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This randomized control trial evaluated data with WhatsApp based patient education, improves bowel preparation quality compared with standard in person counseling among patients undergoing elective colonoscopy.
This randomized control trial assists the effectiveness of whatsapp based education in improving or enhancing bowel preparation prior to colonoscopy. Adults' patients scheduled for elective colonoscopy were randomized into 2 groups. The Interventional group receives structured bowel preparation instructions through WhatsApp in the form of short video in reminders. While the control group received routine in person verbal counseling. The primary outcome was bowel preparation quality, measured using the Boston bowel preparation scale at the time of colonoscopy. Secondary outcomes include patient satisfaction compliance with the bowel preparation instructions and reduction in procedure related anxiety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Whatsapp education group | Experimental | Participants receive structured bowel preparation education through WhatsApp in the form of video messages and reminders. |
|
| Standard counseling group/ Control group | Other | Control group: Participants received Routinely in person verbal counseling regarding the bowel preparation as per standard institutional Practices. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard bowel preparation instructions | Behavioral | Participants will receive structured bowel preparation instructions delivered via WhatsApp, including text messages, educational videos, and reminder messages for 3 days prior to colonoscopy, with opportunity for real-time question and answer support. |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of bowel preparation assessed using Boston Bowel Preparation Scale | The quality of bowel preparation will be assessed during colonoscopy using the Boston Bowel Preparation Scale (BBPS), which scores bowel cleanliness from 0 to 9. | At time of colonoscopy procedure (Day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to bowel preparation instructions assessed using self-reported adherence questionnaire | Patient adherence to bowel preparation instructions will be assessed using a custom self-reported questionnaire evaluating compliance with dietary restrictions, laxative use, and hydration. | On day of colonoscopy before procedure (Day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction assessed using Likert-scale questionnaire | Patient satisfaction with the educational method will be assessed using a Likert-scale based questionnaire. | On day of colonoscopy before procedure (Day 0) |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shaukat Khanam Memorial Cancer Hospital & Research Centre Peshawar | Peshawar | KPK | 25100 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35764027 | Result | Lam TYT, Wu PI, Tang RSY, Tse YK, Lau JYW, Wu JCY, Sung JJY. Nurse-led reinforced education by mobile messenger improves the quality of bowel preparation of colonoscopy in a population-based colorectal cancer screening program: A randomized controlled trial. Int J Nurs Stud. 2022 Sep;133:104301. doi: 10.1016/j.ijnurstu.2022.104301. Epub 2022 May 30. |
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|
| Standard bowel preparation instructions | Other | Participants will receive routine written and verbal bowel preparation instructions as per institutional protocol |
|
| Polyethylene glycol with senna | Drug | All participants will receive bowel preparation using polyethylene glycol solution combined with senna tablets as per institutional protocol prior to colonoscopy. |
|
| ID | Term |
|---|---|
| D011092 | Polyethylene Glycols |
| D000081226 | Sennosides |
| ID | Term |
|---|---|
| D005026 | Ethylene Glycols |
| D006018 | Glycols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D011108 | Polymers |
| D046911 | Macromolecular Substances |
| D001697 | Biomedical and Dental Materials |
| D008420 | Manufactured Materials |
| D013676 | Technology, Industry, and Agriculture |
| D012676 | Senna Extract |
| D000880 | Anthraquinones |
| D000095322 | Anthrones |
| D000873 | Anthracenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D011809 | Quinones |
| D011083 | Polycyclic Compounds |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D010936 | Plant Extracts |
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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