Impact of a Novel Patient Educational Booklet on Colonoscopy Quality

NCT ID: NCT00975247

Last Updated: 2014-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2012-09-30

Brief Summary

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Background: Achievement of colonoscopy outcomes depends on high-quality bowel preparation by patients; yet inadequate preparation is common.

Objective: To develop and test an educational booklet to improve bowel preparation quality.

Design: "Before-and-after" study followed by randomized controlled trial.

Setting: Veteran Affairs medical center.

Patients: Patients undergoing outpatient colonoscopy

Measurements: The investigators first performed cognitive interviews to identify knowledge and belief barriers to high-quality colonoscopy preparation. The investigators then created a patient educational booklet addressing patient barriers to improve preparatory behaviors. The investigators tested the booklet in 2 sequential studies: (1) controlled "before-and-after" study in patients undergoing colonoscopy during 2 consecutive months: 1 without and 1 with the booklet; (2) randomized controlled trial. The outcome in both studies was bowel preparation quality measured on a 6-point Likert scale (\>5="good"). In each study the investigators compared the proportion achieving a "good" preparation between groups and performed logistic regression to measure the effect of the booklet on preparation quality while adjusting for the purgative received.

Limitations: Unknown impact on polyp yield and cancer reduction.

Detailed Description

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Conditions

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Colon Cancer Colonoscopy

Keywords

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Quality Improvement Colonoscopy Screening Colon Cancer Polyp detection rates Colonoscopy completion rates Scope Withdrawal time Reduce costs through improving bowel prep quality

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Received Booklet

Patients who have received colonoscopy preparation booklet

Group Type ACTIVE_COMPARATOR

Receiving an educational booklet

Intervention Type OTHER

Patients who receive an educational booklet will be considered to be receiving an intervention

Did not receive booklet

Patients who did not receive colonoscopy preparation booklet

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Receiving an educational booklet

Patients who receive an educational booklet will be considered to be receiving an intervention

Intervention Type OTHER

Other Intervention Names

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Quality improvement

Eligibility Criteria

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Inclusion Criteria

* Any patient scheduled to undergo outpatient colonoscopic CRC screening or surveillance in VAGLA

Exclusion Criteria

* In patient admissions
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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VA Greater Los Angeles Healthcare System

FED

Sponsor Role lead

Responsible Party

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Brennan Spiegel

Associate Professor of Medicine in Residence

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Brennan MR Spiegel, MD, MSHS

Role: PRINCIPAL_INVESTIGATOR

VA Greater Los Angeles Healthcare System

Locations

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West Los Angeles VA Healthcare Center

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Spiegel BM, Talley J, Shekelle P, Agarwal N, Snyder B, Bolus R, Kurzbard N, Chan M, Ho A, Kaneshiro M, Cordasco K, Cohen H. Development and validation of a novel patient educational booklet to enhance colonoscopy preparation. Am J Gastroenterol. 2011 May;106(5):875-83. doi: 10.1038/ajg.2011.75. Epub 2011 Apr 12.

Reference Type DERIVED
PMID: 21483463 (View on PubMed)

Other Identifiers

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Project Number 0013

Identifier Type: -

Identifier Source: secondary_id

IIR 08-310

Identifier Type: -

Identifier Source: org_study_id