An Automated Text Message Navigation Program Improves the Show Rate for Outpatient Colonoscopy

Autor/inn/en	Mahmud, Nadim; Doshi, Sahil D.; Coniglio, Mary S.; Clermont, Michelle; Bernard, Donna; Reitz, Catherine; Khungar, Vandana; Asch, David A.; Mehta, Shivan J.
Titel	An Automated Text Message Navigation Program Improves the Show Rate for Outpatient Colonoscopy
Quelle	In: Health Education & Behavior, 46 (2019) 6, S.942-946 (5 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Mahmud, Nadim)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198119869964
Schlagwörter	Patient Education; Information Dissemination; Computer Mediated Communication; Navigation (Information Systems); Compliance (Psychology); Screening Tests; Cancer; Intervention; Comorbidity; Satisfaction; Outcomes of Treatment + Suchen Sie Ihr Suchwort? Informationsverbreitung; Computerkonferenz; Screening-Verfahren; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Zufriedenheit
Abstract	Background: Numerous barriers to outpatient colonoscopy completion exist, causing undue procedure cancellations and poor bowel preparation. We piloted a text message navigation program to improve colonoscopy adherence. Method: We conducted a prospective study of patients aged 18 to 75 years scheduled for outpatient colonoscopy at an urban endoscopy center in April 2018. An intervention arm consisting of bidirectional, automated text messages prior to the procedure was compared with a usual care arm. We enrolled 21 intervention patients by phone and randomly selected 50 controls. Outcomes included colonoscopy appointment adherence, bowel preparation quality, and colonoscopy completion. Results: The arms had similar demographics and comorbidities. Intervention patients had higher colonoscopy appointment adherence (90% vs. 62%, p = 0.049). There were no significant differences in preparation quality or procedure completeness. Poststudy surveys indicated high patient satisfaction and perceived usefulness of the program. Conclusion: A bidirectional, automated texting navigation program improved colonoscopy adherence rates as compared with usual care. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01