Effectiveness of a Mobile Health Application for Educating Outpatients about Bowel Preparation

Colonoscopy is an essential method for diagnosing and treating colorectal cancer, relying on effective bowel preparation to thoroughly examine the large intestinal mucosa. Traditional education involves printed instructions and verbal explanations but does not guarantee clear patient understanding....

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Bibliographic Details
Published in:Healthcare (Basel) 2024-07, Vol.12 (14), p.1374
Main Authors: Chen, Hui-Yu, Tu, Ming-Hsiang, Chen, Miao-Yen
Format: Article
Language:English
Subjects:
bowel preparation
Colonoscopy
Colorectal cancer
Dietary restrictions
E-health
Education
Educational aspects
Feces
Irrigation (Medicine)
Medical diagnosis
Methods
Mobile communications networks
Nursing
Operating systems
outpatient
Outpatients
Patient education
Patients
Polyps
Public health
Smartphones
Study and teaching
Technology application
Telemedicine
User interface
Visualization
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Summary:Colonoscopy is an essential method for diagnosing and treating colorectal cancer, relying on effective bowel preparation to thoroughly examine the large intestinal mucosa. Traditional education involves printed instructions and verbal explanations but does not guarantee clear patient understanding. Poor bowel preparation can obscure mucosal visibility, delaying cancer diagnosis and treatment. A mobile medical model using Android devices for bowel preparation education was tested in a single-blind, randomized trial. This trial enrolled outpatients undergoing colonoscopy at the Endoscopy Center for Diagnostic and Treatment between 27 October 2021 and 31 December 2022. This study introduced the ColonClean app alongside traditional methods. After examination, endoscopists rated the preparation quality using the Aronchick scale. A data analysis was conducted using SPSS 25.0 to determine if there was a significant improvement in bowel preparation quality between the control group (traditional method) and the experimental group (traditional method plus the ColonClean app). Forty patients were recruited in each group. In the experimental group, all ratings were "fair", with 75% receiving an "excellent" or "good" rating, showing statistical significance ( = 0.016). The ColonClean app improves bowel preparation quality more effectively than traditional care instructions.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare12141374