Patient reported outcomes of home diagnostics with colon capsule endoscopy – results from the 5G-SUCCEEDS study
Cassie Conway, Gohar Jalayeri Nia, Chander Shakher, Ramesh P ArasaradnamObjective
To evaluate patient experiences with a remote Colon Capsule Endoscopy (CCE) service delivered through the 5G-SUCCEEDS initiative, utilizing the InteliGI Smartbox for home-based diagnostics with remote clinical supervision.
Methods
This mixed-methods service evaluation involved 25 patients referred from primary care with low-to-intermediate colorectal cancer risk, or under post-polypectomy surveillance. Patients received a Smartbox with CCE equipment, including a capsule, receiver belt, and a tablet for remote videoconferencing with clinical staff. Data on patient experience, confidence, and satisfaction were collected through surveys and semi-structured interviews. Twenty-two participants returned the questionnaire, and eight completed semi-structured interviews. The Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework was used for thematic analysis.
Results
Analysis of the technology showed that most patients rated the Smartbox as user-friendly, with bowel preparation noted as the most challenging aspect. Analysis of the value proposition of the innovation showed that most patients expressed satisfaction with remote CCE. Videoconferencing was essential for ensuring correct equipment setup and providing patient reassurance. Patients valued the convenience of performing the procedure at home, with most able to continue their daily activities. Analysis of the adopter system found that most patients reported that they did not need any assistance from a family member or a nurse while doing the procedure.
Conclusion
This study indicates the patient acceptance of home-delivered CCE through the 5G-SUCCEEDS initiative. The results suggest that remote CCE, supported by 5G technology and the InteliGI Smartbox (or alternative), offers a viable and patient-centred alternative to in-clinic colonscopy procedures.