British Journal of Obstetrics and Gynaecology, May 1, 2001
Objective To assess the effectiveness of video information in reducing the level of anxiety in wo... more Objective To assess the effectiveness of video information in reducing the level of anxiety in women attending Colposcopy clinics. Design An observational study followed by a randomised trial. Setting Colposcopy Clinic, Royal Free Hospital, London. Participants Between April and December 1999, all new referrals to the clinic with a cervical smear showing moderate or severe dyskaryosis. Main outcome measure The level of anxiety measured by the Spielberger State Anxiety Inventory. Conclusion Women attending colposcopy clinics for either diagnosis or treatment, experience a high level of anxiety. The highest levels occur in women attending a one-stop see and treat clinic. The introduction of visual information in the form of an explanatory video prior to attendance signi®cantly reduced anxiety.
A randomised controlled study in which a written prompt was sent to new patients to help them mak... more A randomised controlled study in which a written prompt was sent to new patients to help them make the most of their consultation was conducted amongst patients referred to the dermatology, gynaecology and orthopaedic out-patients clinics at the Royal Free Hospital, London. The impact of the help card on patients' expectations, preparation for and experience of their out-patient consultation are discussed. A help card and letter were sent to a random sample of patients before their appointment to encourage them to prepare and prioritize questions to ask the doctor at the consultation. After their consultation, patients were sent a postal questionnaire to complete at home. Analysis of the questionnaires provided quantitative and qualitative data about patients' information requirements and whether they were fulfilled. The results highlight the difficulties out-patients have in asking questions and discussing topics fully at their initial consultation, even when they have thought of questions in advance. Half the patients who were sent a help card said they got more out of their consultation as a result, yet few statistically significant differences between the help card group and the other patients were found.
This paper describes and reflects on the content and teaching methods of a two-week medical human... more This paper describes and reflects on the content and teaching methods of a two-week medical humanities special studies module (SSM) taken by third-year students at the Royal Free & University College Medical School. It aims to add to the common pool of knowledge, and will be of use to people who are considering setting up something similar.
Introduction. Beware Greeks bearing gifts - especially one called Hippocrates. Great directors (1... more Introduction. Beware Greeks bearing gifts - especially one called Hippocrates. Great directors (1): John Ford (1895-1973). Destination: out? Visuality: mapping the overlap. Deep and meaningful: 'Le corbeau'. Wars of the world. Wild Strawberries [by John Salinsky]. Real lives (Part I): a series of awakenings. Real lives (Part II): biopics. Great directors (2): Akira Kurosawa (1910 - 1998). Doctors, in practice. Bigger than life? Medical melodrama. Mirror, mirror, on the screen. In closing.
Objective To assess the effectiveness of video information in reducing the level of anxiety in wo... more Objective To assess the effectiveness of video information in reducing the level of anxiety in women attending Colposcopy clinics. Design An observational study followed by a randomised trial. Setting Colposcopy Clinic, Royal Free Hospital, London. Participants Between April and December 1999, all new referrals to the clinic with a cervical smear showing moderate or severe dyskaryosis. Main outcome measure The level of anxiety measured by the Spielberger State Anxiety Inventory. Conclusion Women attending colposcopy clinics for either diagnosis or treatment, experience a high level of anxiety. The highest levels occur in women attending a one-stop see and treat clinic. The introduction of visual information in the form of an explanatory video prior to attendance signi®cantly reduced anxiety.
British Journal of Obstetrics and Gynaecology, May 1, 2001
Objective To assess the effectiveness of video information in reducing the level of anxiety in wo... more Objective To assess the effectiveness of video information in reducing the level of anxiety in women attending Colposcopy clinics. Design An observational study followed by a randomised trial. Setting Colposcopy Clinic, Royal Free Hospital, London. Participants Between April and December 1999, all new referrals to the clinic with a cervical smear showing moderate or severe dyskaryosis. Main outcome measure The level of anxiety measured by the Spielberger State Anxiety Inventory. Conclusion Women attending colposcopy clinics for either diagnosis or treatment, experience a high level of anxiety. The highest levels occur in women attending a one-stop see and treat clinic. The introduction of visual information in the form of an explanatory video prior to attendance signi®cantly reduced anxiety.
A randomised controlled study in which a written prompt was sent to new patients to help them mak... more A randomised controlled study in which a written prompt was sent to new patients to help them make the most of their consultation was conducted amongst patients referred to the dermatology, gynaecology and orthopaedic out-patients clinics at the Royal Free Hospital, London. The impact of the help card on patients' expectations, preparation for and experience of their out-patient consultation are discussed. A help card and letter were sent to a random sample of patients before their appointment to encourage them to prepare and prioritize questions to ask the doctor at the consultation. After their consultation, patients were sent a postal questionnaire to complete at home. Analysis of the questionnaires provided quantitative and qualitative data about patients' information requirements and whether they were fulfilled. The results highlight the difficulties out-patients have in asking questions and discussing topics fully at their initial consultation, even when they have thought of questions in advance. Half the patients who were sent a help card said they got more out of their consultation as a result, yet few statistically significant differences between the help card group and the other patients were found.
This paper describes and reflects on the content and teaching methods of a two-week medical human... more This paper describes and reflects on the content and teaching methods of a two-week medical humanities special studies module (SSM) taken by third-year students at the Royal Free & University College Medical School. It aims to add to the common pool of knowledge, and will be of use to people who are considering setting up something similar.
Introduction. Beware Greeks bearing gifts - especially one called Hippocrates. Great directors (1... more Introduction. Beware Greeks bearing gifts - especially one called Hippocrates. Great directors (1): John Ford (1895-1973). Destination: out? Visuality: mapping the overlap. Deep and meaningful: 'Le corbeau'. Wars of the world. Wild Strawberries [by John Salinsky]. Real lives (Part I): a series of awakenings. Real lives (Part II): biopics. Great directors (2): Akira Kurosawa (1910 - 1998). Doctors, in practice. Bigger than life? Medical melodrama. Mirror, mirror, on the screen. In closing.
Objective To assess the effectiveness of video information in reducing the level of anxiety in wo... more Objective To assess the effectiveness of video information in reducing the level of anxiety in women attending Colposcopy clinics. Design An observational study followed by a randomised trial. Setting Colposcopy Clinic, Royal Free Hospital, London. Participants Between April and December 1999, all new referrals to the clinic with a cervical smear showing moderate or severe dyskaryosis. Main outcome measure The level of anxiety measured by the Spielberger State Anxiety Inventory. Conclusion Women attending colposcopy clinics for either diagnosis or treatment, experience a high level of anxiety. The highest levels occur in women attending a one-stop see and treat clinic. The introduction of visual information in the form of an explanatory video prior to attendance signi®cantly reduced anxiety.
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