Impact of Telephone Call on Bowel Preparation Quality in Colonoscopies

Impact of Telephone Call for Patient Education on Bowel Preparation Quality in Outpatient Colonoscopies

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 Overview

• Status: Recruiting
• Conditions: Colonoscopy
• Intervention / Treatment: Other: Phone calls; Other: Colonoscopy; Other: Standard bowel preparation

• Study Type: Interventional
• Enrollment (Anticipated): 200
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Walid Nassreddine, MD; Phone Number: 913 +9611636000; Email: walidan@hotmail.com

Study Locations

• Lebanon
  • Beirut, Lebanon
    • Recruiting
    • Makassed General Hospital
    • Contact: Walid Nasreddine, MD; Phone Number: 6913 +9611636000; Email: walidan@hotmail.com

Participation Criteria

Eligibility Criteria

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

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 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	Other: Phone calls; Patients undergoing outpatient colonoscopy will receive the standard bowel preparation instructions and a telephone call one day before the procedure to re-explain the instructions and the importance of bowel preparation; Other: Colonoscopy; Patients will undergo colonoscopy
Placebo Comparator: Conventional group; Patients will receive bowel preparation instructions in a conventional way	Other: Colonoscopy; Patients will undergo colonoscopy; Other: Standard bowel preparation; Patients undergoing outpatient colonoscopy will receive the standard bowel preparation instructions

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Bowel preparation quality	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: Excellent: Small volume of clear liquid, or greater than 95% of surface seen; Good: Large volume of clear liquid covering 5-25% of the surface but greater than 90% of surface seen; Fair: Presence of some semi-solid stool that could be suctioned or washed away but greater than 90% of surface seen; Poor: Semi-solid stool that could not be suctioned or washed away and less than 90% of surface seen; 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.	Directly after colonoscopy

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Colonic polyps rate	Detect rate of colonic polyps in both groups	Directly after colonoscopy

Collaborators and Investigators

• Sponsor: Makassed General Hospital
• Investigators: Principal Investigator: Walid Nassreddine, MD, Makassed General Hospital

Study record dates

Study Major Dates

• Study Start (Actual): November 25, 2020
• Primary Completion (Anticipated): August 1, 2021
• Study Completion (Anticipated): August 1, 2021

Study Registration Dates

• First Submitted: November 19, 2020
• First Submitted That Met QC Criteria: November 19, 2020
• First Posted (Actual): November 25, 2020

Study Record Updates

• Last Update Posted (Actual): September 1, 2021
• Last Update Submitted That Met QC Criteria: August 31, 2021
• Last Verified: August 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: 10112020

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No