Marina Serper|Andrew J. Gawron|Samuel G. Smith|Anjali A. Pandit|Allison R. Dahlke|Elizabeth A. Bojarski|Rajesh N. Keswani|Michael S. Wolf
Patient Factors That Affect Quality of Colonoscopy Preparation
Northwestern University|Northwestern University|University College London|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
background aimsoptimal colonoscopy preparation requires patients adhere written instructions activated complete task among patients chronic disease health literacy patient activation associated outcome factors studied colonoscopy examined association health literacy patient activation quality bowel preparationmethodswe analyzed outpatient colonoscopy results 462 adults 5574 years old mean 62 6 years previously completed extensive neurocognitive assessments part prospective study health literacy cognitive function older adults collected information cecal intubation polyp detection bowel preparation quality histopathologyresultsonethird patients n 134 suboptimal quality bowel preparation 15 n 62 fair quality 17 n 72 poor quality limited health literacy associated lower level education p 001 diabetes p 001 higher number chronic conditions p 001 quality colonoscopy preparation baseline characteristics associated patient activation multivariable analysis adjusting demographics clinical characteristics diabetes odds ratio 245 95 confidence interval ci 114525 patient activation 212 95 ci 130345 independent predictors suboptimal bowel preparation quality limited health literacy 076 95 ci 038152conclusionswe investigated relationship health literacy patient activation colonoscopy preparation quality lower patient activation independent predictor suboptimal bowel preparation quality interventions improve colonoscopy preparation quality consider importance patient activation within design optimal colonoscopy preparation requires patients adhere written instructions activated complete task among patients chronic disease health literacy patient activation associated outcome factors studied colonoscopy examined association health literacy patient activation quality bowel preparation analyzed outpatient colonoscopy results 462 adults 5574 years old mean 62 6 years previously completed extensive neurocognitive assessments part prospective study health literacy cognitive function older adults collected information cecal intubation polyp detection bowel preparation quality histopathology onethird patients n 134 suboptimal quality bowel preparation 15 n 62 fair quality 17 n 72 poor quality limited health literacy associated lower level education p 001 diabetes p 001 higher number chronic conditions p 001 quality colonoscopy preparation baseline characteristics associated patient activation multivariable analysis adjusting demographics clinical characteristics diabetes odds ratio 245 95 confidence interval ci 114525 patient activation 212 95 ci 130345 independent predictors suboptimal bowel preparation quality limited health literacy 076 95 ci 038152 investigated relationship health literacy patient activation colonoscopy preparation quality lower patient activation independent predictor suboptimal bowel preparation quality interventions improve colonoscopy preparation quality consider importance patient activation within design