The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot Study

Background. We aimed to investigate the effectiveness of a smartphone application that analyzes and judges the optimal dosage of polyethylene glycol (PEG) for bowel preparation. Methods. Patients were assigned to use the smartphone camera application (app group) or written instructions (non-app grou...

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Main Authors: Jae won Jung, Jongha Park, Gi Jung Jeon, Young Soo Moon, Sung Yuon Yang, Tae Oh Kim, Eui Tay Jung, Hee-Cheol Kim
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2017/4898914
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author Jae won Jung
Jongha Park
Gi Jung Jeon
Young Soo Moon
Sung Yuon Yang
Tae Oh Kim
Eui Tay Jung
Hee-Cheol Kim
author_facet Jae won Jung
Jongha Park
Gi Jung Jeon
Young Soo Moon
Sung Yuon Yang
Tae Oh Kim
Eui Tay Jung
Hee-Cheol Kim
author_sort Jae won Jung
collection DOAJ
description Background. We aimed to investigate the effectiveness of a smartphone application that analyzes and judges the optimal dosage of polyethylene glycol (PEG) for bowel preparation. Methods. Patients were assigned to use the smartphone camera application (app group) or written instructions (non-app group). The smartphone camera application was programmed to analyze the bowel preparation quality and automatically determine the dosage of PEG from an analysis of stool images. In contrast, the non-app group consumed PEG solution according to the manual. Results. The primary outcome was the quality of the bowel preparation based on blinded ratings using the Ottawa bowel preparation scale (OBPS). There was no statistically significant difference in the mean OBPS scores between the two groups (P=0.950). However, the app group consumed a lower dose of PEG than the non-app group (mean dosage (mL): 3713.2 ± 405.8 versus 3979.2 ± 102.06, P=0.001). The app group (5-point Likert scale; mean score 4.37 ± 0.895) had high acceptance of the application. Conclusions. Although the app group consumed a lower PEG dose, the bowel preparation quality was similar in the two groups. Moreover, use of the smartphone camera application enhanced compliance with the bowel preparation.
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spelling doaj-art-ca63e715cc7a4a1087d31b3965513dd62025-08-20T02:19:47ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/48989144898914The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot StudyJae won Jung0Jongha Park1Gi Jung Jeon2Young Soo Moon3Sung Yuon Yang4Tae Oh Kim5Eui Tay Jung6Hee-Cheol Kim7Division of Gastroenterology, Department of Internal Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDivision of Gastroenterology, Department of Internal Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDepartment of Gastroenterology, Dongnam Institute of Radiological and Medical Sciences, Busan, Republic of KoreaDivision of Gastroenterology, Department of Internal Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDivision of Gastroenterology, Department of Internal Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDivision of Gastroenterology, Department of Internal Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaCollege of Design, Inje University, Gimhae, Republic of KoreaDepartment of Computer Engineering, Inje University, Gimhae, Republic of KoreaBackground. We aimed to investigate the effectiveness of a smartphone application that analyzes and judges the optimal dosage of polyethylene glycol (PEG) for bowel preparation. Methods. Patients were assigned to use the smartphone camera application (app group) or written instructions (non-app group). The smartphone camera application was programmed to analyze the bowel preparation quality and automatically determine the dosage of PEG from an analysis of stool images. In contrast, the non-app group consumed PEG solution according to the manual. Results. The primary outcome was the quality of the bowel preparation based on blinded ratings using the Ottawa bowel preparation scale (OBPS). There was no statistically significant difference in the mean OBPS scores between the two groups (P=0.950). However, the app group consumed a lower dose of PEG than the non-app group (mean dosage (mL): 3713.2 ± 405.8 versus 3979.2 ± 102.06, P=0.001). The app group (5-point Likert scale; mean score 4.37 ± 0.895) had high acceptance of the application. Conclusions. Although the app group consumed a lower PEG dose, the bowel preparation quality was similar in the two groups. Moreover, use of the smartphone camera application enhanced compliance with the bowel preparation.http://dx.doi.org/10.1155/2017/4898914
spellingShingle Jae won Jung
Jongha Park
Gi Jung Jeon
Young Soo Moon
Sung Yuon Yang
Tae Oh Kim
Eui Tay Jung
Hee-Cheol Kim
The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot Study
Gastroenterology Research and Practice
title The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot Study
title_full The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot Study
title_fullStr The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot Study
title_full_unstemmed The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot Study
title_short The Effectiveness of Personalized Bowel Preparation Using a Smartphone Camera Application: A Randomized Pilot Study
title_sort effectiveness of personalized bowel preparation using a smartphone camera application a randomized pilot study
url http://dx.doi.org/10.1155/2017/4898914
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