1. A novel strategy for improving bowel preparation based on social software‐enhanced education: A prospective, multicenter, randomized controlled study.
- Author
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Yang, Xin, Xiao, Yufeng, Zhao, Zhifeng, Yu, Shuang, Liu, En, Xiao, Xiao, Ning, Shoubin, Zheng, Suyun, Gong, Yanan, Zhou, Lei, Liu, Weijia, Lin, Hui, Ji, Rui, Zhang, Heng, Bai, Jianying, and Yang, Shiming
- Subjects
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SOCIALIZATION , *EDUCATION software , *SOCIAL processes , *POLYPS , *CONTROL groups - Abstract
Background and Aim: The compliance and timeliness of oral laxatives have always been the key factors restricting bowel preparation (BP). We have constructed a novel enhanced‐educational content and process based on social software (SS) for BP to optimize these issues. Methods: A multicenter, prospective, randomized controlled study was conducted at 13 hospitals in China from December 2019 to December 2020. A total of 1774 enrollees received standard instructions for BP and were randomly assigned (1:1) to the SS group (SSG) that received a smartphone‐based enhanced‐education strategy starting 4 h before colonoscopy or the control group (CG). Results: A total of 3034 consecutive outpatient colonoscopy patients were assessed for eligibility, and 1774 were enrolled and randomly assigned. Ultimately, data from 1747 (SSG vs CG: 875 vs 872) enrollees were collected. The BP adequacy rate was 92.22% (95% CI: 90.46–93.98) in the SSG vs 88.05% (95% CI: 85.91–90.18) in the CG (P = 0.005), and the total Boston Bowel Preparation Scale scores (6.89 ± 1.15 vs 6.67 ± 1.15, P < 0.001) of those in the SSG were significantly higher than those in the CG. The average number of polyps detected in the SSG was considerably higher than that in the CG (0.84 ± 2.00 vs 0.53 ± 1.19, P = 0.037), and the average diameter of the polyps was significantly lower than that of the control group (4.0 ± 2.5 vs 4.9 ± 3.7, P < 0.001). Conclusions: This SS‐enhanced education strategy can improve the BP adequacy rate and increase the average number of polyps detected, especially those of small diameter. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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