The researchers examined outpatient colonoscopy results from 462 adults aged 55 to 74. They examined cecal intubation, polyp detection, bowel preparation quality and histopathology.
Lower health literacy was associated with a lower level of education, diabetes and a higher number of chronic conditions, but not with the quality of bowel preparation.
The researchers found that patient activation was an independent predictor of suboptimal bowel preparation quality and concluded that measures should be taken to improve patient activation.
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