EP642 - Educational Video For Colonoscopy: Impact On Patient Anxiety, Understanding And Satisfaction

Monday, May 12, 2025

8:16 AM – 8:21 AM PT

Location: Monitor 6, Sails Pavilion, Upper Level

ePoster Presenter(s)

Koby Herman, MD

Research Fellow
Ochsner Medical Center
New Orleans, LA, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Author(s)

CW

Charles Whitlow, MD

Surgeon
Ochsner Medical Center
New Orleans, Louisiana, United States

Disclosure information not submitted.
BK

Brian R. Kann, MD

Chair, Dept of Colon & Rectal Surgery
Ochsner Medical Center
University of Queensland/Ochsner Clinical School
New Orleans, Louisiana, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no relevant relationships with ineligible companies.
W. Forrest Johnston, MD

Ochsner Health
University of Queensland
New Orleans, LA, US

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.
William C. Kethman, MD

Surgeon
Ochsner Medical Center
New Orleans, Louisiana, United States

Disclosure information not submitted.
DK

Danielle Kay, MD

Surgeon
Ochsner Medical Center
New Orleans, Louisiana, United States

Disclosure information not submitted.
CZ

Chase Zibilich, BS

Sr. Clinical Research Coordinator
Ochsner Medical Center
Metairie, Louisiana, United States

Disclosure information not submitted.
HG

Heather Green, MS

Research Coordinator
Ochsner Medical Center
New Orleans, Louisiana, United States

Disclosure information not submitted.
Renee M. Cholyway, MD (she/her/hers)

Colon & Rectal Surgery Fellow
Ochsner Medical Cetner
New Orleans, LA, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.
Alexander J. Rossi, MD

Fellow - Colon and Rectal Surgery
Ochsner Clinic
New Orleans, LA, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.
CB

Chad Becnel, MD

General Surgery Resident
Ochsner Medical Center
New Orleans, Louisiana, United States

Disclosure information not submitted.

Senior Author(s)

Jennifer L. Paruch, MD (she/her/hers)

Surgeon, Principal Investigator
Ochsner Medical Center
Ochsner Medical Center
New Orleans, Louisiana, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no relevant relationships with ineligible companies.

All of the relevant financial relationships listed below have been mitigated.

Koby Herman, MD: This individual has no financial relationships with ineligible companies.

Brian R. Kann, MD: This individual has no relevant relationships with ineligible companies.

W. Forrest Johnston, MD: This individual has no financial relationships with ineligible companies.

Renee M. Cholyway, MD: This individual has no financial relationships with ineligible companies.

Alexander J. Rossi, MD: This individual has no financial relationships with ineligible companies.

Jennifer L. Paruch, MD: This individual has no relevant relationships with ineligible companies.

Image or Table (Do Not add text here):

Purpose/Background: Many patients report anxiety surrounding screening colonoscopy, which can be a deterrent to colon cancer screening. While informed consent is vital, there can be wide variability in how it is delivered. We hypothesized that use of a pre-procedure educational video would reduce anxiety, increase understanding, and improve patient satisfaction following colonoscopy.

Methods/Interventions: Starting in September 2024, patients scheduled for elective colonoscopy received a link to the educational video developed by our division. They were prompted to view the video in advance of their procedure. On the day of their procedure patients were asked whether they watched the video. All patients had verbal informed consent with the endoscopist. The following day, patients received an email with modified State-Trait Anxiety Inventory (STAI), the Quality of Informed Consent survey, and the Picker Patient Experience Questionnaire (PPE-15). Responses were collected in Redcap and analyzed by group: video + standard consent versus standard consent alone.

Results/Outcomes: Among 60 patients enrolled in the study, 30 completed the questionnaire (50%). Patients were divided in two groups: video + standard consent (16; 53%) vs. standard consent alone (14; 47%). Most patients had undergone a prior colonoscopy (23; 77%). No patients had a significant complication (readmission, bleeding, perforation). The standard consent alone group had slightly greater baseline anxiety compared to the video + consent group (7.93 vs. 6.5), although the difference was not significant. Procedure day anxiety was similar between groups. Among patients having their first colonoscopy, baseline anxiety levels were similar (6.25 vs. 6.00). Both video and standard consent only groups had low mean PPE-15 scores reflecting high satisfaction (1.69 and 2.21, respectively). More patients in the video group reported no anxiety/fear following the procedure (10; 62.5%) compared to patients in the consent only group (7; 53.8%). This was also true for the first colonoscopy groups. 100% of patients in both groups reported confidence in their informed consent process: understanding the steps, indications, and risks of the procedure. Only one patient in each group reported feeling unsure about the major risks.

Conclusion/Discussion: Overall patient anxiety, procedure understanding, and satisfaction were satisfactory in both the standard and video + standard consent groups. Use of the video was associated with decreased anxiety in some domains and may be especially useful for patients undergoing their first colonoscopy.