title: Impact of Educational Cartoon on Pediatric Bowel Preparation Quality at Time of Colonoscopy.
abstract: OBJECTIVE
  To evaluate if addition of educational cartoon to pediatric bowel preparation instructions improves the quality of bowel preparation and patient experience.
  
  
  METHODS
  Patients were randomized to control group receiving standard bowel preparation instructions or intervention group receiving additional educational cartoon. To objectively rate bowel preparation, a blinded endoscopist completed numeric Ottawa score (0-14, with 0 being best). The family also completed a questionnaire rating the bowel preparation process.
  
  
  RESULTS
  Data from 23 patients were analyzed. Mean Ottawa score in the intervention group compared with controls was not significantly different (mean scores 3.73 and 3.33, respectively; P = .384). Level of education was significantly correlated with better Ottawa score in the overall population (ρ = -.462, P = .026) and within the control group (ρ = -.658, P = .02). Both groups of patients reported positive experience with bowel preparation.
  
  
  CONCLUSIONS
  There may be benefit to further investigation of this educational cartoon in parents with less than college level education or non-English-speaking families in larger population of patients.
authors.affiliation: St Christopher's Hospital for Children, Philadelphia, PA, USA; Drexel University College of Medicine, Philadelphia, PA, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Maxwell
authors.affiliation: St Christopher's Hospital for Children, Philadelphia, PA, USA; Drexel University College of Medicine, Philadelphia, PA, USA.
authors.forename: Marsha
authors.initials: M
authors.lastname: Simmons
authors.affiliation: St Christopher's Hospital for Children, Philadelphia, PA, USA; Drexel University College of Medicine, Philadelphia, PA, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Franklin
authors.affiliation: Boston Children's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
authors.forename: Janis
authors.initials: J
authors.lastname: Arnold
authors.affiliation: St Christopher's Hospital for Children, Philadelphia, PA, USA; Drexel University College of Medicine, Philadelphia, PA, USA.
authors.forename: Harpreet
authors.initials: H
authors.lastname: Pall
keywords: bowel preparation; colonoscopy; patient education; pediatrics