Texting to Improve Colonoscopy Preparation and Adherence Needs More Study
Mené sur 753 personnes devant bénéficier en ambulatoire d'une coloscopie, cet essai évalue, du point de vue de la qualité de la préparation colique, l'intérêt d'ajouter aux instructions habituelles (instructions écrites et appel téléphonique par infirmière) une série de textos automatisés de rappel ou de nature pédagogique
This study by Mahmud and colleagues describes results of their randomized clinical trial to determine whether a text message intervention could reduce colonoscopy nonattendance and improve bowel preparation quality. Among 753 patients in Philadelphia, Pennsylvania, undergoing outpatient colonoscopy, the intervention failed to improve appointment adherence as well as bowel preparation quality compared with usual care. Overall, 195 of 387 patients (53.1%) receiving the intervention texts and 210 of 386 patients (54.4%) in the usual care control group kept their appointment with either good or excellent bowel preparation. Furthermore, no significant differences were found in any secondary outcomes, such as individual components of appointment adherence, bowel preparation quality, colonoscopy reschedule rates, and cancellation lead time.
JAMA Network Open , éditorial en libre accès, 2020