Author, as appears in the article.: Tian X; Yi LJ; Han Y; Chen H; Liu XL; Chen WQ; Jiménez-Herrera MF
Department: Infermeria
URV's Author/s: Jiménez Herrera, María Francisca / Tian, Xu
Keywords: Text messaging Systematic review Randomized controlled trials as topic Preparation quality Patient instruction Network meta-analysis Mobile applications Humans Colonoscopy Bowel preparation video systematic review smartphone risk reeducation prevention patient instruction network meta-analysis improve quality impact educational booklet colorectal-cancer bowel preparation
Abstract: Background: Various enhanced patient instructions (EPIs) have been used for bowel preparation (BP) and our previous meta-analysis also demonstrated the efficacy of EPIs in increasing the colonic polyp and adenoma detection rates; however, the optimal method for adequate BP has not yet been developed. Objective: We performed a network meta-analysis to determine the optimal instructions. Methods: We searched for randomized controlled trials (RCTs) comparing the effectiveness of EPIs with each other or standard patient instructions (SPIs) for BP. We performed direct and Bayesian network meta-analyses for all instructions and used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) criteria to appraise the quality of evidence. Results: We included 23 RCTs (7969 patients) comparing 10 different instructions. In direct meta-analyses, most of the EPIs, except visual aids and mobile apps, increased the adequate preparation rate (APR). Network meta-analyses showed that additional explanations were superior to visual aids (odds ratio [OR] 0.35, 95% CI 0.19-0.59), telephone calls (OR 0.62, 95% CI 0.37-0.99), educational videos (OR 0.79, 95% CI 0.5-0.77), and mobile apps (OR 0.33, 95% CI 0.14-0.68) with low-to-high-quality evidence; newly designed booklets (OR 3.28, 95% CI 1.59-6.16), SMS text messaging (OR 2.33, 95% CI 1.28-3.91), telephone calls (OR 1.86, 95% CI 1.03-1.78), educational videos (OR 2.33, 95% CI 1.40-3.65), and social media applications (OR 2.42, 95% CI 1.4-3.93) were superior to visual aids and mobile apps with low-to-high-quality evidence. SMS text messaging, telephone calls, and social media applications increase adherence to and satisfaction with the BP regime. Social media applications reduce the risk of adverse events (AEs). Telephone calls and social media applications increase the polyp detection rate (PDR). Conclusions: Newly designed booklets, telephone calls, educational videos, and social media applications can improve the quality of BP. Telephone calls and social media applications improve adherence to and satisfaction with the BP regime, reduce the risk of AEs, and increase the PDR.
Thematic Areas: Saúde coletiva Odontología Medicina ii Medicina i Medical informatics Health informatics Health care sciences & services Engenharias iv Enfermagem Ciência da computação
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: xu.tian@estudiants.urv.cat maria.jimenez@urv.cat
Author identifier: 0000-0003-2599-3742
Record's date: 2024-07-27
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://www.jmir.org/2021/10/e19915
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Journal Of Medical Internet Research. 23 (10): e19915-
APA: Tian X; Yi LJ; Han Y; Chen H; Liu XL; Chen WQ; Jiménez-Herrera MF (2021). Comparative effectiveness of enhanced patient instructions for bowel preparation before colonoscopy: Network meta-analysis of 23 randomized controlled trials. Journal Of Medical Internet Research, 23(10), e19915-. DOI: 10.2196/19915
Article's DOI: 10.2196/19915
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV