Endoscopy 2018; 50(04): S87
DOI: 10.1055/s-0038-1637287
ESGE Days 2018 oral presentations
21.04.2018 – Colon cleansing
Georg Thieme Verlag KG Stuttgart · New York

DOES THE TELEPHONE-BASED REPEATED EDUCATION IMPROVE THE BOWEL PREPARATION QUALITY?

ES Kim
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
SJ Choi
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
G Min
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
W Kim
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
JM Lee
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
SH Kim
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
JM Lee
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
HS Choi
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
B Keum
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
YT Jeen
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
HJ Chun
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
HS Lee
1   Korea University Anam Hospital, Seoul, Korea, Republic of
,
CD Kim
1   Korea University Anam Hospital, Seoul, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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Aims:

High quality bowel preparation is essential for successful colonoscopy. Bowel preparation quality depends on patient adherence to the preparation instructions. Especially, dietary restrictions and administration method of preparation solution are important. This study aimed to assess the impact of reinforced education for preparation instruction by telephone.

Methods:

A prospective, endoscopist-blinded, randomized, controlled study was conducted during from July to September 2016. Patients were divided into three groups; Group A: control, Group B: Reinforced education via reminders by telephone 1 day call before colonoscopy and Group C: Reinforced education via reminders by telephone 1 and 3 days calls before colonoscopy. Before the procedure, all patients received standard bowel preparation instructions. Then telephone re-education groups were instructed as follows: 1) diet control, 2) the importance of adequate bowel preparation, 3) adequate timing and method of consuming the preparation solution. The primary outcome was the quality of the bowel preparation according to the Boston Bowel Preparation Scale (BBPS) and Aronchick score. The secondary outcomes included compliance of instruction and satisfaction of patients.

Results:

A total of 150 patients were included. Total BBPS score was significantly higher in the 1 and 3 days calls before reinforced education groups than in the control group. Also, the Aronchick score showed higher in the reinforced education groups. According to the compliance, Group C showed better tolerance in diet compared with others. Patient satisfaction was higher according to re-education by telephone.

Conclusions:

This study demonstrates that a telephone based, repeated education can improve colonoscopy preparation. Remind calls were associated with the quality of bowel preparation. Especially, 1 and 3 days remind calls increased the proportion of ‘adequate’ quality of bowel preparation due to the diet control.