ImprovedOutcomes of UpperGastrointestinalEndoscopy with Intensive Counselling and Videotapes; ARandomized Controlled Trial

Abstract

Objective: The purpose of the study that we are currently conducting is to advise patients, implement various measures (such as videotapes), and permit patients' family members to accompany them inside the endoscopy room for the duration of the process in order to improve patients' levels of compliance.
Material and Methods: A randomized control trial study was conducted in tertiary care private hospital from March to August 2022. Each group has 125 participants. Consecutive sampling was done in study period and participants were randomly allocated to intervention or control groups. Group A, the intervention group, received counselling about EGD'ssafety and comfort and saw videotapes. Patients'family member was allowed to stay in the endo-scopic room during the procedure. Group B received simply standard protocol counselling. The self-developed questionnaire included socio-demographic characteristics, and an endoscopist assessed  procedure difficulty and compliance. Data were entered into SPSS version 20. Compliance, endoscopist evaluation, and esophago-gastroduodenoscopy duration were compared between groups.
Results: A total of 250 study participants were included in the study. 125 were randomized in Group A and 125 were randomized in Group B. The most common comorbidities in study participants were diabetes, hypertension and ischemic heart disease. The chi-square test was used to access the time of the procedure, tolerated procedure, and endoscopist assessment between group A and group B. There was a statistically significant improvement in terms of these outcomes with the intervention.
Conclusion: Extensive counselling, videotapes, and allowing family members to stay in the endoscopy room improves the outcomes of patients in terms of the time of the procedure, tolerated procedure, and endoscopist assessment.