IDDF2019-ABS-0204 The impact of intensive patient educational programme on quality of bowel preparation for colonoscopy: a randomised control trial

Abstract

Background Optimal bowel preparation prior to colonoscopy leads to good quality of visualisation. However, achieving high-quality bowel preparation is often difficult. The main aim was to evaluate the impact of the intensive patient educational programme on the quality of bowel preparation. The secondary endpoint was to assess the patient‘s compliance, acceptability, and tolerability towards the preparation regimen apart from identifying factors associated with good quality bowel preparation. Methods We performed an assessor-blinded, randomised, controlled trial in an outpatient surgical clinic of a tertiary referral center. Patients were randomly assigned to a control group with standard written and verbal instructions or to an intervention group, where patients received an intensive, structured and comprehensive education programme. The randomisation allocation was concealed in an opaque envelope. All subjects were required to complete a questionnaire as to assess their compliance, acceptability and tolerability towards bowel preparation. Pearson chi-square and multivariable logistics regression were used in statistical analysis. secondary endpoint Results Three hundred and twelve patients were randomised, but only 300 patients were included in the analysis. Patients‘ characteristics of both groups were similar. The proportion of good bowel preparation quality in the interventional group was significantly higher than the control group (98.7% versus 52.3%, p Conclusions Patient educational programme is effective in optimizing the quality of bowel preparation for colonoscopy.