital (FEMH), in Taiwan from March 2013 to August 2014. A total of 2,104 healthy subjects who underwent check-up colonoscopy screening were enrolled during the pre-intervention, post-intervention, and validation periods. Each subject's demographic characteristics (Age & Gender) and the type of purgative treatments used were collected. And health screening Bowel Preparation Scale including "Excellent", "Good", "Fair" and "Poor".

Description

Inclusion Criteria:

• The healthy population who received a health check-up colonoscopy screening in Far Eastern Memorial Hospital (FEMH)
• Exam date from March 2013 to August 2014
• Age from 20 y/o to 80 y/o

Exclusion Criteria:

• Gastroenterology outpatients/inpatients
• Missing data subjects
• Out of the Age limits subjects
• Out of the Time period subjects

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The well-designed education intervention can improve the rate of adequate bowel pr eparation for health screening colonoscopy.	The multivariate logistic regression analysis results for adequate bowel preparation after adjustments for age, gender, purgative type, to analyze the adequate bowel preparation rate with different intervention period. Bowel preparation rate were the Good & Excellent % of the total cases. Each subject's demographic characteristics (Age & Gender), the type of purgative and bowel preparation rate were collected from Far Eastern Memorial Hospital (FEMH) in Taiwan. This study was secondary data analysis, and the data contains no person's details, images, or videos. This is a retrospective data analysis study, investigators collected data enrolled in this study were those who received a health check-up colonoscopy screening.	From March 2013 to August 2014.

Collaborators and Investigators

• Sponsor: Far Eastern Memorial Hospital
• Collaborators: Ministry of Science and Technology, Taiwan

Publications and helpful links

General Publications

• Chung CS, Lin CM, Chen MS. Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan. Qual Manag Health Care. 2021 Apr-Jun 01;30(2):127-134. doi: 10.1097/QMH.0000000000000310.

Study record dates

Study Major Dates

• Study Start (Actual): September 12, 2015
• Primary Completion (Actual): February 28, 2016
• Study Completion (Actual): October 30, 2017

Study Registration Dates

• First Submitted: April 18, 2019
• First Submitted That Met QC Criteria: May 9, 2019
• First Posted (Actual): May 10, 2019

Study Record Updates

• Last Update Posted (Actual): May 10, 2019
• Last Update Submitted That Met QC Criteria: May 9, 2019
• Last Verified: May 1, 2019

More Information

Terms related to this study

• Keywords: bowel preparation; quality improvement; team resource management; health screening colonoscopy
• Other Study ID Numbers: 104107-E

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No