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Trial registered on ANZCTR
Registration number
ACTRN12619001198112
Ethics application status
Approved
Date submitted
19/07/2019
Date registered
27/08/2019
Date last updated
27/08/2019
Date data sharing statement initially provided
27/08/2019
Date results provided
27/08/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Influence of a behavioural incentive and intensive education on the quality of bowel preparation prior to diagnostic colonoscopies
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Scientific title
Influence of a behavioural incentive (reward) and of intensive nurse-led education on the quality of bowel preparation prior to diagnostic colonoscopies
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Secondary ID [1]
298765
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bowel preparation for colonoscopy
313701
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Condition category
Condition code
Oral and Gastrointestinal
312116
312116
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm 1: Standard care.
Patients were prescribed a 3-litre split-dose PEG bowel preparation and a 12-page colour information booklet (Princess Alexandra Hospital resource: "Preparing for your colonoscopy")was mailed to them a month prior to the procedure.
Arm 2: Reward.
As per standard care plus offered a financial reward (an instant scratchie ticket for a state-wide lottery with a jackpot of up to $25,000) if they achieve a “good or very good” quality rating of the preparation.
Arm 3: Intensified education.
As per standard care (12-page education booklet mailed out a month prior to procedure) plus additional one-on-one education two weeks prior to their procedure, delivered by an endoscopy nurse over the phone (duration 5 to 20 minutes where bowel preparation instructions were reviewed, and patient's queries answered).
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Intervention code [1]
315028
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Behaviour
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Comparator / control treatment
The control treatment is that of our standard care, as per explanation in Arm 1 (3 L PEG bowel preparation, 12-page instructional booklet).
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Control group
Active
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Outcomes
Primary outcome [1]
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Quality of bowel preparation for their colonoscopy procedure (by using the Boston Bowel Preparation Scale)
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Assessment method [1]
320756
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Timepoint [1]
320756
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At the time of patient's colonoscopy procedure
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Secondary outcome [1]
372742
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Polyp detection rate by polypectomy at the time of the procedure
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Assessment method [1]
372742
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Timepoint [1]
372742
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At the time of patient's colonoscopy procedure (once pathology is processed
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Secondary outcome [2]
373413
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Adenoma detection rate by polypectomy at the time of procedure
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Assessment method [2]
373413
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Timepoint [2]
373413
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Once pathology results become available post the colonoscopy procedure
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Secondary outcome [3]
374274
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SAGIS questionnaire score (overall score that is calculated based on upper and lower gastrointestinal symptoms that patient experiences)
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Assessment method [3]
374274
0
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Timepoint [3]
374274
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At data analysis stage, once the study is concluded
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Eligibility
Key inclusion criteria
Adults from the general gastroenterology clinic referred for an elective colonoscopy
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Significant cognitive or mental impairment
Known need for interventional procedures (e.g. resection of large polyps)
Language barriers
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The trials nurse recruiting patients was totally unaware of the randomisation schedule that was held under lock and key by one of the researchers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
t-tests, Pearson’s bivariate correlations., chi-square, logistic regression
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
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Actual
5/11/2015
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Date of last participant enrolment
Anticipated
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Actual
30/01/2017
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Date of last data collection
Anticipated
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Actual
17/03/2017
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Sample size
Target
300
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Accrual to date
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Final
162
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
14245
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
27242
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4102 - Woolloongabba
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Funding & Sponsors
Funding source category [1]
303322
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Charities/Societies/Foundations
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Name [1]
303322
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PA Foundation
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Address [1]
303322
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199 Ipswich Rd, Woolloongabba, Queensland 4102
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Country [1]
303322
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
PA Foundation
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Address
199 Ipswich Rd, Woolloongabba, Queensland 4102
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Country
Australia
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Secondary sponsor category [1]
303344
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None
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Name [1]
303344
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Address [1]
303344
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Country [1]
303344
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303856
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Metro South Ethics Committee
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Ethics committee address [1]
303856
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Metro South Health HREC Centres for Health Research Level 7, Translational Research Institute 37 Kent Street Woolloongabba QLD 4102
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Ethics committee country [1]
303856
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Australia
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Date submitted for ethics approval [1]
303856
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13/05/2015
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Approval date [1]
303856
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25/05/2015
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Ethics approval number [1]
303856
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HREC/15/QPAH/221
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Summary
Brief summary
Research Aims: To test the effect of a patient reward system (Instant scratchie lottery ticket) or augmented education improves: a) quality of bowel preparations b) and the polyp detection rate To test whether the total SAGIS score correlates with the number of polyps found Research Design & Methods to Achieve Aims: During one calendar year 300 outpatients referred for a colonoscopy will be recruited who have consented to the study. The quality of bowel preparation will be scored via the Boston bowel preparation scale, which is the most extensively validated scoring system. Block randomisation will be used to allocate all patients consented on a given day into one of three treatment groups (Scratchie ticket lottery ticket reward vs. no reward vs. intensified education).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
95034
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Prof Gerald Holtmann
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Address
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Princess Alexandra Hospital
199 Ipswich Rd,
Woolloongabba, Qld, 4102
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Country
95034
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Australia
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Phone
95034
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+617 3176 2613
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Fax
95034
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Email
95034
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[email protected]
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Contact person for public queries
Name
95035
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Gerald Holtmann
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Address
95035
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Princess Alexandra Hospital
199 Ipswich Rd,
Woolloongabba, Qld, 4102
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Country
95035
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Australia
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Phone
95035
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+617 3176 2613
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Fax
95035
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Email
95035
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[email protected]
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Contact person for scientific queries
Name
95036
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Gerald Holtmann
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Address
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Princess Alexandra Hospital
199 Ipswich Rd,
Woolloongabba, Qld, 4102
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Country
95036
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Australia
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Phone
95036
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+617 3176 2613
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Fax
95036
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Email
95036
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
The consent form indicates that individual data will only be made available to the listed researchers.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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