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Patient-based evaluation of a colposcopy information leaflet
1Ninewells Hospital and Medical School, Dundee, UK.
Summary
This study evaluated a colposcopy information leaflet for patients with abnormal cervical smears. While most patients found it helpful and improved knowledge, its anxiety reduction effect was limited, suggesting areas for improvement.
Area of Science:
- Gynecology
- Patient Education
- Medical Communication
Background:
- Colposcopy is a procedure for investigating abnormal cervical smear results.
- Effective patient information is crucial for managing anxiety and improving understanding before colposcopy.
- Existing information leaflets require evaluation for patient-friendliness and effectiveness.
Purpose of the Study:
- To assess the effectiveness of a routine information leaflet for patients referred for colposcopy.
- To identify patient-reported difficulties with the leaflet.
- To propose improvements for a more patient-friendly and effective information resource.
Main Methods:
- A questionnaire survey was administered to new patients attending a teaching hospital's colposcopy clinic.
- Patients' receipt, reading, and understanding of the information leaflet were recorded.
- A knowledge quiz compared patients who received the leaflet versus those who did not.
- Patient satisfaction, anxiety levels, and perceived helpfulness of the leaflet were assessed.
Main Results:
- The vast majority of patients received (90%), read (90%), and understood (96%) the leaflet.
- Patients who received the leaflet demonstrated significantly higher knowledge scores (P < 0.0001).
- While 82% found the leaflet helpful and 89% were satisfied, its impact on anxiety was mixed, with some patients experiencing increased worry.
- Common difficulties included the use of abbreviations and technical terms.
Conclusions:
- The information leaflet is a valuable tool for enhancing patient knowledge about abnormal smears and colposcopy.
- The leaflet's effectiveness in reducing patient anxiety is less pronounced and could be improved.
- Modifications addressing technical terms and abbreviations are recommended to enhance patient-friendliness and suitability.