Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure

Background The most important predictor of unsuccessful bowel preparation is previous failure. For those patients with previous failure, we hypothesized that a nurse-led educational intervention by telephone shortly before the colonoscopy appointment could improve cleansing efficacy. Methods We perf...

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Authors: Álvarez-González, Marco Antonio, Pantaleón Sánchez, Miguel Ángel|||0000-0002-8909-7464, Bernad Cabredo, Belén, García-Rodríguez, Ana, Frago Larramona, Santiago, Nogales, Oscar, Díez Redondo, Pilar, Puig del Castillo, Ignasi, Romero Mascarell, Cristina|||0000-0003-0791-3163, Caballero, Noemí, Romero Sánchez-Miguel, Iván, Pérez Berbegal, Rocío, Hernández Negrín, Domingo, Bujedo Sadornill, Gema, Pérez Oltra, Alicia, Casals Urquiza, Gemma, Amorós Martínez, Jaume, Seoane Urgorri, Agustín, Ibáñez Zafón, Inés Ana, Gimeno-García, Antonio Z.
Format: article
Publication Date:2020
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:233524
Online Access:https://ddd.uab.cat/record/233524
https://dx.doi.org/urn:doi:10.1055/a-1178-9844
Access Level:Open access
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spelling Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failurea multicenter randomized trialÁlvarez-González, Marco AntonioPantaleón Sánchez, Miguel Ángel|||0000-0002-8909-7464Bernad Cabredo, BelénGarcía-Rodríguez, AnaFrago Larramona, SantiagoNogales, OscarDíez Redondo, PilarPuig del Castillo, IgnasiRomero Mascarell, Cristina|||0000-0003-0791-3163Caballero, NoemíRomero Sánchez-Miguel, IvánPérez Berbegal, RocíoHernández Negrín, DomingoBujedo Sadornill, GemaPérez Oltra, AliciaCasals Urquiza, GemmaAmorós Martínez, JaumeSeoane Urgorri, AgustínIbáñez Zafón, Inés AnaGimeno-García, Antonio Z.Background The most important predictor of unsuccessful bowel preparation is previous failure. For those patients with previous failure, we hypothesized that a nurse-led educational intervention by telephone shortly before the colonoscopy appointment could improve cleansing efficacy. Methods We performed a multicenter, endoscopist-blinded, randomized controlled trial. Consecutive outpatients with previous inadequate bowel preparation were enrolled. Both groups received the same standard bowel preparation protocol. The intervention group also received reinforced education by telephone within 48 hours before the colonoscopy. The primary outcome was effective bowel preparation according to the Boston Bowel Preparation Scale. Intention-to-treat (ITT) analysis included all randomized patients. Per-protocol analysis included patients who could be contacted by telephone and the control cases. Results 657 participants were recruited by 11 Spanish hospitals. In the ITT analysis, there was no significant difference between the intervention and control groups in the rate of successful bowel preparation (77.3 % vs. 72 %; P = 0.12). In the intervention group, 267 patients (82.9 %) were contacted by telephone. Per-protocol analysis revealed significantly improved bowel preparation in the intervention group (83.5 % vs. 72.0 %; P = 0.001). Conclusion Among all patients with previous inadequate bowel preparation, nurse-led telephone education did not result in a significant improvement in bowel cleansing. However, in the 83 % of patients who could be contacted, bowel preparation was substantially improved. Phone education may therefore be a useful tool for improving the quality of bowel preparation in those cases. 22020-01-0120202020-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/233524https://dx.doi.org/urn:doi:10.1055/a-1178-9844reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2335242026-06-06T12:50:31Z
dc.title.none.fl_str_mv Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
a multicenter randomized trial
title Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
spellingShingle Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
Álvarez-González, Marco Antonio
title_short Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
title_full Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
title_fullStr Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
title_full_unstemmed Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
title_sort Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure
dc.creator.none.fl_str_mv Álvarez-González, Marco Antonio
Pantaleón Sánchez, Miguel Ángel|||0000-0002-8909-7464
Bernad Cabredo, Belén
García-Rodríguez, Ana
Frago Larramona, Santiago
Nogales, Oscar
Díez Redondo, Pilar
Puig del Castillo, Ignasi
Romero Mascarell, Cristina|||0000-0003-0791-3163
Caballero, Noemí
Romero Sánchez-Miguel, Iván
Pérez Berbegal, Rocío
Hernández Negrín, Domingo
Bujedo Sadornill, Gema
Pérez Oltra, Alicia
Casals Urquiza, Gemma
Amorós Martínez, Jaume
Seoane Urgorri, Agustín
Ibáñez Zafón, Inés Ana
Gimeno-García, Antonio Z.
