Investigating the Potential of Smart Phone Applications as a Means of Improving Colonoscopy Preparation Competency
Charles Rives, Shiva Poola, Hamza Khalid. Gastroenterology, East Carolina University, Greenville, North Carolina, United States
Purpose of Study Colonoscopy preparation (prep) profoundly effects the endoscopist's ability to thoroughly investigate and diagnose colonic disease and obtain pathology. Despite the importance of a good colonoscopy prep many patients (pts) continue to have fair to poor prep quality. Several studies have shown that smart phone applications (apps) can be a tool to improve prep quality but fail to address if this technology is widely available and feasible in the pt population undergoing colonoscopies. We have attempted to gain an understanding of what percent of our pt population have questions or confusion during the colonoscopy prep process and thus potentially benefit the most from a smart phone app and if providing a free smart phone app would be a tool potentially utilized by the patient to increase their understanding of the colonoscopy prep process and therefore increase colonoscopy prep quality. We hypothesize that greater than 50% of our patients own a smart phone and an app may augment instructions for a better colon prep.
Methods Used In a quantitative design 100 patients undergoing colonoscopy were surveyed with three questions: Do you own a smart phone? During your colonoscopy prep did you have any questions or confusion? Would you be willing to download a free smart phone app that would aid in the understanding of colonoscopy prep and answer common questions?
Summary of Results 100 pts were surveyed, 69 pts owned a smart phone and of those owning a smart phone 39 would be willing to download a smart phone app. Of the 15 pts that had confusion or questions during their colonoscopy prep. 7 pts had a smart phone and were willing to download an app.
Conclusions Based upon our results only 7% of our pts had confusion during their colonoscopy prep, owned a phone and would be willing to download a smart phone app. However, 39% of our pts that owned a phone responded they would download an app. which may result in improved colonoscopy prep competency and thus prep quality. The next step will be to provide a smart phone app. to our patients to determine if it makes a significant difference in the quality of prep or decreases confusion.
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