Cargando…

The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial

BACKGROUND: Smartphone apps have been successfully used to help adults prepare for colonoscopies. However, no study to date has investigated the effect of a smartphone app on pediatric colonoscopy preparation. OBJECTIVE: The aim of this study is to determine if an app (SB Colonoscopy Prep) designed...

Descripción completa

Detalles Bibliográficos
Autores principales: Brief, James, Chawla, Anupama, Lerner, Diana, Vitola, Bernadette, Woroniecki, Robert, Morganstern, Jeffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685924/
https://www.ncbi.nlm.nih.gov/pubmed/33170131
http://dx.doi.org/10.2196/18174
_version_ 1783613261117128704
author Brief, James
Chawla, Anupama
Lerner, Diana
Vitola, Bernadette
Woroniecki, Robert
Morganstern, Jeffrey
author_facet Brief, James
Chawla, Anupama
Lerner, Diana
Vitola, Bernadette
Woroniecki, Robert
Morganstern, Jeffrey
author_sort Brief, James
collection PubMed
description BACKGROUND: Smartphone apps have been successfully used to help adults prepare for colonoscopies. However, no study to date has investigated the effect of a smartphone app on pediatric colonoscopy preparation. OBJECTIVE: The aim of this study is to determine if an app (SB Colonoscopy Prep) designed to educate and guide patients through their colonoscopy preparation will yield benefits over paper-based instructions and information. METHODS: In total, 46 patients aged 5-18 years received either app-based or written material with instructions on how to take their prep medications as well as information about the colonoscopy procedure. Prep quality, the number of calls to the gastroenterology service, and patient arrival time were recorded. After the procedure, a questionnaire was given to each patient through which they graded their knowledge of the procedure both before and after receiving the app or written material. RESULTS: App users had higher mean Boston scores versus control subjects receiving written instructions (7.2 vs 5.9, P=.02), indicating better colonoscopy preps. In total, 75% (15/20) of app users and 41% (9/22) of written instruction users had preps categorized as “excellent” on the Boston scale. We found no significant differences in knowledge about the procedure (app users: 10/20 [50%], written instruction users 8/22 [36%]; P=.37), phone calls to the gastroenterology clinic (n=6 vs n=2; P=.27), or arrival times at the endoscopy suite (44 min vs 46 min before the scheduled procedure time; P=.56). CONCLUSIONS: Smartphone app use was associated with an increased number of colonoscopy preps classified as “excellent” on the Boston scale. There was no significant difference between app users and the control group regarding the number of calls to the gastroenterology clinic, patient arrival time, or patient knowledge about the procedure. TRIAL REGISTRATION: ClinicalTrials.gov NCT04590105; https://clinicaltrials.gov/ct2/show/NCT04590105
format Online
Article
Text
id pubmed-7685924
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-76859242020-11-27 The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial Brief, James Chawla, Anupama Lerner, Diana Vitola, Bernadette Woroniecki, Robert Morganstern, Jeffrey JMIR Pediatr Parent Original Paper BACKGROUND: Smartphone apps have been successfully used to help adults prepare for colonoscopies. However, no study to date has investigated the effect of a smartphone app on pediatric colonoscopy preparation. OBJECTIVE: The aim of this study is to determine if an app (SB Colonoscopy Prep) designed to educate and guide patients through their colonoscopy preparation will yield benefits over paper-based instructions and information. METHODS: In total, 46 patients aged 5-18 years received either app-based or written material with instructions on how to take their prep medications as well as information about the colonoscopy procedure. Prep quality, the number of calls to the gastroenterology service, and patient arrival time were recorded. After the procedure, a questionnaire was given to each patient through which they graded their knowledge of the procedure both before and after receiving the app or written material. RESULTS: App users had higher mean Boston scores versus control subjects receiving written instructions (7.2 vs 5.9, P=.02), indicating better colonoscopy preps. In total, 75% (15/20) of app users and 41% (9/22) of written instruction users had preps categorized as “excellent” on the Boston scale. We found no significant differences in knowledge about the procedure (app users: 10/20 [50%], written instruction users 8/22 [36%]; P=.37), phone calls to the gastroenterology clinic (n=6 vs n=2; P=.27), or arrival times at the endoscopy suite (44 min vs 46 min before the scheduled procedure time; P=.56). CONCLUSIONS: Smartphone app use was associated with an increased number of colonoscopy preps classified as “excellent” on the Boston scale. There was no significant difference between app users and the control group regarding the number of calls to the gastroenterology clinic, patient arrival time, or patient knowledge about the procedure. TRIAL REGISTRATION: ClinicalTrials.gov NCT04590105; https://clinicaltrials.gov/ct2/show/NCT04590105 JMIR Publications 2020-11-10 /pmc/articles/PMC7685924/ /pubmed/33170131 http://dx.doi.org/10.2196/18174 Text en ©James Brief, Anupama Chawla, Diana Lerner, Bernadette Vitola, Robert Woroniecki, Jeffrey Morganstern. Originally published in JMIR Pediatrics and Parenting (http://pediatrics.jmir.org), 10.11.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Pediatrics and Parenting, is properly cited. The complete bibliographic information, a link to the original publication on http://pediatrics.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Brief, James
Chawla, Anupama
Lerner, Diana
Vitola, Bernadette
Woroniecki, Robert
Morganstern, Jeffrey
The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial
title The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial
title_full The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial
title_fullStr The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial
title_full_unstemmed The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial
title_short The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations: Randomized Controlled Trial
title_sort impact of a smartphone app on the quality of pediatric colonoscopy preparations: randomized controlled trial
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685924/
https://www.ncbi.nlm.nih.gov/pubmed/33170131
http://dx.doi.org/10.2196/18174
work_keys_str_mv AT briefjames theimpactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT chawlaanupama theimpactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT lernerdiana theimpactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT vitolabernadette theimpactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT woronieckirobert theimpactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT morgansternjeffrey theimpactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT briefjames impactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT chawlaanupama impactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT lernerdiana impactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT vitolabernadette impactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT woronieckirobert impactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial
AT morgansternjeffrey impactofasmartphoneapponthequalityofpediatriccolonoscopypreparationsrandomizedcontrolledtrial