Effectiveness of using a patient education mobile application to improve the quality of bowel preparation: a randomised controlled trial.
Effectiveness of using a patient education mobile application to improve the quality of bowel preparation: a randomised controlled trial.
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DOI：
10.1136/bmjgast-2023-001107
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发表时间：
2023-06
影响因子：
3.1
通讯作者：
Dao, Long Van
中科院分区：
文献类型：
--
作者：
Dao, Hang Viet;Dao, Quan Viet;Lam, Hoa Ngoc;Hoang, Long Bao;Nguyen, Van Thi;Nguyen, Thuy Thi;Vu, Dat Quoc;Pokorny, Christopher S.;Nguyen, Hoa Lan;Allison, Jeroan;Goldberg, Robert Joel;Dao, An Thi Minh;Do, Toan Thanh Thi;Dao, Long Van
确定移动的应用程序（app）在改善结肠镜检查肠道准备质量方面的有效性。一项内镜盲法随机对照试验招募了在肠道准备当天接受结肠镜检查的患者。干预使用越南移动的应用程序，提供肠道准备的指导，而对照组的患者接受常规指导。结果包括波士顿肠道准备量表（BBPS），以评估肠道准备的质量和息肉检出率（PDR）和腺瘤检出率（ADR）。该研究招募了515名患者（干预组256名）。中位年龄为42岁，50.9%为女性，69.1%为高中及以上学历，45.2%来自城市地区。干预组患者对说明的依从性更高（60.9% vs 52.4%，p=0.05），服用泻药的时间更长（平均差异0.17小时，95% CI 0.06至0.27）。在总体（7.4% vs 7.7%;风险比0.96，95%CI 0.53 - 1.76）和亚组分析中，干预并没有降低肠道清洁不良（总BBPS<6）的风险。PDR和ADR在两组之间相似。提供正确肠道准备指导的移动的应用程序改善了肠道准备期间的实践，但没有改善肠道清洁或PDR的质量。
To determine the effectiveness of a mobile application (app) in improving the quality of bowel preparation for colonoscopy. An endoscopist-blinded randomised controlled trial enrolled patients who were undergoing a colonoscopy on the same day of bowel preparation. The intervention used a Vietnamese mobile app that provides instructions on bowel preparation while patients in the comparison group received conventional instructions. Outcomes included the Boston Bowel Preparation Scale (BBPS) to assess the quality of bowel preparation and the polyp detection rate (PDR) and adenoma detection rate (ADR). The study recruited 515 patients (256 in the intervention group). The median age was 42 years, 50.9% were females, 69.1% high school graduates and higher, and 45.2% from urban area. Patients in the intervention group had higher adherence to instructions (60.9% vs 52.4%, p=0.05) and longer length of taking laxatives (mean difference 0.17 hours, 95% CI 0.06 to 0.27). The intervention did not reduce the risk of poor bowel cleansing (total BBPS<6) in both overall (7.4% vs 7.7%; risk ratio 0.96, 95% CI 0.53 to 1.76) and subgroup analysis. PDR and ADR were similar between the two groups. The mobile app providing instructions on proper bowel preparation improved the practice during bowel preparation but did not improve the quality of bowel cleansing or PDR.
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DOI：
10.7861/futurehosp.6-1-s39
发表时间：
2019-03-01
期刊：
Future healthcare journal
影响因子：
--
作者：
Gardezi, Syed A;Tibbatts, Clare
通讯作者：
Tibbatts, Clare
影响因子：
9.8
作者：
Harewood, GC;Wright, CA;Baron, TH
通讯作者：
Baron, TH
DOI：
10.1056/nejmoa1100370
发表时间：
2012-02-23
期刊：
The New England journal of medicine
影响因子：
--
作者：
Zauber AG;Winawer SJ;O'Brien MJ;Lansdorp-Vogelaar I;van Ballegooijen M;Hankey BF;Shi W;Bond JH;Schapiro M;Panish JF;Stewart ET;Waye JD
通讯作者：
Waye JD
影响因子：
3.1
作者：
Harewood, Gavin C.;Chrysostomou, Kristia;Leong, Wai Ling
通讯作者：
Leong, Wai Ling
影响因子：
0.3
作者：
Hsu, Wei-Fan;Liang, Cheng-Chao;Chung, Chen-Shuan
通讯作者：
Chung, Chen-Shuan