Accepted for/Published in: JMIR Pediatrics and Parenting
Date Submitted: Feb 9, 2020
Date Accepted: Jun 7, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The Impact of a Novel Smartphone Application on the Quality of Pediatric Colonoscopy Preparations
ABSTRACT
Background:
Smartphone apps have been successfully used to help adults prepare for colonoscopies. No study to date has investigated the affect of a smartphone app on pediatric colonoscopy prep.
Objective:
We developed an app that guides patients through colonoscopy prep.
Methods:
46 patients aged 5-18 received either written or software-based prep instructions. Prep quality, number of calls to the gastroenterology service and patient arrival time were recorded. A questionnaire was given to patients.
Results:
App users had higher mean Boston scores versus controls (7.2 vs. 5.9, P = 0.02). 15/20 (75%) of app users’ and 9/22 (41%) written users had preps categorized as “excellent.” We found no significant differences in knowledge about the procedure (50% vs. 36%, P = 0.37), phone calls to GI clinic (6 vs. 2, P = 0.27), or arrival times at the endoscopy suite (44 min vs. 46 min, P = 0.56).
Conclusions:
Smartphone application use was associated with increased number of “excellent” colonoscopy preps. Larger studies will further evaluate the effects of such an app on bowel prep.
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