Skip to main content

Combining Science with Art to Educate and Motivate Patients Prior to Colorectal Cancer Screening

  • Conference paper
  • First Online:
Smart Education and e-Learning 2016

Part of the book series: Smart Innovation, Systems and Technologies ((SIST,volume 59))

  • 2294 Accesses

Abstract

Colorectal cancer (CRC) is the second leading cause of cancer deaths in the US despite wide use of colonoscopy to prevent CRC and CRC-related mortality. Colonoscopy is used to identify and remove lesions that will lead to cancer, however, most deaths occur because lesions are not detected or completely removed during the procedure. Patients play a crucial role in the detection component of colonoscopy: the better the colon is prepared, the higher the chance of detection of all polyps and cancers. In general, patients are instructed to clean the colon by way of a paper or web-based form that lists the objective (scientific) steps involved; unfortunately this too often does not result in a well-prepared colon. Behavior is known to be heavily influenced by emotion. As the first phase of a smart education research project we created an artistic and instructional documentary in which patients engage with the educational content through emotional responses; i.e., we motivate patients to follow instructions by combining scientific with emotional aspects of CRC prevention including preparation of the colon prior to colonoscopy. In the second research phase we will test whether use of the documentary results in improved colon preparation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Siegel, R.L., Miller, K.D., Jemal, A.: Cancer statistics, 2016. CA Cancer J. Clin. 66, 7–30 (2016)

    Article  Google Scholar 

  2. Xirasagar, S., Li, Y.J., Hurley, T.G., Tsai, M.H., Hardin, J.W., Hurley, D.M., Hebert, J.R., de Groen, P.C.: Colorectal cancer prevention by an optimized colonoscopy protocol in routine practice. Int. J. Cancer. J. I. du Cancer (2014)

    Google Scholar 

  3. Corley, D.A., Jensen, C.D., Marks, A.R., Zhao, W.K., Lee, J.K., Doubeni, C.A., Zauber, A.G., de Boer, J., Fireman, B.H., Schottinger, J.E., Quinn, V.P., Ghai, N.R., Levin, T.R., Quesenberry, C.P.: Adenoma detection rate and risk of colorectal cancer and death. N. Engl. J. Med. 370, 1298–1306 (2014)

    Article  Google Scholar 

  4. de Groen, P.C.: Advanced systems to assess colonoscopy. Gastrointest. Endosc. Clin. N. Am. 20, 699–716 (2010)

    Article  Google Scholar 

  5. Oh, J., Hwang, S., Cao, Y., Tavanapong, W., Liu, D., Wong, J., de Groen, P.C.: Measuring objective quality of colonoscopy. IEEE Trans. Bio-Med. Eng. 56, 2190–2196 (2009)

    Article  Google Scholar 

  6. Muthukudage, J., Oh, J., Tavanapong, W., Wong, J., De Groen, P.C.: Color based stool region detection in colonoscopy videos for quality measurements. In: Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), LNCS, vol. 7087, pp. 61–72 (2011)

    Google Scholar 

  7. Rex, D.K., Petrini, J.L., Baron, T.H., Chak, A., Cohen, J., Deal, S.E., Hoffman, B., Jacobson, B.C., Mergener, K., Petersen, B.T., Safdi, M.A., Faigel, D.O., Pike, I.M., ASGE/ACG Taskforce on Quality in Endoscopy: Quality indicators for colonoscopy. Am. J. Gastroenterol. 101, 873–85 (2006)

    Google Scholar 

  8. Boroff, E., Crowell, M., Leighton, J., Faigel, D., Gurudu, S., Ramirez, F.: The relationship between withdrawal time and intubation time in colonoscopy: correlation with adenoma detection rate (ADR). Am. J. Gastroenterol. 107, s806–s807 (2012)

    Google Scholar 

  9. Johnson, D.A., Barkun, A.N., Cohen, L.B., Dominitz, J.A., Kaltenbach, T., Martel, M., Robertson, D.J., Richard Boland, C., Giardello, F.M., Lieberman, D.A., Levin, T.R., Rex, D.K.: Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US Multi-Society Task Force on Colorectal Cancer. Am. J. Gastroenterol. 109, 1528–1545 (2014)

    Google Scholar 

  10. Abuksis, G., Mor, M., Segal, N., Shemesh, I., Morad, I., Plaut, S., Weiss, E., Sulkes, J., Fraser, G., Niv, Y.: A patient education program is cost-effective for preventing failure of endoscopic procedures in a gastroenterology department. Am. J. Gastroenterol. 96, 1786–1790 (2001)

    Article  Google Scholar 

  11. Liu, X., Luo, H., Zhang, L., Leung, F.W., Liu, Z., Wang, X., Huang, R., Hui, N., Wu, K., Fan, D., Pan, Y., Guo, X.: Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: a prospective, colonoscopist-blinded, randomised, controlled study. Gut (2013)

