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

This study has been completed.
Sponsor:
Collaborator:
Krames Staywell Corporation
Information provided by (Responsible Party):
Ellen Stein, MD, Johns Hopkins University
ClinicalTrials.gov Identifier:
NCT01648504
First received: July 17, 2012
Last updated: March 26, 2014
Last verified: March 2014

July 17, 2012
March 26, 2014
June 2012
September 2013   (final data collection date for primary outcome measure)
Completion rate of colonoscopy procedure [ Time Frame: 1 day ] [ Designated as safety issue: No ]
Could the colonoscopy be completed in its entirety on the date scheduled?
Same as current
Complete list of historical versions of study NCT01648504 on ClinicalTrials.gov Archive Site
  • preparation quality [ Time Frame: one day ] [ Designated as safety issue: No ]
    What was the quality of preparation as measured on the day of colonoscopy, preferably by the Boston Bowel Preparation score.
  • adenoma detection rate by provider [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Measurement of adenoma detection rate by provider for study patients.
  • Patient satisfaction [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    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.
Same as current
Feasibility of intervention in practice [ Time Frame: 1 year ] [ Designated as safety issue: No ]
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?
Same as current
 
Johns Hopkins Interactive eGuide to Colonoscopy and Ipad Office Education to Improve Colonoscopy
Integration of an Electronic Education System Into Colonoscopy: Improving Education, Consent and Compliance of Patients at Colonoscopy With an Ipad-based Secure Video Intervention

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.

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.

Interventional
Not Provided
Intervention Model: Single Group Assignment
Masking: Open Label
  • Colon Cancer Screening
  • Colon Cancer Surveillance
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.
Other Name: Educational intervention with eGuide to colonoscopy
Experimental: Intervention with eGuide to colonoscopy
The investigators will prospectively enroll and follow patients who receive the eGuide to Colonoscopy and determine benefit and satisfaction with the intervention as part of a pilot study.
Intervention: Other: eGuide to Colonoscopy and in office ipad education
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
40
September 2013
September 2013   (final data collection date for primary outcome measure)

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
Both
18 Years to 90 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01648504
NA_00070166
No
Ellen Stein, MD, Johns Hopkins University
Johns Hopkins University
Krames Staywell Corporation
Principal Investigator: Ellen M Stein, MD Johns Hopkins University
Johns Hopkins University
March 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP