How Efficacious Are Patient Education Interventions to Improve Bowel Preparation for Colonoscopy? A Systematic Review
Publication Date
October 14, 2016
Journal
PLOS ONE
Authors
Jacob E. Kurlander, Arjun R. Sondhi, Akbar K. Waljee, Stacy B. Menees, et al
Volume
11
Issue
10
Pages
e0164442
DOI
https://dx.plos.org/10.1371/journal.pone.0164442
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0164442
Scopus
84992187875
Mendeley
http://www.mendeley.com/research/efficacious-patient-education-interventions-improve-bowel-preparation-colonoscopy-systematic-review-2
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Mendeley | Further Information

{"title"=>"How efficacious are patient education interventions to improve bowel preparation for colonoscopy? A systematic review", "type"=>"generic", "authors"=>[{"first_name"=>"Jacob E.", "last_name"=>"Kurlander", "scopus_author_id"=>"9635623900"}, {"first_name"=>"Arjun R.", "last_name"=>"Sondhi", "scopus_author_id"=>"56533880400"}, {"first_name"=>"Akbar K.", "last_name"=>"Waljee", "scopus_author_id"=>"13410620700"}, {"first_name"=>"Stacy B.", "last_name"=>"Menees", "scopus_author_id"=>"8508388300"}, {"first_name"=>"Cathleen M.", "last_name"=>"Connell", "scopus_author_id"=>"7005159074"}, {"first_name"=>"Philip S.", "last_name"=>"Schoenfeld", "scopus_author_id"=>"7005951986"}, {"first_name"=>"Sameer D.", "last_name"=>"Saini", "scopus_author_id"=>"14326039400"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84992187875", "pui"=>"612828979", "doi"=>"10.1371/journal.pone.0164442", "sgr"=>"84992187875", "pmid"=>"27741260"}, "id"=>"366d9d7b-5c69-353a-bb8b-4b366a1d4305", "abstract"=>"BACKGROUND Bowel preparation is inadequate in a large proportion of colonoscopies, leading to multiple clinical and economic harms. While most patients receive some form of education before colonoscopy, there is no consensus on the best approach. AIMS This systematic review aimed to evaluate the efficacy of patient education interventions to improve bowel preparation. METHODS We searched the Cochrane Database, CINAHL, EMBASE, Ovid, and Web of Science. Inclusion criteria were: (1) a patient education intervention; (2) a primary aim of improving bowel preparation; (3) a validated bowel preparation scale; (4) a prospective design; (5) a concurrent control group; and, (6) adult participants. Study validity was assessed using a modified Downs and Black scale. RESULTS 1,080 abstracts were screened. Seven full text studies met inclusion criteria, including 2,660 patients. These studies evaluated multiple delivery platforms, including paper-based interventions (three studies), videos (two studies), re-education telephone calls the day before colonoscopy (one study), and in-person education by physicians (one study). Bowel preparation significantly improved with the intervention in all but one study. All but one study were done in a single center. Validity scores ranged from 13 to 24 (maximum 27). Four of five abstracts and research letters that met inclusion criteria also showed improvements in bowel preparation. Statistical and clinical heterogeneity precluded meta-analysis. CONCLUSION Compared to usual care, patient education interventions appear efficacious in improving the quality of bowel preparation. However, because of the small scale of the studies and individualized nature of the interventions, results of these studies may not be generalizable to other settings. Healthcare practices should consider systematically evaluating their current bowel preparation education methods before undertaking new interventions.", "link"=>"http://www.mendeley.com/research/efficacious-patient-education-interventions-improve-bowel-preparation-colonoscopy-systematic-review-2", "reader_count"=>12, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Researcher"=>2, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>2, "Student > Master"=>1, "Other"=>1, "Student > Bachelor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Researcher"=>2, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>2, "Student > Master"=>1, "Other"=>1, "Student > Bachelor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>3, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>3}, "Neuroscience"=>{"Neuroscience"=>1}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>4}}, "group_count"=>1}

Scopus | Further Information

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