    Google Scholar 

  12. Taylor, J.S.: Learning with emotion: a powerful and effective pedagogical technique. Acad. Med.: J. Assoc. Am. Med. Coll. 85, 1110 (2010)

    Article  Google Scholar 

  13. Patel, S., Toulson, R.: Educating and enhancing compassion, emotion and reflective professional practice through contemporary digital filmmaking. In: Smart Digital Futures, vol. 262, pp. 582–591. IOS Press (2014)

    Google Scholar 

  14. Patel, S.: The Golden Window. Eyeline Films (2013)

    Google Scholar 

  15. Gupta, R., Brownlow, B., Domnick, R., Harewood, G., Steinbach, M., Kumar, V., de Groen, P.: Colon cancer not prevented by colonoscopy. Am. J. Gastroenterol. 103, S551–S552 (2008)

    Article  Google Scholar 

  16. Bakken, J., van Leerdam, M., Enders, F., Tavanapong, W., Oh, J., Wong, J., de Groen, P.: Colonoscopy peer review utilizing automated video capture. Am. J. Gastroenterol. 104, 1391 (2009)

    Google Scholar 

  17. Rosenfeld, G., Krygier, D., Enns, R.A., Singham, J., Wiesinger, H., Bressler, B.: The impact of patient education on the quality of inpatient bowel preparation for colonoscopy. Can. J. Gastroenterol. = Journal canadien de gastroenterologie 24, 543–546 (2010)

    Article  Google Scholar 

  18. Kakkar, A., Jacobson, B.C.: Failure of an internet-based health care intervention for colonoscopy preparation: a caveat for investigators. JAMA Intern. Med. Online first (2013)

    Google Scholar 

  19. Kang, X., Zhao, L., Leung, F., Luo, H., Wang, L., Wu, J., Guo, X., Wang, X., Zhang, L., Hui, N., Tao, Q., Jia, H., Liu, Z., Chen, Z., Liu, J., Wu, K., Fan, D., Pan, Y.: Delivery of instructions via mobile social media app increases quality of bowel preparation. Clin. Gastroenterol. Hepatol.: Official Clin. Pract. J. Am. Gastroenterol. Assoc. (2015)

    Google Scholar 

  20. Kuruvilla, C.: Minnesota takes aim at colon cancer with cheeky new ad campaign. http://www.nydailynews.com/life-style/health/minnesota-takes-aim-colon-cancer-cheeky-new-ad-campaign-article-1.1296786 (2013). Accessed 18 Jan 2016

  21. Butterly, L.: Preparing for a Colonoscopy. https://www.youtube.com/watch?v=xd1N0WOcd5A (2010). Accessed 18 Jan 2016

  22. Couric, K.: Katie Couric’s Colonoscopy Prep. https://www.youtube.com/watch?v=CbUesuxT1IE (2011). Accessed 18 Jan 2016

  23. Galati, J.: Colonoscopy Bowel Prep: what a bad one looks like. https://www.youtube.com/watch?v=VCupasJ2Tbs (2012). Accessed 18 Jan 2016

  24. Staff, I.C.: Colorectal cancer rates higher for Minnesota’s Natives. http://indiancountrytodaymedianetwork.com/2007/10/03/colorectal-cancer-rates-higher-minnesotas-natives-91504 (2007). Accessed 18 Jan 2016

  25. Barry, D.: Dave Barry: a journey into my colon—and yours. http://www.miamiherald.com/living/liv-columns-blogs/dave-barry/article1928847.html (2009). Accessed 18 Jan 2016

  26. Decety, J., Jackson, P.L.: The functional architecture of human empathy. Behav. Cogn. Neurosci. Rev. 3, 71–100 (2004)

    Article  Google Scholar 

  27. Cram, P., Fendrick, A.M., Inadomi, J., Cowen, M.E., Carpenter, D., Vijan, S.: The impact of a celebrity promotional campaign on the use of colon cancer screening: the Katie Couric effect. Arch. Intern. Med. 163, 1601–1605 (2003)

    Article  Google Scholar 

Download references

Acknowledgments

This project was supported by Mayo Clinic, Anglia Ruskin University and the Mayo Clinic Slaggie Cancer Patient Education Fund.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Piet C. de Groen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this paper

Cite this paper

de Groen, P.C., Patel, S., Lopez, M., Szewczynski, M., Toulson, R. (2016). Combining Science with Art to Educate and Motivate Patients Prior to Colorectal Cancer Screening. In: Uskov, V., Howlett, R., Jain, L. (eds) Smart Education and e-Learning 2016. Smart Innovation, Systems and Technologies, vol 59. Springer, Cham. https://doi.org/10.1007/978-3-319-39690-3_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39690-3_28

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39689-7

  • Online ISBN: 978-3-319-39690-3

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics