Clinical trial · Interventional
Effect of Counseling and Education on Mechanical Bowel Preparation
Efficacy of Enhanced Focused Education and Counseling on Adequacy of Mechanical Bowel Preparation Among High-Risk Patients: A Randomized Clinical Trial
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The goal of this clinical trial is to learn whether enhanced education and counseling can improve bowel preparation before colonoscopy in high-risk patients. The main questions it aims to answer are: Does enhanced education lead to better bowel cleansing as measured by the Boston Bowel Preparation Scale (BBPS)? Does it improve patient satisfaction, compliance with instructions, and procedure efficiency? Researchers will compare an enhanced education program (including counseling, video, booklet, and mobile app) to standard written instructions typically given before colonoscopy. Participants will: Be randomly assigned to either the enhanced education group or the standard instruction group Undergo routine colonoscopy after following the assigned preparation method Complete short questionnaires about their experience, satisfaction, and willingness to repeat the process This study is being done at two hospitals in Palestine.
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Colonoscopy | — | UNRESOLVED | — |
| Colorectal Cancer Screening | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Enhanced Education Package for Bowel Preparation | Behavioral | — | UNRESOLVED |
| Standard Education Leaflet | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Enhanced Education Group
- description
- Participants in this group received enhanced bowel preparation education. The intervention included: Face-to-face counseling by trained staff about the importance of bowel prep and how to follow instructions; A 6-minute instructional video explaining dietary restrictions, purgative usage, and procedure timeline; A printed booklet with illustrated step-by-step instructions; and Access to a smartphone app with automated reminders, preparation tracking, and guidance. All participants used the same bowel cleansing agent (polyethylene glycol-based preparation).
- interventionNames
- Behavioral: Enhanced Education Package for Bowel Preparation
- Other: Standard Education Leaflet
- type
- ACTIVE_COMPARATOR
- label
- Standard Education Group
- description
- Participants in this group received standard bowel preparation instructions in the form of a hospital-issued informational leaflet. This leaflet included basic written instructions about dietary restrictions, timing and method of laxative use, and preparation day logistics. No counseling, video, or app-based support was provided. The same bowel cleansing agent was used in both arms.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: Age 18 years or older Undergoing elective colonoscopy Considered high-risk for inadequate bowel preparation, including at least one of the following: Prior abdominal or pelvic surgery Chronic constipation (fewer than 3 bowel movements per week) Use of constipating medications (e.g., opioids, tricyclic antidepressants, calcium channel blockers) Age \>65 years Multiple comorbidities (e.g., diabetes, neurologic disorders affecting motility) \---------------------------------------------------- Exclusion Criteria: Known allergy or intolerance to bowel preparation agents Pregnancy Severe comorbidities (e.g., decompensated liver disease, severe heart failure) Cognitive impairment or illiteracy preventing understanding of instructions Emergency colonoscopy or known obstructive colorectal disease
References
Publications (1)
- DERIVEDHattab M, Shakhshir M, Khalil C, Mletat R, Rabi R, Yassin R, Hejaz M, Hajhamad MM. Multimodal patient education improves bowel preparation for colonoscopy: a randomized controlled trial. BMC Gastroenterol. 2025 Dec 18;26(1):54. doi: 10.1186/s12876-025-04569-5. PMID 41413490