Trial reportClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2021
Smartphone Application to Reinforce Education Increases High-Quality Preparation for Colorectal Cancer Screening Colonoscopies in a Randomized Trial.
Trial report in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of Improvement of Colonoscopy Preparation by Using a SPA
Effect of Enhanced Interactive Text Messages and Phone Instruction on the Quality of Bowel Preparation for Colonoscopy: a Randomised Controlled Trial.
GastroBot: a New Artificial Intelligence-developed Software Bot to Improve Bowel Preparation and Colonoscopy Quality
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of bowel preparation innovative technology instructions (BPITIs) on clinical outcomes among patients undergoing colonoscopy: a systematic review and meta-analysis.Scientific reports · 2023Pooled it
- Use of an AI Image Recognition-Based Smartphone App in Personalized Bowel Preparation Before Colonoscopy: Prospective Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- Educating Outpatients for Bowel Preparation Before Colonoscopy Using Conventional Methods vs Virtual Reality Videos Plus Conventional Methods: A Randomized Clinical Trial.JAMA network open · 2021Trial
- Effects of a Personalized Smartphone App on Bowel Preparation Quality: Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Feasibility of a Stool State Check App Using AI During Bowel Preparation Before Colonoscopy: Multicenter Prospective Study (SCAN Study).JMIR mHealth and uHealth · 2026Observational
- Korean clinical practice guidelines for bowel preparation before colonoscopy.Clinical endoscopy · 2026Review
- Patient-reported outcomes and measures applied in individuals undergoing colonoscopy surveillance for colorectal cancer: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Clinical outcomes of bowel preparation education strategies in colonoscopy: An evidence map of systematic reviews.Medicine · 2025Article
- Leveraging Multi-Sectoral Partnership for Colorectal Cancer Education and Screening in the African American Community: A Protocol and Preliminary Results.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- The epidemiological study of family-based Helicobacter pylori screening and its benefits: a cross-sectional study.Scientific reports · 2025Article
- Derivation and validation of a prediction model for inadequate bowel preparation in Chinese outpatients.Scientific reports · 2025Observational
- Using a Mobile Health App (ColonClean) to Enhance the Effectiveness of Bowel Preparation: Development and Usability Study.JMIR human factors · 2025Article
- Effectiveness of a Mobile Health Application for Educating Outpatients about Bowel Preparation.Healthcare (Basel, Switzerland) · 2024Article
- A smartphone application to enhance bowel preparation for first-time colonoscopy: a randomized controlled study.Frontiers in medicine · 2024Article
- Article
- Impact of WeChat guidance on bowel preparation for colonoscopy: a quasi-experiment study.Scientific reports · 2023Article
- A Novel Text Message Protocol to Improve Bowel Preparation for Outpatient Colonoscopies in Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022Article
- Real-word evaluation of differences in bowel preparation for colonoscopy between the digestive and the non-digestive physicians: A retrospective study.Frontiers in gastroenterology (Lausanne, Switzerland) · 2022Article
- Colonoscopy Bowel Preparation-Is There an App for That?Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021Article
- Review
Corrections and comments
- Commented on by
- Commented on by
- Erratum issuedCorrection.2022
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND &
aimsSufficient bowel preparation is crucial for successful screening and surveillance colonoscopy. However, rates of inadequate preparation are still high. We investigated the effects of reinforced patient education using a smartphone application software (APP) for colonoscopy preparation in participants in a CRC screening program.
methodsWe performed a prospective, endoscopist-blinded study of 500 patients undergoing split-dose bowel preparation for CRC screening or surveillance colonoscopies at multiple centers in Germany, from November 2017 through January 2019. Participants (n = 500) were given oral and written instructions during their initial appointment and then randomly assigned (1:1) to groups that received reinforced education starting 3 days before the colonoscopy (APP group) or no further education (controls). The primary outcome was quality of bowel preparation according to the Boston bowel preparation scale. Secondary outcomes included polyp and adenoma detection rates, compliance with low-fiber diet, split-dose laxative intake, perceived discomfort from the preparation procedure.
resultsThe mean Boston bowel preparation scale score was significantly higher in the APP-group (7.6 ± 0.1) than in the control group (6.7 ± 0.1) (P < .0001). The percentage of patients with insufficient bowel preparation was significantly lower in the APP group (8%) than in the control group (17%) (P = .0023). The adenoma detection rate was significantly higher in the APP group (35% vs 27% in controls) (P = .0324). Use of the APP was accompanied by a lower level of non-compliance with correct laxative intake (P =.0080) and diet instructions (P = .0089). The APP group reported a lower level of discomfort during preparation (P < .0001).
conclusionsIn a randomized trial, reinforcing patient education with a smartphone application optimized bowel preparation in the 3 days before colonoscopy, increasing bowel cleanliness, adenoma detection, and compliance in patients undergoing CRC screening or surveillance. ClinicalTrials.gov no: NCT03290157.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.