Project Information

Cognitive Functioning and Colonoscopy Preparation in Older Adults

Project Description: Colonoscopy screenings are commonly used to detect, diagnose, and treat a number of bowel disorders. As preventive measures, colonoscopy screeners can be life-saving for older adults, as they are at increased risk for colorectal cancer. Prior to the procedure, patients are required to implement strict dietary changes (e.g., gradually restricting their consumption of solids) and take potent laxatives. Optimal preparation is instrumental to the procedure's success, and marginal compliance may result in inadequtealy cleansed colon and poor detection of existing colon abnormalities. Evidence suggests that individualized patient education improves compliance, and promotes adherence to pre-procedural recommendations. Less is known about the association between pre-procedural cognitive abilities and compliance with colonoscopy preparation recommendations. This is concerning as attention, learning, and memory are known to decline with aging, and older adults are more likely to develop neurodegenerative disorders.

QPI: Franchesca, Arias, (

Collaborators: David, Estores, (; Michael, Riverso, (; Catherine, Price, (

Advisors: Catherine, Price, (

UF Health Big Aims: Reduce Variation None

MeSH Keywords: Cognitive Aging, Colonoscopy, Compliance, Neuropsychology, Preoperative Care