Optimal Bowel Preparation in Geriatric Patients With a Instructional Animation Video Before Colonoscopy

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

RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-15

Study Completion Date

2025-10-01

Brief Summary

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Our study presents an innovative educational approach combining visual and auditory elements, targeting the specific needs of the geriatric population. Generally, before colonoscopy, participants are given a written instruction describing the standard bowel preparation with the use of laxatives and enemas. In our study, in addition to this written instruction, the investigators aimed to support the bowel preparation procedure with visual training by using an animated video. The use of animated video has the potential to present complex medical instructions in a simple and understandable format. This approach is especially designed for elderly participants who have limited literacy skills or have difficulty in following written instructions. In addition, it was aimed to reduce the anxiety of the participants before the colonoscopy procedure and to increase patient compliance.

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Detailed Description

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Colonoscopy is a critical screening method for early detection and prevention of colorectal cancer. However, the success of the procedure largely depends on the quality of bowel preparation. Inadequate bowel preparation may lead to repeated procedures, increased costs, potentially delayed diagnoses and associated poor prognosis. This problem is more prominent especially in the geriatric population over 60 years of age. With the animated video, the investigators aim to improve bowel cleansing before colonoscopy by providing visual and auditory training to participants and/or their carers. This project will both contribute to the improvement of colonoscopy preparation protocols for the geriatric population and potentially provide a model that can be adapted to other age groups.

Animation training video was created collaboratively by Mersin University Faculty of Medicine Department of General Surgery and Mersin University Graphic Arts Department.

The Boston Bowel Preparation Scale (BBPS) is a scoring system designed to assess bowel cleansing during colonoscopy. It provides a standardised, reliable measure to improve the quality and outcomes of colonoscopy procedures. While there are many different scales to measure bowel preparation, the BBPS was selected for use in the study as it is considered to be the most comprehensively validated bowel preparation scale. The BBPS is a 10-point scale that assesses bowel readiness. It assesses three segments of the colon (right, transverse and left) with scores ranging from 0 to 3 for each segment, leading to a total score of 0 to 9.

Using this scale, the investigators tried to determine whether there would be a difference in terms of bowel preparation between participants who watched an animated video and participants who were given standard instructions.

Conditions

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Bowel Preparation Before Colonoscopy Geriatric Patient Instructional Methods

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Animation video group

Patients will receive standard written instructions and will additionally watch an animated training video

Group Type EXPERIMENTAL

Animated Educational Video

Intervention Type OTHER

Both arms will receive standard care (written instructions), with the experimental arm receiving an additional animated video intervention.

Written Instructions

Intervention Type OTHER

Standard written instructions for bowel preparation before colonoscopy

Written instructions only (Standard care) group

Patients will only receive standardised written instructions

Group Type ACTIVE_COMPARATOR

Written Instructions

Intervention Type OTHER

Standard written instructions for bowel preparation before colonoscopy

Interventions

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Animated Educational Video

Both arms will receive standard care (written instructions), with the experimental arm receiving an additional animated video intervention.

Intervention Type OTHER

Written Instructions

Standard written instructions for bowel preparation before colonoscopy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 60 years of age or older
* Indication for colonoscopy
* Volunteering to participate in the study
* Preparing for colonoscopy for the first time
* No history of previous operations on the small intestine and colon
* No diagnosed bowel disease
* Language proficiency to watch the animation
* Full understanding of visual and auditory messages

Exclusion Criteria

* Previous colonoscopy experience
* History of previous small bowel and colon surgery
* Diagnosis of inflammatory bowel disease
* Presence of toxic colon and/or megacolon
* The presence of a mass in the intestine that does not allow colonoscopy to pass
* Unwillingness to participate in the study
* Lack of language proficiency
* Lack of ability to understand visual and auditory messages

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No