Skip to main content
SpringerLink
Log in

Development of an Instrument to Assess and Predict Satisfaction and Poor Tolerance Among Patients Undergoing Endoscopic Procedures

  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

We aimed to test the reliability of a developed questionnaire that measures and predict aversive endoscopic experience. Two questionnaires (pre- and postprocedure) were given to patients presenting for routine endoscopy. The first questionnaire elicited demographics, prior endoscopic experience, history of drug or alcohol use, patient expectations, and levels of anxiety and nervousness before procedure. After endoscopy, tolerance and willingness to repeat the examination were determined. The primary outcome of “adverse endoscopic experience” (AEE) was defined as a score of ≥5 on the postprocedure overall level of satisfaction or unwillingness to repeat endoscopy. Thirteen of 148 subjects reported an AEE. Items measuring the primary outcome were internally validated by reliability analysis which significantly correlated with measures of aversive experience like pain, nervousness, and suffering during the procedure. Preprocedure factors that were associated with AEE in the univariate analysis and multivariate analysis were nervousness (P = 0.02) and chronic use of psychotropic drugs or alcohol (P = 0.03). In conclusion, we have developed a questionnaire that reliably measures aversive endoscopic experience. Nervousness before procedure and chronic use of psychotropic drugs are reliable predictors of such experience.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Everhart JE: Overview. In Digestive Diseases in the United States: Epidemiology and Impact. NIH Publication 94–1447. Everhart JE (ed). Bethesda, MD: U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, 1994, pp 3–53

  2. Froehlich F, Thorens J, Schwizer W, et al.: Sedation and analgesia for colonoscopy: patient tolerance, pain, and cardiorespiratory parameters. Gastrointest Endosc 45:1–9, 1997

    PubMed  Google Scholar 

  3. Linn LS, Greenfield S: Patient suffering and patient satisfaction among the chronically ill. Med Care20:425–431, 1982

    Google Scholar 

  4. Raymond JM, Michel P, Beyssac R, et al.: Patients opinion following an upper digestive endoscopy in ambulatory care: Results of a national survey (II). Gastroenterol Clin Biol 20:570–574, 1996

    PubMed  Google Scholar 

  5. Ciriza C, Garcia L, Fernadez A, Diez A, Delgado M, San Sebastian AI: Sedation for gastrointestinal endoscopy. Analysis of tolerance and complications. Rev Esp Enferm Dig 93(9):587–597, 200X

  6. Schutz Sm, Lee LG, Scmitt Cm, Almon M, Baillie J: Clues to patient dissatisfaction with conscious sedation for colonoscopy. Am J Gastro 98(9):1476–1483, 1994

    Google Scholar 

  7. Waye JD: Perspectives. “International Editorial Board.” Gastrointest Endosc 50(6):889–890, 1999

    Google Scholar 

  8. Ware JE, Snyder MK, Wright WR: Development and Validation of Scale to Measure Patient Satisfaction with Health Care Services, Vol 1, Part B. Springfield, VA, National Technical Information, 1998

  9. Linder-Pelz S: Social psychological determinants of patient satisfaction: A test of five hypotheses. Soc Sci Med 15:583–589, 1982

    Article  Google Scholar 

  10. Greenley JR, Young TB, Schoenheor RA: Psychological distress and patient satisfaction.

  11. Morgan I, Roufeil L, Kaushik S, Bassett M: Influence of coping style and pre-colonoscopy information on pain and anxiety of colonoscopy. Gastrointest Endosc 48(2):119–127, 1998

    PubMed  Google Scholar 

  12. Yacavone RF, Locke GR, Gostout CJ, Rockwood TH, Thieling S, Zinsmeister AR: Factors influencing patient satisfaction with GI endoscopy. Gastrointest Endosc 53(7):703–710, 2001

    Article  PubMed  Google Scholar 

  13. Davis MS: Variation in patients compliance with doctors orders: Medical practice and doctor–patient interaction. Psychiatr Med 2:31–54, 1971

    Google Scholar 

  14. Davis AR, Ware JE, Brook RH, et al.: Consumer acceptance of prepaid and fee for service medical care: Results from a randomized controlled trial. Health Serv Res 21:429–452, 1986

    PubMed  Google Scholar 

  15. Vacerino JM: Malpractice: The problem in perspective. JAMA 238:861–863, 1977

    Article  PubMed  Google Scholar 

  16. Kasteleer J, Kane RL, Olson DM, et al.: Issues underlying the prevalence of “doctor-shopping” behavior. J Health Soc Behav 17:328–339, 1976

    Google Scholar 

  17. American Gastroenterological Association: A primer on outcomes research for the gastroenterologist: Report of the American Gastroenterological Association task force on outcomes research. Gastroenterology 109:302–306, 1995

    Google Scholar 

  18. Oppenheim JP: Questionnaire Design, Interviewing and Attitude Measurment. London, St. Martins Press, 1992

    Google Scholar 

  19. Fink A, Kosecoff J: How to Conduct Surveys: A Step-by-Step Guide. Newbury Park, CA, Sage, 1985

    Google Scholar 

  20. Anastasi A, Urbina S: Psychological Testing. Englewood Cliffs, NJ, Prentice Hall, 1997

    Google Scholar 

  21. Wong RCK: The menu of endoscopic sedation, all you can eat, combinations, a la carte, alternative cuisine, or go hungry. Gastrointest Endosc 54(1):122–126, 2001

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Digestive Diseases and Nutrition, University of Kentucky Chandler Medical Center, Lexington, Kentucky, 40536, USA

    Luis R. Peña MD, FACG, Houssam E. Mardini MD, MPH & Nicholas J. Nickl MD

  2. Division of Digestive Diseases and Nutrition, University of Kentucky Chandler Medical Center, 800 Rose Street, Room MN 649, Lexington, Kentucky, 40536, USA

    Luis R. Peña MD, FACG

Authors
  1. Luis R. Peña MD, FACG
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Houssam E. Mardini MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nicholas J. Nickl MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Luis R. Peña MD, FACG.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Peña, L.R., Mardini, H.E. & Nickl, N.J. Development of an Instrument to Assess and Predict Satisfaction and Poor Tolerance Among Patients Undergoing Endoscopic Procedures. Dig Dis Sci 50, 1860–1871 (2005). https://doi.org/10.1007/s10620-005-2952-7

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-005-2952-7

Key Words

Search

Navigation