author Álvarez-González, Marco Antonio
author_facet Álvarez-González, Marco Antonio
Pantaleón Sánchez, Miguel Ángel|||0000-0002-8909-7464
Bernad Cabredo, Belén
García-Rodríguez, Ana
Frago Larramona, Santiago
Nogales, Oscar
Díez Redondo, Pilar
Puig del Castillo, Ignasi
Romero Mascarell, Cristina|||0000-0003-0791-3163
Caballero, Noemí
Romero Sánchez-Miguel, Iván
Pérez Berbegal, Rocío
Hernández Negrín, Domingo
Bujedo Sadornill, Gema
Pérez Oltra, Alicia
Casals Urquiza, Gemma
Amorós Martínez, Jaume
Seoane Urgorri, Agustín
Ibáñez Zafón, Inés Ana
Gimeno-García, Antonio Z.
author_role author
author2 Pantaleón Sánchez, Miguel Ángel|||0000-0002-8909-7464
Bernad Cabredo, Belén
García-Rodríguez, Ana
Frago Larramona, Santiago
Nogales, Oscar
Díez Redondo, Pilar
Puig del Castillo, Ignasi
Romero Mascarell, Cristina|||0000-0003-0791-3163
Caballero, Noemí
Romero Sánchez-Miguel, Iván
Pérez Berbegal, Rocío
Hernández Negrín, Domingo
Bujedo Sadornill, Gema
Pérez Oltra, Alicia
Casals Urquiza, Gemma
Amorós Martínez, Jaume
Seoane Urgorri, Agustín
Ibáñez Zafón, Inés Ana
Gimeno-García, Antonio Z.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
description Background The most important predictor of unsuccessful bowel preparation is previous failure. For those patients with previous failure, we hypothesized that a nurse-led educational intervention by telephone shortly before the colonoscopy appointment could improve cleansing efficacy. Methods We performed a multicenter, endoscopist-blinded, randomized controlled trial. Consecutive outpatients with previous inadequate bowel preparation were enrolled. Both groups received the same standard bowel preparation protocol. The intervention group also received reinforced education by telephone within 48 hours before the colonoscopy. The primary outcome was effective bowel preparation according to the Boston Bowel Preparation Scale. Intention-to-treat (ITT) analysis included all randomized patients. Per-protocol analysis included patients who could be contacted by telephone and the control cases. Results 657 participants were recruited by 11 Spanish hospitals. In the ITT analysis, there was no significant difference between the intervention and control groups in the rate of successful bowel preparation (77.3 % vs. 72 %; P = 0.12). In the intervention group, 267 patients (82.9 %) were contacted by telephone. Per-protocol analysis revealed significantly improved bowel preparation in the intervention group (83.5 % vs. 72.0 %; P = 0.001). Conclusion Among all patients with previous inadequate bowel preparation, nurse-led telephone education did not result in a significant improvement in bowel cleansing. However, in the 83 % of patients who could be contacted, bowel preparation was substantially improved. Phone education may therefore be a useful tool for improving the quality of bowel preparation in those cases.
publishDate 2020
dc.date.none.fl_str_mv 2
2020-01-01
2020
2020-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/233524
https://dx.doi.org/urn:doi:10.1055/a-1178-9844
url https://ddd.uab.cat/record/233524
https://dx.doi.org/urn:doi:10.1055/a-1178-9844
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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