Patient activation predicts bowel preparation quality

Patient activation predicts bowel preparation quality

(HealthDay)—Lower patient activation, but not limited health literacy, is an independent predictor of suboptimal colonoscopy bowel preparation quality, according to a study published in the March issue of Clinical Gastroenterology and Hepatology.

Marina Serper, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues examined the correlation between , patient activation, and quality of in a cohort of 462 adults (mean age, 62 years) who underwent outpatient colonoscopy. As part of a prospective study, participants had previously completed neurocognitive assessments. Information was collected on cecal intubation, polyp detection, bowel preparation quality, and histopathology.

The researchers found that one-third of patients (134) had suboptimal quality of bowel preparation, while 15 and 17 percent had fair and poor quality, respectively. Limited health literacy correlated with a lower level of education, diabetes, and several chronic conditions (all P < 0.001), but was not associated with colonoscopy preparation quality. Patient activation was not related to any baseline characteristics. After adjustment for demographics and clinical characteristics, independent predictors of suboptimal bowel preparation quality included diabetes (odds ratio [OR], 2.45; 95 percent confidence interval [CI], 1.14 to 5.25) and patient activation (OR, 2.12; 95 percent CI, 1.30 to 3.45), but not limited health literacy (OR, 0.76; 95 percent CI, 0.38 to 1.52).

"Low patient activation was a significant of colonoscopy bowel preparation quality, whereas health literacy was not," the authors write. "Interventions to improve quality should consider the importance of patient activation within their design."

More information: Abstract
Full Text (subscription or payment may be required)
Editorial

add to favorites email to friend print save as pdf

Related Stories

New smartphone application improves colonoscopy preparation

May 19, 2013

The use of a smartphone application significantly improves patients' preparation for a colonoscopy, according to new research presented today at Digestive Disease Week (DDW). The preparation process, which begins days in ...

Melanoma risk up in IBD independent of biologic therapy

Jan 31, 2014

(HealthDay)—Inflammatory bowel disease (IBD) is associated with an increased risk of melanoma, independent of the use of biologic therapy, according to research published in the February issue of Clinical Ga ...

Recommended for you

Syria hit by flesh-eating maggot disease

6 hours ago

Three cases of myiasis have been reported near Damascus, marking the first appearance of the flesh-eating maggot disease in Syria, UN health experts said Friday.

Sperm can carry Ebola for 82 days: WHO

8 hours ago

Sperm can carry the Ebola virus for at least 82 days, the World Health Organization said Friday, urging men recovering from the disease to use condoms for three months after the onset of symptoms.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.