This randomized control trial evaluated data with WhatsApp based patient education, improves bowel preparation quality compared with standard in person counseling among patients undergoing elective colonoscopy.
This randomized control trial assists the effectiveness of whatsapp based education in improving or enhancing bowel preparation prior to colonoscopy. Adults' patients scheduled for elective colonoscopy were randomized into 2 groups. The Interventional group receives structured bowel preparation instructions through WhatsApp in the form of short video in reminders. While the control group received routine in person verbal counseling. The primary outcome was bowel preparation quality, measured using the Boston bowel preparation scale at the time of colonoscopy. Secondary outcomes include patient satisfaction compliance with the bowel preparation instructions and reduction in procedure related anxiety.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
110
Participants will receive structured bowel preparation instructions delivered via WhatsApp, including text messages, educational videos, and reminder messages for 3 days prior to colonoscopy, with opportunity for real-time question and answer support.
Participants will receive routine written and verbal bowel preparation instructions as per institutional protocol
All participants will receive bowel preparation using polyethylene glycol solution combined with senna tablets as per institutional protocol prior to colonoscopy.
Shaukat Khanam Memorial Cancer Hospital & Research Centre Peshawar
Peshawar, KPK, Pakistan
Quality of bowel preparation assessed using Boston Bowel Preparation Scale
The quality of bowel preparation will be assessed during colonoscopy using the Boston Bowel Preparation Scale (BBPS), which scores bowel cleanliness from 0 to 9.
Time frame: At time of colonoscopy procedure (Day 0)
Adherence to bowel preparation instructions assessed using self-reported adherence questionnaire
Patient adherence to bowel preparation instructions will be assessed using a custom self-reported questionnaire evaluating compliance with dietary restrictions, laxative use, and hydration.
Time frame: On day of colonoscopy before procedure (Day 0)
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