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KMID : 1038120170500050479
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Clinical Endoscopy
2017 Volume.50 No. 5 p.479 ~ p.485
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The Impact of Patient Education with a Smartphone Application on the Quality of Bowel Preparation for Screening Colonoscopy
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Cho Jeong-Hyeon
Lee Seung-Hee
Shin Jung-A
Kim Jeong-Ho
Lee Hong-Sub
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Abstract
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Background/Aims: Few studies have evaluated the use of a smartphone application (app) for educating people undergoing colonoscopy and optimizing bowel preparation. Therefore, this study was designed to develop a smartphone app for people to use as a preparation guide and to evaluate the efficacy of this app when used prior to colonoscopy.
Methods: In total, 142 patients (male:female=84:58, mean age=43.5±9.3 years), who were scheduled to undergo a colonoscopy at Myongji Hospital, were enrolled in this study. Seventy-one patients were asked to use a smartphone app that we had recently developed to prepare for the colonoscopy, while the 71 patients of the sex and age-matched control group were educated via written and verbal instructions.
Results: The quality of bowel cleansing, evaluated using the Boston Bowel Preparation Scale, was significantly higher in the smartphone app group than in the control group (7.70±1.1 vs. 7.24±0.8, respectively, p=0.007 by t-test). No significant differences were found between the two groups regarding work-up time and the number of patients with polyps.
Conclusions: In this study, targeting young adults (≤50 years), the bowel preparation achieved by patients using the smartphone app showed significantly better quality than that of the control group.
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KEYWORD
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Colonoscopy, Enema, Mobile applications, Colonic neoplasms
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