Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:2072401.
doi: 10.1155/2016/2072401. Epub 2016 Feb 23.

Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study

Shashank Garg  1 , Mohit Girotra  1 , Lakshya Chandra  1 , Vipin Verma  1 , Sumanjit Kaur  1 , Allawy Allawy  1 , Alessandra Secco  1 , Rohit Anand  2 , Sudhir K Dutta  3
Affiliations

Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study

Shashank Garg et al. Diagn Ther Endosc. 2016.

Abstract

Background and Aim. Inadequate bowel preparation is a major impediment in colonoscopy quality outcomes. Aim of this study was to evaluate the role of multimedia education (MME) in improving bowel preparation quality and adenoma detection rate. Methods. This was an IRB-approved prospective randomized study that enrolled 111 adult patients undergoing outpatient screening or surveillance colonoscopy. After receiving standard colonoscopy instructions, the patients were randomized into MME group (n = 48) and control group (n = 46). The MME group received comprehensive multimedia education including an audio-visual program, a visual aid, and a brochure. Demographics, quality of bowel preparation, and colonoscopy findings were recorded. Results. MME group had a significantly better bowel preparation in the entire colon (OR 2.65, 95% CI 1.16-6.09) and on the right side of the colon (OR 2.74, 95% CI 1.12-6.71) as compared to control group (p < 0.05). Large polyps (>1 cm) were found more frequently in the MME group (11/31, 35.5% versus 0/13; p < 0.05). More polyps and adenomas were detected in MME group (57 versus 39 and 31 versus 13, resp.) but the difference failed to reach statistical significance. Conclusion. MME can lead to significant improvement in the quality of bowel preparation and large adenoma detection in a predominantly African-American population.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Visual aid.
Figure 2
Figure 2
See this image and copyright information in PMC

References

    1. Lieberman D. A., Rex D. K., Winawer S. J., Giardiello F. M., Johnson D. A., Levin T. R. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the us multi-society task force on colorectal cancer. Gastroenterology. 2012;143(3):844–857. doi: 10.1053/j.gastro.2012.06.001. - DOI - PubMed
    1. Winawer S. J., Zauber A. G., Ho M. N., et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. The New England Journal of Medicine. 1993;329:1977–1981. - PubMed
    1. Zauber A. G., Winawer S. J., O'Brien M. J., et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. The New England Journal of Medicine. 2012;366(8):687–696. doi: 10.1056/nejmoa1100370. - DOI - PMC - PubMed
    1. Brenner H., Chang-Claude J., Jansen L., Knebel P., Stock C., Hoffmeister M. Reduced risk of colorectal cancer up to 10 years after screening, surveillance, or diagnostic colonoscopy. Gastroenterology. 2014;146(3):709–717. doi: 10.1053/j.gastro.2013.09.001. - DOI - PubMed
    1. Lieberman D. A., Weiss D. G., Bond J. H., Ahnen D. J., Garewal H., Chejfec G. Use of colonoscopy to screen asymptomatic adults for colorectal cancer. Veterans Affairs Cooperative Study Group 380. The New England Journal of Medicine. 2000;343(3):162–168. doi: 10.1056/NEJM200007203430301. - DOI - PubMed

LinkOut - more resources