ClinicalTrials.gg
CompletedNCT07664800Updated Jun 24, 2026

Online Nursing Counseling and Colonoscopy Outcomes

An interventional study of Online Nursing Counseling in Colonoscopy (Procedure), 18 Years and Over and Literacy, sponsored by Sanko University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-24.

Sponsored by Sanko University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 3 years 2 months after the study started (first participant enrolled Mar 2023, registered May 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomized controlled experimental study was conducted in the endoscopy unit of a private hospital between March and June 2023 to evaluate the effect of nurse-delivered counseling on pain, anxiety, and comfort levels in patients undergoing colonoscopy. Sixty patients were assigned to intervention (n=30) and control (n=30) groups. The intervention group received counseling beginning 24 hours before the procedure, including face-to-face education, telephone support, and reminder messages, while the control group received routine care. Anxiety was assessed using the State Anxiety Scale, and pain and comfort were evaluated using the Visual Analog Scale.

Read the detailed description

This randomized controlled experimental study was conducted in the endoscopy unit of a private hospital between March 2023 and June 2023. The study was designed to evaluate the effect of nurse-delivered online counseling on pain, anxiety, and comfort levels in patients undergoing colonoscopy. Sixty eligible patients were assigned to either an intervention group (n=30) or a control group (n=30) using the minimization method. Patients in the intervention group received online counseling based on standard colonoscopy preparation materials beginning approximately 24 hours before the procedure, including face-to-face education, telephone support, and reminder messages. Patients in the control group received routine care only. Anxiety was assessed using the State-Trait Anxiety Inventory, while pain and comfort were evaluated using the Visual Analog Scale. Outcome measures were collected before and after the colonoscopy procedure.

02

Conditions studied

  • Colonoscopy (Procedure)
  • 18 Years and Over
  • Literacy
  • No Communication Difficulties
  • Orientation
  • Colonoscopy Preparation Acceptance
  • Voluntarily Accepting to Participate in the Study
  • Internet Access
  • Mobile Phone Use
  • WhatsApp Messenger

Keywords

  • colonoscopy
  • nursing
  • pain
  • anxiety
  • comfort
03

In context

Literacy

201 studies on the registry are indexed under Literacy; 69 are open to participants now.

This study's enrollment of 60 is below the median of 124 across 170 interventional studies indexed under Literacy.

Browse Literacy studies →

Lead sponsor

Sanko University is the lead sponsor of 52 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥18 years
  • Literate
  • No communication or hearing impairment
  • Conscious and able to respond to questions
  • Scheduled for colonoscopy
  • Not using regular analgesic or antidepressant medications
  • Voluntary participation
  • No prior colonoscopy
  • No diagnosis of colorectal cancer
  • No diagnosis of inflammatory bowel disease
  • No diagnosis of Crohn's disease
  • Access to the internet and a smartphone, tablet, or computer
  • Able to use WhatsApp

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years
  • Illiterate
  • Presence of communication or hearing impairment
  • Cognitive impairment or inability to provide
  • Not scheduled for colonoscopy
  • Regular use of analgesic or antidepressant medications
  • Refusal to participate
  • History of prior colonoscopy
  • Diagnosis of colorectal cancer
  • Diagnosis of inflammatory bowel disease
  • Diagnosis of Crohn's disease
  • No access to the internet or lack of a smartphone, tablet, or computer
  • Inability to use WhatsApp
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • No intervention
    Control Group

    Patients receiving routine care without additional counseling

  • Experimental
    Intervention

    Patients receiving nurse-delivered online counseling before colonoscopy

    Other: Online Nursing Counseling

Interventions

  • OtherOnline Nursing Counseling

    Participants received nurse-delivered online counseling based on standard colonoscopy preparation materials. The intervention started approximately 24 hours before the procedure and included an initial face-to-face education session, followed by 24-hour telephone support and reminder messages. Participants were also able to contact the nurse for questions during this period.

06

What researchers measure

Primary outcomes

  1. State Anxiety Level

    Measured using the State-Trait Anxiety Inventory (State Anxiety Scale; score range 20-80, higher scores indicate higher anxiety).

    Time frame: Before and after colonoscopy procedure (same day)

Secondary outcomes

  1. Pain Level

    Measured using the Visual Analog Scale (VAS), a self-reported scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity.

