Table 3.
Pooled relative risks of secondary outcomes based on combined direct and indirect evidence from Bayesian network meta-analysis with different educational instructions in patients undergoing colonoscopya.
| Education instruction | Adherence to instruction | Satisfaction with BPb | Willingness to repeat | Abdominal discomfort | Nausea and vomiting | Sleep disturbance | Polyp detection rate | |
| Compared with standard patient instructions | ||||||||
| Additional explanations | 9.84 (4.13-21.78) | N/Ac | 1.02 (0.19-3.24) | N/A | N/A | N/A | N/A | |
| Visual aids | N/A | N/A | N/A | 0.91 (0.62-1.27) | 1.35 (0.67-2.46) | N/A | 1 (0.76-1.28) | |
| New visual aids | N/A | N/A | N/A | N/A | N/A | N/A | 1.03 (0.56-1.74) | |
| SMS text messaging | 6.99 (3.57-12.92) | 1.79 (1.22-2.55) | 1.44 (0.86-2.32) | 0.71 (0.46-1.03) | 0.66 (0.46-0.9) | 0.8 (0.58-1.1) | 1.1 (0.85-1.41) | |
| Telephone calls | 4.84 (3.08-7.42) | 1.97 (1.19-3.12) | 1.36 (0.95-1.89) | 0.95 (0.67-1.31) | 0.92 (0.67-1.25) | 0.69 (0.51-0.91) | 1.86 (1.4-2.44) | |
| Educational videos | 4.24 (1.12-12.61) | 1.6 (0.7-3.18) | N/A | 1.18 (0.36-2.93) | 2.77 (0.65-8.51) | 2.88 (0.84-7.93) | 0.81 (0.6-1.07) | |
| Social media applications | 3.76 (2.7-5.13) | 2.03 (1.17-3.34) | 2.22 (1.77-2.75) | 0.69 (0.52-0.9) | 0.69 (0.54-0.85) | 0.53 (0.44-0.65) | 1.37 (0.87-2.01) | |
| Mobile apps | 1.33 (0.74-2.2) | N/A | 2.73 (1.27-5.34) | N/A | N/A | N/A | N/A | |
| Compared with additional explanations | ||||||||
| SMS text messaging | 0.85 (0.25-2.07) | N/A | 2.39 (0.4-8.14) | N/A | N/A | N/A | N/A | |
| Telephone calls | 0.59 (0.2-1.29) | N/A | 2.25 (0.4-7.44) | N/A | N/A | N/A | N/A | |
| Educational videos | 0.52 (0.09-1.74) | N/A | N/A | N/A | N/A | N/A | N/A | |
| Social media applications | 0.46 (0.16-0.96) | N/A | 3.68 (0.66-12.1) | N/A | N/A | N/A | N/A | |
| Mobile apps | 0.16 (0.05-0.37) | N/A | 4.53 (0.67-16.48) | N/A | N/A | N/A | N/A | |
| Compared with visual aids | ||||||||
| New visual aids | N/A | N/A | N/A | N/A | N/A | N/A | 1.05 (0.54-1.87) | |
| SMS text messaging | N/A | N/A | N/A | 0.8 (0.46-1.32) | 0.54 (0.24-1.05) | N/A | 1.13 (0.77-1.59) | |
| Telephone calls | N/A | N/A | N/A | 1.08 (0.64-1.7) | 0.76 (0.35-1.45) | N/A | 1.90 (1.28-2.72) | |
| Educational videos | N/A | N/A | N/A | 1.34 (0.37-3.47) | 2.28 (0.43-7.59) | N/A | 0.82 (0.55-1.19) | |
| Social media applications | N/A | N/A | N/A | 0.79 (0.49-1.2) | 0.57 (0.27-1.05) | N/A | 1.39 (0.82-2.2) | |
| Compared with new visual aids | ||||||||
| SMS text messaging | N/A | N/A | N/A | N/A | N/A | N/A | 1.16 (0.6-2.04) | |
| Telephone calls | N/A | N/A | N/A | N/A | N/A | N/A | 1.96 (1-3.46) | |
| Educational videos | N/A | N/A | N/A | N/A | N/A | N/A | 0.85 (0.43-1.52) | |
| Social media applications | N/A | N/A | N/A | N/A | N/A | N/A | 1.44 (0.67-2.71) | |
| Compared with SMS text messaging | ||||||||
| Telephone calls | 0.77 (0.33-1.49) | 1.12 (0.66-1.79) | 0.99 (0.55-1.65) | 1.39 (0.86-2.14) | 1.44 (0.95-2.1) | 0.88 (0.59-1.27) | 1.71 (1.2-2.36) | |
| Educational videos | 0.67 (0.14-2.19) | 0.93 (0.36-1.95) | N/A | 1.74 (0.48-4.55) | 4.34 (0.95-13.54) | 3.68 (1.01-10.24) | 0.74 (0.49-1.07) | |
| Social media applications | 0.59 (0.28-1.09) | 1.16 (0.65-1.92) | 1.64 (0.93-2.65) | 1.02 (0.63-1.57) | 1.07 (0.73-1.52) | 0.68 (0.47-0.95) | 1.25 (0.79-1.88) | |
| Mobile apps | 0.21 (0.08-0.44) | N/A | 2.02 (0.77-4.42) | N/A | N/A | N/A | N/A | |
| Compared with telephone calls | ||||||||
| Educational videos | 0.92 (0.22-2.87) | 0.86 (0.32-1.89) | N/A | 1.28 (0.37-3.32) | 3.07 (0.69-9.65) | 4.24 (1.17-11.87) | 0.44 (0.29-0.65) | |
| Social media applications | 0.82 (0.45-1.34) | 1.09 (0.52-2.01) | 1.69 (1.1-2.48) | 0.75 (0.48-1.12) | 0.76 (0.51-1.09) | 0.79 (0.55-1.1) | 0.75 (0.44-1.17) | |
| Mobile apps | 0.29 (0.13-0.54) | N/A | 2.08 (0.88-4.29) | N/A | N/A | N/A | N/A | |
| Compared with educational videos | ||||||||
| Social media applications | 1.31 (0.28-3.5) | 1.48 (0.53-3.3) | N/A | 0.78 (0.48-1.97) | 0.38 (0.08-1.08) | 0.26 (0.07-0.64) | 1.73 (1.01-2.77) | |
| Mobile apps | 0.46 (0.09-1.32) | N/A | N/A | N/A | N/A | N/A | N/A | |
| Compared with social media applications | ||||||||
| Mobile apps | 0.36 (0.18-0.65) | N/A | 1.25 (0.56-2.5) | N/A | N/A | N/A | N/A | |
aThe italicized values indicate statistically significant differences.
bBP: bowel preparation.
cN/A: not applicable.