Impact of Educational Cartoon on Pediatric Bowel Preparation Quality at Time of Colonoscopy

Glob Pediatr Health. 2014 Aug 12:1:2333794X14548199. doi: 10.1177/2333794X14548199. eCollection 2014.

Abstract

Objective: To evaluate if addition of educational cartoon to pediatric bowel preparation instructions improves the quality of bowel preparation and patient experience.

Methods: Patients were randomized to control group receiving standard bowel preparation instructions or intervention group receiving additional educational cartoon. To objectively rate bowel preparation, a blinded endoscopist completed numeric Ottawa score (0-14, with 0 being best). The family also completed a questionnaire rating the bowel preparation process.

Results: Data from 23 patients were analyzed. Mean Ottawa score in the intervention group compared with controls was not significantly different (mean scores 3.73 and 3.33, respectively; P = .384). Level of education was significantly correlated with better Ottawa score in the overall population (ρ = -.462, P = .026) and within the control group (ρ = -.658, P = .02). Both groups of patients reported positive experience with bowel preparation.

Conclusion: There may be benefit to further investigation of this educational cartoon in parents with less than college level education or non-English-speaking families in larger population of patients.

Keywords: bowel preparation; colonoscopy; patient education; pediatrics.