Evidence map›Paper›PMID 40866593›Full record

Trial reportSurgical endoscopy2025

Mobile app-based bowel preparation training: effects on compliance, quality, and anxiety in colonoscopy patients-a randomized controlled trial.

Kübra Şengör, Metin Keskin, Nuray Akyüz

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05973266 (The Effect of Mobile Application-Based Bowel Preparation Training on the Patient's Bowel Preparation Compliance, Quality and Anxiety Level in Patients for Whom Colonoscopy is Planned), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05973266 naunknown statusnot on this map

The Effect of Mobile Application-Based Bowel Preparation Training on the Patient's Bowel Preparation Compliance, Quality and Anxiety Level in Patients for Whom Colonoscopy is Planned

TypeinterventionalSponsorKubra SengorRan2021 to 2023Enrolled160ConditionsColon Disease, Colon CancerArmsMobile Application-Based Bowel Preparation Training
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Colonoscopy with Attention, Reliability and Excellence-The CARE Project.Journal of medical education and curricular development
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kübra ŞengörDepartment of Surgical Nursing, Faculty of Health Sciences, Kütahya Health Sciences University, Germiyan Campus, Kütahya, Turkey. kubra.sengor@ksbu.edu.tr.ORCID http://orcid.org/0000-0003-2031-1482
Metin KeskinDepartment of Surgical Medical Sciences, Istanbul Faculty of Medicine, İstanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5390-2185
Nuray AkyüzDepartment of Surgical Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1552-4136

Funding

Türkiye Bilimsel ve Teknolojik Araştırma Kurumu 123S345
6 · The paper itself

Abstract

backgroundEffective bowel preparation is essential for successful colonoscopy, allowing for optimal mucosal visualization and polyp detection. While standard educational materials are commonly used, mobile health technologies offer potential for improving patient adherence and preparation quality.

methodsThis study aimed to evaluate the impact of mobile application-based bowel preparation training on bowel preparation compliance, quality, and anxiety levels in patients scheduled for colonoscopy. This prospective, single-blind, randomized controlled trial included 160 adult outpatients scheduled for elective colonoscopy. Patients were randomly assigned to either a mobile application-based education group (n = 80) or a control group receiving standard verbal and written instructions (n = 80). All patients received the same purgative regimen. The primary outcome was bowel preparation quality assessed by the Boston Bowel Preparation Scale (BBPS). Secondary outcomes included compliance with dietary and preparation protocols and pre-procedural anxiety measured by the State-Trait Anxiety Inventory (STAI). The mobile application was developed using the ADDIE instructional design model.

resultsAdequate bowel preparation (BBPS ≥ 6) was achieved in 94.9% of the mobile app group versus 83.8% of the control group (p = 0.022). Segmental BBPS scores for the right, transverse, and left colon were significantly higher in the intervention group (p < 0.01 for all). Compliance with the clear liquid diet (p = 0.002) and overall adherence (96% vs. 90%, p = 0.005) were also significantly better in the app group. Patients in the intervention group reported fewer difficulties with preparation (p = 0.009). No significant difference was observed in state anxiety scores between groups (p > 0.05).

conclusionsMobile application-based bowel preparation education significantly improved bowel cleansing quality and patient compliance compared to standard methods. The findings support the integration of mobile health tools into pre-procedural patient education to enhance colonoscopy outcomes. CLINICAL TRIAL NUMBER: NCT05973266.

Indexed as

AnxietyCatharticsColonoscopyMobile ApplicationsPatient CompliancePatient Education as TopicPreoperative CareAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesSingle-Blind MethodCatharticsBowel preparationColonoscopyComplianceMobile applicationPatient education

Identifiers

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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.