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Ow TW, Sukocheva O, Peter B, Iyngkaran G, Rayner C, Tse E
Improving Concordance Between Clinicians With Australian Guidelines for Bowel Cancer Prevention Using a Digital Application: Randomized Controlled Crossover Study
Warning: This is an author submission that is not peer-reviewed or edited.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.
Improving adherence to Australian guidelines for bowel cancer prevention with a digital application: a randomised controlled crossover questionnaire
Tsai-Wing Ow;
Olga Sukocheva;
Bampton Peter;
Guru Iyngkaran;
Chris Rayner;
Edmund Tse
ABSTRACT
Background:
Australia’s revised bowel cancer screening and surveillance guidelines are more personalised but at the cost of increasing complexity. Improving adherence to guidelines should ideally result in both clinical and economic benefits. Digital applications may provide a cheap and readily scalable solution but are untested in this area.
Objective:
To determine if a digital application can enhance clinician adherence to colorectal polyp surveillance guidelines.
Methods:
We designed a clinical vignette quiz for a randomised controlled crossover study to compare the effectiveness of a digital application to standard resources in determining screening and surveillance decisions. We also tested the usability of the digital application with a Systems Usability Scale.
Results:
The digital application increased the number of guideline-concordant recommendations by a rate ratio of 1.4 (14/18 vs 10/18, p < 0.001). The median usability score of the digital application ranked amongst the top 4th percentile of tested systems and showed moderate correlation with participant ability to determine guideline-concordant recommendations.
Conclusions:
A digital application can substantially improve the adoption of complex Australian bowel cancer prevention guidelines. Clinical Trial: Trial registration was not performed as the study does not meet ICMJE criteria for a clinical trial. Specifically, the outcomes measured are not human health outcomes.
Citation
Please cite as:
Ow TW, Sukocheva O, Peter B, Iyngkaran G, Rayner C, Tse E
Improving Concordance Between Clinicians With Australian Guidelines for Bowel Cancer Prevention Using a Digital Application: Randomized Controlled Crossover Study
