Validity of a Web-based educational program to disseminate a standardized bowel preparation rating scale.
OBJECTIVE
Our goal was to assess the validity of a Web-based educational program on the Boston Bowel Preparation Scale (BBPS).


BACKGROUND
Data on Web-based education for improving the practice and quality of colonoscopy are limited.


METHODS
Endoscopists worldwide participated in the BBPS Educational Program. We assessed program completion rates, satisfaction, short-term (0 to 90 d) and long-term (91 to 180 d) uptake of the BBPS, and the validity of the program by measuring the reliability of the BBPS among participants.


RESULTS
A total of 207 endoscopists completed the program. Overall, 93% found the content relevant, 89% felt confident in using the BBPS, and 97% thought the quality was good or excellent. Uptake of the BBPS into clinical practice was robust with 91% and 98% of colonoscopy reports containing the BBPS at short-term and long-term follow-up, respectively. The interobserver and test-retest reliability of BBPS segment and total scores were both substantial.


CONCLUSIONS
A BBPS Web-based educational program facilitates adoption into clinical practice and teaches the BBPS to be used reliably by a diverse group of endoscopists worldwide.
*Section of Gastroenterology, Boston University Medical Center §Department of Biostatistics, Boston University School of Public Health, Boston, MA †Department of Medical Informatics and Clinical Epidemiology ‡Division of Gastroenterology, Oregon Health & Science University, Portland, OR.
Audrey H
AH
Calderwood
Judith R
JR
Logan
Michael
M
Zurfluh
David A
DA
Lieberman
Brian C
BC
Jacobson
Timothy C
TC
Heeren
Paul C
PC
Schroy
D001291:Attitude of Health Personnel; D002400:Cathartics / Q000627:therapeutic use; D003106:Colon / Q000473:pathology*; D003113:Colonoscopy / Q000193:education*; D003194:Computer-Assisted Instruction; D004032:Diet; D004502:Education, Medical, Continuing / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D015588:Observer Variation; D010818:Practice Patterns, Physicians'; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires
D002400:Cathartics