    Time frame: Before and after colonoscopy procedure (same day)

  2. Comfort Level

    Measured using the Visual Analog Scale (VAS), a self-reported scale ranging from 0 to 10, where 0 indicates no comfort and 10 indicates maximum comfort. Higher scores indicate greater comfort.

    Time frame: Before and after colonoscopy procedure (same day)

07

Study locations

1 site
  • Sanko University Faculty of Health Sciences, Nursing Department
    Gaziantep, Şehitkamil 27090, Turkey (Türkiye)
08

References and documents

Publications

  • Johnson DA, Barkun AN, Cohen LB, Dominitz JA, Kaltenbach T, Martel M, Robertson DJ, Richard Boland C, Giardello FM, Lieberman DA, Levin TR, Rex DK; US Multi-Society Task Force on Colorectal Cancer. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol. 2014 Oct;109(10):1528-45. doi: 10.1038/ajg.2014.272. Epub 2014 Sep 16. No abstract available. PubMed 25223578 ↗
  • Millien VO, Mansour NM. Bowel Preparation for Colonoscopy in 2020: A Look at the Past, Present, and Future. Curr Gastroenterol Rep. 2020 May 6;22(6):28. doi: 10.1007/s11894-020-00764-4. PubMed 32377915 ↗
  • Shieh TY, Chen MJ, Chang CW, Hung CY, Hu KC, Kuo YC, Shih SC, Wang HY. Effect of physician-delivered patient education on the quality of bowel preparation for screening colonoscopy. Gastroenterol Res Pract. 2013;2013:570180. doi: 10.1155/2013/570180. Epub 2013 Dec 17. PubMed 24454341 ↗
  • Alvarez-Gonzalez MA, Pantaleon Sanchez MA, Bernad Cabredo B, Garcia-Rodriguez A, Frago Larramona S, Nogales O, Diez Redondo P, Puig Del Castillo I, Romero Mascarell C, Caballero N, Romero Sanchez-Miguel I, Perez Berbegal R, Hernandez Negrin D, Bujedo Sadornill G, Perez Oltra A, Casals Urquiza G, Amoros Martinez J, Seoane Urgorri A, Ibanez Zafon IA, Gimeno-Garcia AZ. Educational nurse-led telephone intervention shortly before colonoscopy as a salvage strategy after previous bowel preparation failure: a multicenter randomized trial. Endoscopy. 2020 Nov;52(11):1026-1035. doi: 10.1055/a-1178-9844. Epub 2020 Jun 17. PubMed 32557475 ↗
  • Elvas L, Brito D, Areia M, Carvalho R, Alves S, Saraiva S, Cadime AT. Impact of Personalised Patient Education on Bowel Preparation for Colonoscopy: Prospective Randomised Controlled Trial. GE Port J Gastroenterol. 2017 Jan;24(1):22-30. doi: 10.1159/000450594. Epub 2016 Nov 1. PubMed 28848777 ↗
  • Kurlander JE, Sondhi AR, Waljee AK, Menees SB, Connell CM, Schoenfeld PS, Saini SD. How Efficacious Are Patient Education Interventions to Improve Bowel Preparation for Colonoscopy? A Systematic Review. PLoS One. 2016 Oct 14;11(10):e0164442. doi: 10.1371/journal.pone.0164442. eCollection 2016. PubMed 27741260 ↗
  • Yang C, Sriranjan V, Abou-Setta AM, Poluha W, Walker JR, Singh H. Anxiety Associated with Colonoscopy and Flexible Sigmoidoscopy: A Systematic Review. Am J Gastroenterol. 2018 Dec;113(12):1810-1818. doi: 10.1038/s41395-018-0398-8. Epub 2018 Nov 1. PubMed 30385831 ↗
  • Yılmaz E, Aslan A, Ergın E. Kolonoskopi Yapılacak Hastalarda Bağırsak Temizliğine Öz Etkililik Düzeylerinin Etkisi. CBU-SBED. 2018;5(4):192-198.

Individual participant data

Plan to share: No — Individual participant data will not be publicly available due to ethical and confidentiality considerations.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07664800
Lead sponsor
Sanko University
Responsible party
Sinem Bebek (assistant professor, Sanko University) — Principal investigator
First posted
Jun 24, 2026
Start date
Mar 1, 2023
Primary completion
Apr 1, 2023
Completion
Jun 30, 2023
Last update
Jun 24, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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