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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Colon Cancer Screening, Colon Cancer Surveillance

Intervention / Treatment
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* Other: eGuide to Colonoscopy and in office ipad education


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention with eGuide to colonoscopy<br>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. | Other: eGuide to Colonoscopy and in office ipad education<br>* 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.<br>* Other names: Educational intervention with eGuide to colonoscopy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion rate of colonoscopy procedure | Could the colonoscopy be completed in its entirety on the date scheduled? | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| preparation quality | What was the quality of preparation as measured on the day of colonoscopy, preferably by the Boston Bowel Preparation score. | one day | 
| adenoma detection rate by provider | Measurement of adenoma detection rate by provider for study patients. | 6 months | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Colonoscopy, Screening colonoscopy, Electronic education, Ipad, Patient education