Abstract
BackgroundAlthough several patient education materials on colonoscopy preparation exist, few studies have evaluated or compared them; hence, there is no professional consensus on recommended content or media to use.ObjectiveThis study aims to address this need by developing and evaluating a new video on colonoscopy preparation.MethodsWe developed a new video explaining split-dose bowel preparation for colonoscopy. Of similar content videos on the internet (n=20), the most favorably reviewed video among patient and physician advisers was used as the comparator for the study. A total of 232 individuals attending gastroenterology or urology clinics reviewed the new and comparator videos. The order of administration of the new and comparator videos was randomly counterbalanced to assess the impact of presentation order. Respondents rated each video on the following dimensions: information amount, clarity, trustworthiness, understandability, new or familiar information, reassurance, information learned, understanding from the patient’s point of view, appeal, and the likelihood of recommending the video to others.ResultsOverall, 71.6% (166/232) of the participants preferred the new video, 25.0% (58/232) preferred the comparator video, and 3.4% (8/232) were not sure. Furthermore, 64.0% (71/111) of those who viewed the new video first preferred it, whereas 77.7% (94/121) of the participants who viewed the new video second preferred it. Multivariable logistic regression analysis also demonstrated that participants were more likely to prefer the new video if they had viewed it second. Participants who preferred the new video rated it as clearer and more trustworthy than those who preferred the comparator video.ConclusionsThis study developed and assessed the strengths of a newly developed colonoscopy educational video.
Highlights
The lifetime risk of developing colorectal cancer is 4.5% among men and 4.2% among women in the United States [1]
We have developed a new colonoscopy educational video based on the reported needs of patients and health care providers and demonstrated patients’ preference for this new resource as compared with a high-quality video
We have developed an approach to evaluate and compare different educational materials, which yielded a preference for the new educational video
Summary
Background The lifetime risk of developing colorectal cancer is 4.5% among men and 4.2% among women in the United States [1]. Colonoscopy is essential as the first-line colorectal cancer screening test, to follow up on the positive results of other initial colorectal cancer screening tests, for surveillance of those with colorectal http://humanfactors.jmir.org/2020/4/e15353/ XSLFO RenderX. Poor preparation can lead to increased duration and repetition of the colonoscopy [3], which, in addition to recipient inconvenience and worse health care outcomes, leads to increased costs [4]. Educational materials such as videos can improve bowel preparation and may reduce the need for repeat colonoscopy [5,6]. Several patient education materials on colonoscopy preparation exist, few studies have evaluated or compared them; there is no professional consensus on recommended content or media to use
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