Global Pediatric Health (Aug 2014)

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

  • Elizabeth Maxwell MD,
  • Marsha Simmons BS,
  • Linda Franklin LPN,
  • Janis Arnold LICSW,
  • Harpreet Pall MD

DOI
https://doi.org/10.1177/2333794x14548199
Journal volume & issue
Vol. 1

Abstract

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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.