0
Research Letter |

Failure of an Internet-Based Health Care Intervention for Colonoscopy Preparation: A Caveat for Investigators

Aarti Kakkar, MD1; Brian C. Jacobson, MD, MPH2
[+] Author Affiliations
1Hallmark Health Medical Associates, Boston, Massachusetts
2Section of Gastroenterology, Boston University Medical Center, Boston, Massachusetts
JAMA Intern Med. 2013;173(14):1374-1376. doi:10.1001/jamainternmed.2013.6477.
Text Size: A A A
Published online

Extract

Internet-based tools for health care delivery are proliferating. We examined the effectiveness of an online instructional video aimed at improving bowel preparation prior to colonoscopy. We hypothesized that an educational tool explaining the importance of preparation, the precolonoscopy diet, and how to administer the bowel purgative would lead to improved bowel preparation. However, what we learned during this randomized clinical trial of 2000 patients was that there may still be considerable limitations to reliance on the Internet for health care interventions.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment
Why not mail a video?
Posted on June 3, 2013
Marco D. Huesch
University of Southern California; Duke University
Conflict of Interest: None Declared
I understand the appeal of using the internet for (i) cheap surveillance (e.g. of trends, using social media microbloggers like Twitter), (ii) cheap recruitment (e.g. of human subject survey participants, e.g. ClearVoice Research, Amazon's Mechanical Turk) and (iii) cheap information provision (e.g. the present thought-provoking article)In theory, using the internet can reduce the marginal cost of education, perhaps even to zero. But mightn't a patient value a cheap instructional video as much or more? And be able to use it more easily?I'd be fascinated to see a follow-up study that tried the video approach and maybe also some behavioral economics approaches. Say, send the DVD for free, and offer patients a small cash reward if they return it at time of procedure?
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Adverse effects of colonoscopy are one of the main risks of CRC screening. Data from the UK trial...

brightcove.createExperiences();