Information experiences, needs, and preferences of colonoscopy patients: A pre-colonoscopy survey

Eugene Lee, Leigh Anne Shafer, John R Walker, Celeste Waldman, Valerie Michaud, Chengyue Yang, Charles N Bernstein, Linda Hathout, Jason Park, Jeff Sisler, Kristy Wittmeier, Gayle Restall, Harminder Singh, Eugene Lee, Leigh Anne Shafer, John R Walker, Celeste Waldman, Valerie Michaud, Chengyue Yang, Charles N Bernstein, Linda Hathout, Jason Park, Jeff Sisler, Kristy Wittmeier, Gayle Restall, Harminder Singh

Abstract

Better pre-colonoscopy education may lead to improved bowel preparation, decreased anxiety, and a willingness to go direct-to-colonoscopy. We assessed information experiences, needs, and preferences of patients undergoing colonoscopy.A self-administered survey was distributed between 08/2015 and 06/2016 to patients in Winnipeg, Canada when they attended an outpatient colonoscopy. The amount, type, helpfulness, and satisfaction with information provided were analyzed. Linear and logistic regression analyses were used to assess predictors of satisfaction with various aspects of the information received, as well as overall satisfaction with the provided information.Although the majority of the 1580 respondents were satisfied with the information they received, only 68% of respondents coming for a repeat colonoscopy and 59% of those coming for first colonoscopy perceived receiving just the right amount of information from their endoscopy doctor. One quarter or less of the respondents indicated they received just the right amount of information from any source other than their colonoscopy doctor. 38% coming for a first colonoscopy and 44% coming for a repeat colonoscopy indicated they received no information from their family physician. Those coming for their first colonoscopy had a lower average score (9.7 vs 11.1; P < .001) for amount of information received (scale 0-15), were less satisfied with the information they received (P = .005) and found the information to be less clear (P = .004).Many patients going for colonoscopy in a large urban practice are inadequately informed about the various aspects of the procedure and it is worse for those going for first rather than repeat colonoscopy.

Conflict of interest statement

There are no conflicts of interest for any of the authors.

References

    1. Leaper M, Johnston M, Barclay M, et al. Reasons for failure to diagnose colorectal carcinoma at colonoscopy. Endoscopy 2004;36:499–503.
    1. Parra-Blanco A, Nicolás-Pérez D, Gimeno-García A, et al. The timing of bowel preparation before colonoscopy determines the quality of cleansing, and is a significant factor contributing to the detection of flat lesions: a randomized study. World J Gastroenterol 2006;12:6161.
    1. Leung FW. Water exchange may be superior to water immersion for colonoscopy. Clin Gastroenterol Hepatol 2011;9:1012–4.
    1. Chokshi RV, Hovis CE, Hollander T, et al. Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy. Gastrointest Endosc 2012;75:1197–203.
    1. Lebwohl B, Kastrinos F, Glick M, et al. The impact of suboptimal bowel preparation on adenoma miss rates and the factors associated with early repeat colonoscopy. Gastrointest Endosc 2011;73:1207–14.
    1. Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2014;147:903–24.
    1. Shaikh AA, Hussain SM, Rahn S, et al. Effect of an educational pamphlet on colon cancer screening: a randomized, prospective trial. Eur J Gastroenterol Hepatol 2010;22:444–9.
    1. Yang C, Sriranjan V, Abou-Setta AM, et al. Anxiety associated with colonoscopy and flexible sigmoidoscopy: a systematic review. Am J Gastroenterol 2018;113:1810–8.
    1. Green AR, Peters-Lewis A, Percac-Lima S, et al. Barriers to screening colonoscopy for low-income Latino and white patients in an Urban Community Health Center. J Gen Intern Med 2008;23:834–40.
    1. Greiner KA, Born W, Nollen N, et al. Knowledge and perceptions of colorectal cancer screening among urban African Americans. J Gen Intern Med 2005;20:977–83.
    1. Weller SC. Cancer and colorectal cancer: knowledge, beliefs, and screening preferences of a diverse patient population. Fam Med 2005;37:341–7.
    1. Kurlander JE, Sondhi AR, Waljee AK, et al. How efficacious are patient education interventions to improve bowel preparation for colonoscopy? A systematic review. PLoS ONE 2016;11:e0164442.
    1. Chang C-W, Shih S-C, Wang H-Y, et al. Meta-analysis: the effect of patient education on bowel preparation for colonoscopy. Endosc Int Open 2015;3:E646–52.
    1. Hopper KD, TenHave TR, Hartzel J. Informed consent forms for clinical and research imaging procedures: how much do patients understand? Am J Roentgenol 1995;164:493–6.
    1. Hopper KD, TenHave TR, Tully DA, et al. The readability of currently used surgical/procedure consent forms in the United States. Surgery 1998;123:496–503.
    1. Shafer L, Walker J, Waldman C, et al. Predictors of patient reluctance to wake early in the morning for bowel preparation for colonoscopy: a precolonoscopy survey in city-wide practice. Endosc Int Open 2018;6:E706–13.
    1. Shafer L, Walker J, Waldman C, et al. Factors associated with anxiety about colonoscopy: the preparation, the procedure, and the anticipated findings. Dig Dis Sci 2018;63:610–8.
    1. Raynor DK. A systematic review of quantitative and qualitative research on the role and effectiveness of written information available to patients about individual medicines: NIHR (NHS National Institute for Health Research). Health Technol Assess 2007;11:iii, 1–160.
    1. Cunningham CE, Walker JR, Eastwood JD, et al. Modeling mental health information preferences during the early adult years: a discrete choice conjoint experiment. J Health Commun 2014;19:413–40.
    1. Hayat U, Lee PJW, Lopez R, et al. Online educational video improves bowel preparation and reduces the need for repeat colonoscopy within three years. Am J Med 2016;129:1219.e1–9.
    1. Park J-S, Kim MS, Kim H, et al. A randomized controlled trial of an educational video to improve quality of bowel preparation for colonoscopy. BMC Gastroenterol 2016;16:64.
    1. Luck A, Pearson S, Maddem G, et al. Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial. Lancet 1999;354:2032–5.
    1. Arabul MKA, Kandemir A, Celik M, et al. Impact of an information video before colonoscopy on patient satisfaction and anxiety. Turk J Gastroenterol 2012;23:523–9.
    1. Bytzer PLB. Impact of an information video before colonoscopy on patient satisfaction and anxiety—a randomized trial. Endoscopy 2007;39:845–1845.
    1. Kang X, Zhao L, Leung F, et al. Delivery of instructions via mobile social media app increases quality of bowel preparation. Clin Gastroenterol Hepatol 2016;14:429–35.e3.
    1. Lorenzo-Zúñiga V, Moreno de Vega V, Marín I, et al. Improving the quality of colonoscopy bowel preparation using a smart phone application: a randomized trial. Dig Endosc 2015;27:590–5.
    1. Sey MSL, Gregor J, Adams P, et al. Wait times for diagnostic colonoscopy among outpatients with colorectal cancer: a comparison with Canadian Association of Gastroenterology targets. Can J Gastroenterol 2012;26:894–6.
    1. Janssen R, Takach O, Nap-Hill E, et al. Time to endoscopy in patients with colorectal cancer: analysis of wait-times. Can J Gastroenterol Hepatol 2016;2016:6.

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