A Theory-based Educational Pamphlet With Low-residue Diet Improves Colonoscopy Attendance and Bowel Preparation Quality.

Journal of Clinical Gastroenterology
Valerie GausmanPeter S Liang

Abstract

Patients who "no-show" for colonoscopy or present with poor bowel preparation waste endoscopic resources and do not receive adequate examinations for colorectal cancer (CRC) screening. Using the Health Belief Model, we modified an existing patient education pamphlet and evaluated its effect on nonattendance rates and bowel preparation quality. We implemented a color patient education pamphlet to target individual perceptions about CRC and changed bowel preparation instructions to include a low-residue diet instead of the previous clear liquid diet. We compared the nonattendance rate over a 2-month period before and after the introduction of the pamphlet, allowing for a washout period during which pamphlet use was inconsistent. We compared the Boston Bowel Preparation Scale (BBPS) in 100 consecutive patients who underwent colonoscopy during each of the 2 periods. Baseline characteristics between the 2 groups were similar, although patients who received the pamphlet were younger (P=0.03). The nonattendance rate was significantly lower in patients who received the pamphlet (13% vs. 21%, P=0.01). The percentage of patients with adequate bowel preparation increased from 82% to 86% after introduction of the pamphlet, although this wa...Continue Reading

References

Jan 1, 1988·Health Education Quarterly·I M RosenstockM H Becker
Apr 22, 2004·Endoscopy·L A AdamsG M Forbes
Aug 4, 2004·The Journal of Ambulatory Care Management·William H RogersR Graeme Fincke
Sep 30, 2006·Digestive Diseases and Sciences·Suryakanth R GuruduJonathan A Leighton
Feb 29, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Elina S KazarianThomas D Denberg
Jan 13, 2009·Gastrointestinal Endoscopy·Edwin J LaiBrian C Jacobson
Apr 13, 2011·The American Journal of Gastroenterology·Brennan M R SpiegelHartley Cohen
Mar 22, 2013·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Bjorn P BergBrian T Denton
Sep 21, 2013·The New England Journal of Medicine·Reiko NishiharaAndrew T Chan
Oct 8, 2014·The American Journal of Gastroenterology
Nov 12, 2014·Frontiers in Public Health·Fabrizio StracciGrazia Grazzini
Jan 18, 2015·Gastrointestinal Endoscopy·UNKNOWN ASGE Standards of Practice CommitteeRuben D Acosta
Aug 26, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Melissa R PartinDavid B Nelson
Oct 21, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Peter S Liang, Jason A Dominitz
Dec 3, 2015·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Eve KalayjianLorraine C Mion
Apr 27, 2016·The American Journal of Gastroenterology·Nalinee SrisarajivakulAdam Goodman
May 21, 2016·Cancer·Djenaba A JosephMarjolein van Ballegooijen
Jul 6, 2016·The American Journal of Gastroenterology·Mark W ReidBrennan M R Spiegel
Aug 2, 2016·Canadian Journal of Gastroenterology & Hepatology·Deepti Chopra, Lawrence C Hookey
Jun 3, 2017·Southern Medical Journal·Danny J AvalosFernando J Castro
Jan 10, 2018·CA: a Cancer Journal for Clinicians·Rebecca L SiegelAhmedin Jemal

❮ Previous
Next ❯

Software Mentioned

R

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.