Effective communication in healthcare is critical for improving patient outcomes, particularly in enhancing health literacy and enabling informed decision-making. Traditional informed consent for colonoscopy often fails to clearly explain the procedure, risks, and preparation requirements, leading to inadequate bowel preparation, longer procedures, and missed lesions. Standard educational materials like videos and written instructions are often impersonal, lack cultural inclusivity, and fail to engage patients effectively. Emerging tools, such as the multilingual, visually enhanced Meine Behandlung video series from Visikon®, aim to improve patient comprehension and adherence. This study seeks to compare the effectiveness of these animated videos against traditional consent methods in enhancing patient understanding and adherence, particularly for complex procedures like colonoscopy, which is crucial for diagnosing and preventing colorectal cancer.
18 years or older
Scheduled for a routine outpatient colonoscopy procedure
Capable of understanding communication in German and willing to participate in the study
Patients with cognitive impairments
Those unwilling to participate
Parallel
Animated Video Group 1
BehavioralThe animated video intervention provides a clear and engaging multimedia explanation of the colonoscopy procedure in multiple languages. It includes visual aids to help explain the process, preparation instructions, risks, and expected outcomes, aiming to improve patient comprehension and adherence.
Bowel Preperation
The objective of assessing the primary endpoint the patient's bowel cleanliness, will be measured during the routine colonoscopy, using the Boston Bowel Preperation Scale. The Boston Bowel Preparation Scale (BBPS) is a validated tool used to assess the cleanliness of the colon during a colonoscopy, Each of the three segments of the colon (right, transverse, and left) is assigned a score ranging from 0 to 3, with the following criteria: Total Score 0: The entire colon is unprepared, and no mucosa is visible. Total Score 1-3: Poor preparation, significant portions of the mucosa are not visible. Total Score 4-6: Fair preparation, with some portions of the mucosa visible but others obscured. Total Score 7-9: Good to excellent preparation, with most or all mucosa well visualized. Interpretation Scores of 0-3: Generally considered inadequate for proper assessment and diagnosis, likely requiring repeat preparation and examination. Scores of 4-6: Indicative of suboptimal preparation
Patient Health Literacy & Communication Satisfaction
The secondary outcome seeks to assess the patient's health literacy and general communication satisfaction. This will be done by assessing their answers to the Health Literacy Questionnaire.
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Prof. Dr. Jörg Leuppi
Lead sponsor
Cantonal Hosptal, Baselland
Sponsor institution
This trial is not recruiting at the moment. You can still explore other options:
