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

Study Description

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Brief Summary:

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.

Condition or disease	Intervention/treatment	Phase
Colon Cancer Screening; Colon Cancer Surveillance	Other: eGuide to Colonoscopy and in office ipad education	Not Applicable

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 Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	40 participants
Intervention Model:	Single Group Assignment
Masking:	None (Open Label)
Official Title:	Integration of an Electronic Education System Into Colonoscopy: Improving Education, Consent and Compliance of Patients at Colonoscopy With an Ipad-based Secure Video Intervention
Study Start Date :	June 2012
Actual Primary Completion Date :	September 2013
Actual Study Completion Date :	September 2013

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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 Name: Educational intervention with eGuide to colonoscopy

Outcome Measures

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Primary Outcome Measures :

1. Completion rate of colonoscopy procedure [ Time Frame: 1 day ]
   Could the colonoscopy be completed in its entirety on the date scheduled?

Secondary Outcome Measures :

1. preparation quality [ Time Frame: one day ]
   What was the quality of preparation as measured on the day of colonoscopy, preferably by the Boston Bowel Preparation score.
2. adenoma detection rate by provider [ Time Frame: 6 months ]
   Measurement of adenoma detection rate by provider for study patients.
3. Patient satisfaction [ Time Frame: 3 months ]
   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.

Other Outcome Measures:

1. Feasibility of intervention in practice [ Time Frame: 1 year ]
   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?

Eligibility Criteria

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Ages Eligible for Study:	18 Years to 90 Years (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	Yes

Criteria

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

Contacts and Locations

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Locations

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

Sponsors and Collaborators

Johns Hopkins University

Krames Staywell Corporation

Investigators

Principal Investigator:	Ellen M Stein, MD	Johns Hopkins University

More Information

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Additional Information:

Johns Hopkins University Division of Gastroenterology 

Responsible Party:	Ellen Stein, MD, Principal Investigator, Johns Hopkins University
ClinicalTrials.gov Identifier:	NCT01648504 History of Changes
Other Study ID Numbers:	NA_00070166
First Posted:	July 24, 2012
Last Update Posted:	March 27, 2014
Last Verified:	March 2014

Keywords provided by Ellen Stein, MD, Johns Hopkins University:

Colonoscopy; Screening colonoscopy; Electronic education; Ipad; Patient education

Additional relevant MeSH terms:

Colonic Neoplasms; Colorectal Neoplasms; Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site	Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases