Table 1.
PC-DNP texting schedule and message content for polyethylene glycol 3,350 and bisacodyl bowel preparation (20–30 kgs).
| Schedule | Message Content |
|---|---|
| At the time of prescription | Thank you for scheduling your child's procedure with us. You will begin receiving information about Colonoscopy Preparation with polyethylene glycol 3,350 (Miralax®) and bisacodyl for your child's scheduled colonoscopy on <appointment date and time>. |
| Click the link to save procedure time and location in your calendar. | |
| 15 min after prescription | To learn more about how to prepare your child for colonoscopy or your child had poor bowel preparation before, you should click here: <education module>. You can expect to be at the endoscopy center for 1 1/2–2 h. |
| 10 days before at 9 am | If you need to change or cancel your child's colonoscopy appointment, please let us know as soon as possible by pressing 2. |
| You must speak with your primary care physician or specialist if your child has diabetes and takes insulin which may have to be adjusted. Make sure to continue all other prescribed drugs. | |
| Please find the full set of instructions for your bowel prep at the link below: <link to instructions> | |
| Triggered if #2 is pressed | Please call the number below to change your child's procedure appointment <phone number> |
| 5 days before at 9 am | If you need to change or cancel your child's appointment, please let us know as soon as possible by pressing 2 |
| Triggered if #2 is pressed | Please call the number below to change your child's procedure appointment <phone number> |
| 4 days before at 9 am | Don’t offer your child bulk-forming agents like Metamucil®, iron supplements, and start him/her on a low fiber diet with no seeds, nuts, and dried fruits. Please purchase your child's preparation 2–4 days before the procedure. Do not mix the solution until the day before the procedure. |
| 1 day before at 8 am | Your child's colonoscopy is tomorrow. |
| Take one 238 gm of polyethylene glycol 3,350 bottle and mix 6 capfuls of polyethylene glycol 3,350 or one whole polyethylene glycol 3,350 OTC bottle in 24 ounces of liquid-like Pedialyte® or a sports drink that is blue or colorless Gatorade®, or Powerade® in a large pitcher. You may use any other clear electrolyte liquid you choose as well. Many people prefer to keep the mixture chilled. Please give your child 1 bisacodyl tablets or 1 suppository (5 mg) (you may crush the tablets if there is any difficulty in swallowing) at 12 pm the day before the procedure. | |
| Your child can have a light breakfast like bread and butter or milk. For the rest of today, only clear electrolyte liquid diet which includes: Apple or white grape juice, clear soup broth, tea (without milk or creamer), clear carbonated beverages such as ginger ale/lemon-lime soda, Gatorade® or other sports drinks, Kool-Aid® or other flavored drinks, coconut water, plain Jell-O® or other gelatins, popsicles. Avoid: red and purple colored foods | |
| Please find the full set of instructions once again in the link below: | |
| 1 day before at 12 pm | Please give your child 1 Dulcolax tablet or suppository (5 mg) (you may crush the tablets if you have any difficulty in swallowing). |
| 1 day before at 2 pm | Your child may start drinking the polyethylene glycol 3,350 mixture every 10–15 min. You may adjust the time you begin drinking this dose to be later in the evening if you need to. You can expect it will take about 3–4 h for your child to drink this amount of fluid. |
| 1 day before at 6 pm | Please give your child 1 Dulcolax tablet or suppository (5 mg) (you may crush the tablets if you have any difficulty in swallowing). |
| Your child may have up to 5–10 watery bowel movements shortly thereafter, although some children may have little or no bowel movements. The output of stool at the end of the preparation should be watery, clear, greenish/yellowish with no solid or particulate matter. Your child may continue to drink clear electrolyte liquids until 8 h before you arrive for your procedure, but please do not let your child take anything by mouth after that. | |
| 1 day before at 9 pm | The stools should appear watery, clear, greenish/yellowish, your child may continue to drink clear electrolyte liquids until midnight. If still brown and pieces are seen please contact <phone number> |
| If your prep is inadequate, the physician may not be able to visualize the entire colon adequately. | |
| 3 h before procedure | The stool output should be a yellow-tinged clear fluid at this time, without any particulate matter or solid stool. If you see solid stool or particulate matter, please press 2. You must arrive at least one hour before your scheduled appointment <appointment time and date>. Please find directions to the facility at the link below <facility address> |
| Triggered if #2 is pressed | Please call the number below to change your child's procedure appointment <phone number> |
| Night of procedure at 7 pm | Thank you for having your child's procedure with us today! If you have any concerns about how your child is feeling or any further questions about your procedure, please press 2 |
| Triggered if #2 is pressed | Please call us at <phone number> |
| Next day of procedure at 9 am | Thank you again for having your child's procedure with us. |
| To help us improve our service, please reply on a scale of 0-10, with 10 being “extremely likely”, how likely are you to recommend this digital program to a friend or family member who might need it? |