Johns Hopkins Interactive eGuide to Colonoscopy and Ipad Office Education to Improve Colonoscopy
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Purpose
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 | Intervention |
|---|---|
|
Colon Cancer Screening Colon Cancer Surveillance |
Other: eGuide to Colonoscopy and in office ipad education |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: 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 |
- Completion rate of colonoscopy procedure [ Time Frame: 1 day ] [ Designated as safety issue: No ]Could the colonoscopy be completed in its entirety on the date scheduled?
- preparation quality [ Time Frame: one day ] [ Designated as safety issue: No ]What was the quality of preparation as measured on the day of colonoscopy, preferably by the Boston Bowel Preparation score.
- adenoma detection rate by provider [ Time Frame: 6 months ] [ Designated as safety issue: No ]Measurement of adenoma detection rate by provider for study patients.
- Patient satisfaction [ Time Frame: 3 months ] [ Designated as safety issue: No ]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.
- Feasibility of intervention in practice [ Time Frame: 1 year ] [ Designated as safety issue: No ]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?
| Enrollment: | 40 |
| Study Start Date: | June 2012 |
| Study Completion Date: | September 2013 |
| Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
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
|
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.
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
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 LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT01648504
| United States, Maryland | |
| Johns Hopkins University | |
| Baltimore, Maryland, United States, 21287 | |
| Principal Investigator: | Ellen M Stein, MD | Johns Hopkins University |
More Information
Additional Information:
No publications provided
| Responsible Party: | Ellen Stein, MD, Principal Investigator, Johns Hopkins University |
| ClinicalTrials.gov Identifier: | NCT01648504 History of Changes |
| Other Study ID Numbers: | NA_00070166 |
| Study First Received: | July 17, 2012 |
| Last Updated: | March 26, 2014 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Johns Hopkins University:
|
Colonoscopy Screening colonoscopy Electronic education Ipad Patient education |
Additional relevant MeSH terms:
|
Colonic Neoplasms Colonic Diseases Colorectal Neoplasms Digestive System Diseases Digestive System Neoplasms Gastrointestinal Diseases |
Gastrointestinal Neoplasms Intestinal Diseases Intestinal Neoplasms Neoplasms Neoplasms by Site |
ClinicalTrials.gov processed this record on February 25, 2015