Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study. (23rd February 2016)

• Record Type: Journal Article
• Authors: Garg, Shashank; Girotra, Mohit; Chandra, Lakshya; Verma, Vipin; Kaur, Sumanjit; Allawy, Allawy; Secco, Alessandra; Anand, Rohit; Dutta, Sudhir K.
• Other Names: O'Dwyer Patrick J. Academic Editor.
• Is Part Of: Diagnostic and therapeutic endoscopy. Volume 2016(2016)
• Publication Date: 2016-02-23
• Subjects: Endoscopy -- Periodicals; Endoscopie; Endoscopy; Endoscopy -- Periodicals; Electronic journals; Periodicals; 616.07545
• DOI: 10.1155/2016/2072401
• Languages: English
• ISSNs: 1070-3608

Abstract

Abstract : Background and Aim . Inadequate bowel preparation is a major impediment in colonoscopy quality outcomes. Aim of this study was to evaluate the role of multimedia education (MME) in improving bowel preparation quality and adenoma detection rate. Methods . This was an IRB-approved prospective randomized study that enrolled 111 adult patients undergoing outpatient screening or surveillance colonoscopy. After receiving standard colonoscopy instructions, the patients were randomized into MME group (n = 48 ) and control group (n = 46 ). The MME group received comprehensive multimedia education including an audio-visual program, a visual aid, and a brochure. Demographics, quality of bowel preparation, and colonoscopy findings were recorded. Results . MME group had a significantly better bowel preparation in the entire colon (OR 2.65, 95% CI 1.16–6.09) and on the right side of the colon (OR 2.74, 95% CI 1.12–6.71) as compared to control group (p < 0.05 ). Large polyps (>1 cm) were found more frequently in the MME group (11/31, 35.5% versus 0/13;p < 0.05 ). More polyps and adenomas were detected in MME group (57 versus 39 and 31 versus 13, resp.) but the difference failed to reach statistical significance. Conclusion . MME can lead to significant improvement in the quality of bowel preparation and large adenoma detection in a predominantly African-American population.