Video Education to Improve First Time Colonoscopy Outcomes

Video Education to Improve First Time Colonoscopy Outcomes: A Prospective Randomized Control Trial.

The investigators compare video education plus standard education versus standard education for bowel preparation before a colonoscopy. The primary outcome will be the quality of bowel preparation.

The investigators compare video education plus standard education versus standard education for bowel preparation before a colonoscopy and include a number of languages including English, Spanish, Russian, Haitian Creole, and Urdu. The educational content also includes psychological content based upon the Theory of Planned Behavior. The primary outcome will be the quality of bowel preparation, as measured by the Boston Bowel Preparation Scale (BBPS) score,

Inclusion Criteria: all outpatients aged 18 to 75 years scheduled for their first screening colonoscopy

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Exclusion Criteria: ● Contraindications for colonoscopy

• History of bowel surgery, particularly colorectal surgery
• Severe comorbid conditions (e.g., impaired hepatic, renal or bone marrow function, congestive heart failure, recent coronary artery disease)
• Chronic constipation (typically <3 bowel movements per week with hard stools, a feeling of incomplete evacuation, or abdominal discomfort) requiring the use of laxatives
• Pregnancy or lactation
• Prisoners
• Diagnosis of inflammatory bowel disease
• Inability to use video presentation devices (e.g., blindness)
• Active cancers.