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OpenTrials
Completed

NCT Number: NCT04590105

The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations

The investigators developed a smartphone app that guides pediatric patients and their families through colonoscopy prep in an attempt to see if an app could improve the colonoscopy process.

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Key information

About this study

The investigators created a smartphone app designed for pediatric patients and their families that informs patients about their colonoscopy procedure, alerts them when to take their medications throughout the hours-long colonoscopy prep process and tells them when to arrive to the endoscopy suite. The investigators designed a study to determine if this app will yield improved colonoscopy cleanouts, better patient understanding of the procedure, fewer calls to the GI service and more punctual arrival times to the endoscopy suite compared to patients who receive written instructions that do not actively interact with the patient before, during or after their colonoscopy prep.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 5-18 years scheduled to undergo a diagnostic and/or therapeutic colonoscopy

Exclusion criteria

  • Patients who had undergone a colonoscopy within the past one year
  • Patients admitted for a nasogastric (NG) cleanout
  • Patients requiring colonoscopy preparation medication other than Polyethylene Glycol
  • Patients with poor understanding of English.

Treatment and study plan

Smartphone App "SB Colonoscopy Prep"

Device

We created a smartphone app that informs patients about their colonoscopy procedure, alerts them when to take their medications throughout the hours-long colonoscopy prep process and tells them when to arrive to the endoscopy suite.

Written Instruction

Other

Written Instruction

Primary outcomes

  1. Smartphone application use was associated with increased number of "excellent" colonoscopy preps.

    Time frame: Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects. Subjects were scored on their colonoscopies immediately following the procedure once the patient was stable

    Prep quality was measured with the validated Boston Scoring Scale. A score of 0, 1, 2 or 3 is given to the right, transverse and left colon based on the amount and consistency of stool visualized as well as the ease or difficulty of guiding endoscopic instrumentation during a colonoscopy. Higher scores indicate a cleaner colon and as per Lai, a Boston Score of 7 or above indicates an "excellent" prep. To eliminate bias, the four grading gastroenterologists did not know whether subjects had used written or app instructions.

Secondary outcomes

  1. The difference in the number of calls to the gastroenterology service between app users and controls.

    Time frame: Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects

    Calls to the GI service were recorded by the GI staff.

  2. The difference between app users and controls regarding patient arrival time.

    Time frame: Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects

    Patient arrival time was taken from the patients arrival time in the endoscopy suite.

  3. The significant difference between app users and controls regarding patient knowledge about the procedure.

    Time frame: Each subject was assessed from the time they were scheduled for their colonoscopy to the day of their procedure, up to three months for subjects

    A questionnaire with validated questions determined whether subjects improvement their knowledge before and after receiving colonoscopy information.

Sponsors and collaborators

Lead sponsor

Stony Brook University

Other

Registry information

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Oct 19, 2020
Registry last updated
Oct 19, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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