Johns Hopkins Interactive eGuide to Colonoscopy and Ipad Office Education to Improve Colonoscopy

Colon Cancer Screening Clinical Trial

Official title:

Integration of an Electronic Education System Into Colonoscopy: Improving Education, Consent and Compliance of Patients at Colonoscopy With an Ipad-based Secure Video Intervention

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01648504
• Other study ID #: NA_00070166
• Status: Completed
• Phase: N/A
• First received: July 17, 2012
• Last updated: March 26, 2014
• Start date: June 2012
• Est. completion date: September 2013

Study information

• Verified date: March 2014
• Source: Johns Hopkins University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The investigators will attempt to improve the patient experience before colonoscopy. The investigators will provide an in-office ipad video series and an electronic web guide to help patients learn all the best ways to prepare for colonoscopy. The investigators will then follow the patients who receive this eGuide to colonoscopy and observe whether or not they enjoyed the additional access to information from their providers, and will monitor whether or not they were better prepared for their colonoscopy.

Description:

This study would assess the ability of an e-intervention in patient education and instructions during peri-procedure and procedural day visits to improve the experience of gastroenterology procedures. This study would seek to show that through this alternative educational measure, there would be an increased show rate to colonoscopy appointments, an increased preparation quality, and an increase in patient understanding and satisfaction with the colonoscopy procedure. The investigators will attempt to track procedure completion rate and polyp detection rate for individual providers.

The e-intervention would be multimodal. In the pre-procedure setting, ipad would be able to provide a viewpoint for the video education, a template for the patients (or caregivers) to send themselves links to appropriate instructions to remind them of their obligations by secure email. This e-intervention would supplement traditional printed and website accessible instructions.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: September 2013
• Est. primary completion date: September 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years to 90 Years

Eligibility

Inclusion Criteria:

• Undergoing Colonoscopy at Johns Hopkins

• Ages 18 to 90

• Access to email (themselves or designee)

• Access to internet outside of physician visit

Exclusion Criteria:

• Unable to consent

• Unwilling to participate

• Unable to care for themselves

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label

Related Conditions & MeSH terms

• Colon Cancer Screening
• Colon Cancer Surveillance

Intervention

Other:
• eGuide to Colonoscopy and in office ipad education
The investigators will follow patients who receive in office Ipad video education and at home web portal access to the Johns Hopkins eGuide to Colonoscopy.

Locations

Country	Name	City	State
United States	Johns Hopkins University	Baltimore	Maryland

Sponsors (2)

Lead Sponsor	Collaborator
Johns Hopkins University	Krames Staywell Corporation

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Feasibility of intervention in practice	What is the feasibility of the intervention? Could providers and patients navigate the eGuide? Was theft a problem with having Ipads in the office space? Was the home webportal of the eGuide able to be accessed by patients receiving information in the office?	1 year	No
Primary	Completion rate of colonoscopy procedure	Could the colonoscopy be completed in its entirety on the date scheduled?	1 day	No
Secondary	preparation quality	What was the quality of preparation as measured on the day of colonoscopy, preferably by the Boston Bowel Preparation score.	one day	No
Secondary	adenoma detection rate by provider	Measurement of adenoma detection rate by provider for study patients.	6 months	No
Secondary	Patient satisfaction	An individual patient satisfaction survey will be provided to patients via the eGuide to Colonoscopy web-portal and will assess their enjoyment and understanding. A patient satisfaction survey is employed by the division to random patients over a three month period. We will assess both of these to determine patient satisfaction with the study intervention.	3 months	No

External Links

•   Johns Hopkins University Division of Gastroenterology