Govert Veldhuijzen

75 E-PACO trial: CBE versus nurse counselling for patients to prepare for colonoscopy NOTE: This module serves as a pre-sedation risk assessment. It double-checks the informed consent. After final approval by the patient the information is sent via e-mail to the endoscopy unit. 3.3.25. Click on the tab Preparation for the colonoscopy that is now made available. Follow the steps and read all information on the use of the laxatives in the same stepwise fashion. 3.3.26. Click on the tab Route to the department for the routing to the endoscopy unit. 3.4. For the trained endoscopic nurse: assess the received information sent by the patient. Use the automated protocol whereby actions are related to the answers provided by the patients. NOTE: This system automatically labels responses with “green” (no action), “orange” (action might be necessary) and “red” (action is necessary). When in doubt, risk assessment will be performed by a consultant gastroenterologist. 4. Control arm: Patient is visiting the outpatient clinic 4.1. Schedule a visit for the patient at the outpatient clinic for instruction by a trained nurse. Follow the standard operating procedure during counselling. NOTE: This provides information on how to use the purgatives, dietary instructions, effects of sedation with benzodiazepines and relevant practical matters. Finally, the nurse double-checks signed informed consent and files information on medical history. 5. Day of colonoscopy 5.1. Schedule the patient approximately 2-8 weeks from baseline for the colonoscopy. Ask the patient to complete the questionnaire, containing the 10-item knowledge test, the STAI and measures for patient satisfaction prior to colonoscopy (T1). 5.2. Score the bowel cleanliness during colonoscopy (T2) online and in the endoscopy report; also fill out the several relevant items regarding colonoscopy here (indication, type of sedation and analgesic, ASA classification). 5.3. Ask the patient to complete the post-colonoscopy questionnaire, containing measures for patient satisfaction (T3), just prior to discharge. 4