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Not yet recruiting NCT07337694

Exploring the Clinical Value of an AI-Assisted Patient Self-Assessment App for Bowel Preparation: A Multicenter Study

No phase Interventional Bowel Preparation for Colonoscopy Colonoscopy

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: The app group.
Who it may be relevant to
Registry conditions: Bowel Preparation for Colonoscopy, Colonoscopy. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

The quality of bowel preparation hinges on how well patients follow the prep-drug regimen, so intensive education is essential. Phone calls, texts, short videos, and mini-programs have all been shown to boost compliance and improve prep quality. Still, we also need a way to spot-early-those patients who are likely to prep poorly so we can step in with a rescue plan. In our pilot work the investigators built an AI-assisted mini-program that lets patients photograph their effluent and get an instant quality read-out. The single-center RCT showed excellent performance. Because these findings came from one center, the investigators are now launching a multicenter study to test the tool more broadly. Patients will use the AI mini-program at home; if the algorithm predicts inadequate prep it will prompt them to come in early or alert staff so the investigators can initiate a rescue protocol and, ultimately, improve bowel-cleansing quality.

Interventions

  • Other The app group
    After taking the bowel-prep solution, patients in the app group are instructed to photograph their final stool in the toilet and upload the image through our smartphone app. The AI algorithm immediately scores the prep quality. If the image is rated "poor" or "inadequate," the app displays an alert advising the patient to come to the hospital early or contact clinical staff; clinical staffs then review the photo and decide whether a rescue preparation is needed. The standard rescue was an additi

Primary outcome measures

  • Compare the bowel preparation quality between the app group and the control group. [Time frame: Periprocedural]
Secondary outcome measures (10)
  • Evaluate the diagnostic performance of the app-based assessment. [Time frame: Periprocedural]
  • cecal intubation rate [Time frame: Periprocedural]
  • cecal intubation time [Time frame: Periprocedural]
  • withdrawal time (excluding polypectomy and biopsy) [Time frame: Periprocedural]
  • polyp-detection rate (PDR), adenoma-detection rate (ADR), advanced-adenoma-detection rate (aADR) [Time frame: Periprocedural]
  • rate of rescue preparation due to inadequate preparation [Time frame: Periprocedural]
  • clinical staffs' assessment time [Time frame: Periprocedural]
  • User satisfaction score [Time frame: Periprocedural]
  • post-procedural adverse events [Time frame: From enrollment to 30 days after the procedure.]
  • rate of rescheduled examinations due to inadequate preparation [Time frame: Periprocedural]

Eligibility criteria

Inclusion criteria

  • Age ≥ 18 years
  • Undergoing colonoscopy at a participating site
  • Able to defecate in a toilet (or in a setting where stool characteristics can be observed) after taking the bowel-prep solution
  • Proficient in using a smartphone
  • Willing to participate voluntarily

Exclusion criteria

  • American Society of Anesthesiologists (ASA) class III or IV;
  • Gastric-outlet or intestinal obstruction; ③ Active gastrointestinal bleeding; ④ Enterostomy (colostomy/ileostomy); ⑤ Status post total colectomy.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Other

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07337694 · 2025ZSLYEC-747

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