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The Journal of the American Board of Family Practice 16:405-411 (2003)
© 2003 American Board of Family Practice

Patient Acceptance and the Psychological Effects of Women Experiencing Telecolposcopy and Colposcopy

Daron G. Ferris, MD, Mark S. Litaker, PhD, Priscilla Ann Gilman, MD and Ahidee G. Leyva Lopez, MHS

Gynecologic Cancer Prevention Center (DGF, MSL), The Medical College of Georgia, Augusta
Department of Family Medicine (DGF), The Medical College of Georgia, Augusta
Department of Obstetrics and Gynecology (DGF), The Medical College of Georgia, Augusta
Office of Biostatistics and Bioinformatics (MSL), The Medical College of Georgia, Augusta
Department of Psychiatry and Health Behavior (PAG), The Medical College of Georgia, Augusta
Instituto Nacional de Salud Publica, Cuernavaca, Mexico (AGLL)

Correspondence: Address correspondence to Daron G. Ferris, MD, Medical College of Georgia, 1423 Harper Street, HH-105, Augusta, Georgia 30912-3500 (e-mail dferris{at}mail.mcg.edu)

Background: The purpose of the study was to assess patient acceptance and psychological effects in women experiencing telecolposcopy compared with colposcopy.

Methods: Convenience samples of 150 and 263 women scheduled for colposcopy or telecolposcopy, respectively, completed questionnaires assessing anxiety (Prime MD), depression [Center for Epidemiologic Studies/Depressed Mood Scale (CES-D)], health beliefs and concerns, coping style (Miller Behavioral Style Score) and examination acceptance and satisfaction. Test scores and subject responses were compared using the t test and Wilcoxon rank sum test.

Results: Mean scores representing mild anxiety (1.3 and 1.2, P = .7) and mild depression (35.4 and 36.3, P = .4) were reported for the telecolposcopy and colposcopy groups, respectively. The telecolposcopy group indicated significantly greater mean scores for the examination, saving them time and money compared with the colposcopy group. Women in both groups were highly satisfied with their examinations and care.

Conclusions: In general, women reported very high levels of satisfaction with telecolposcopy and colposcopy. Potential savings of time and money and improved health care were considered of particular value to women examined by telecolposcopy. Telecolposcopy seems to be well accepted by rural women.






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Copyright © 2003 by the American Board of Family Medicine.