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Research ArticleOriginal Article

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

Daron G. Ferris, Mark S. Litaker, Priscilla Ann Gilman and Ahidee G. Leyva Lopez
The Journal of the American Board of Family Practice September 2003, 16 (5) 405-411; DOI: https://doi.org/10.3122/jabfm.16.5.405
Daron G. Ferris
MD
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Mark S. Litaker
PhD
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Priscilla Ann Gilman
MD
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Ahidee G. Leyva Lopez
MHS
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Article Figures & Data

Tables

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    Table 1.

    Mean Health Beliefs and Concern Scores for Colposcopy and Telecolposcopy Subjects

    Cohorts
    Concern/BeliefColposcopyTelecolposcopyP Value*
    Concern about disease3.3 (1.1)3.3 (1.1)NS†
    Concern about procedure3.2 (1.4)3.4 (1.4)NS
    Concern about consequences3.1 (1.2)3.1 (1.2)NS
    Importance of appointment3.6 (0.7)3.6 (0.8)NS
    Self-blame for disease2.9 (1.3)2.8 (1.4)NS
    Self-control over disease3.7 (1.2)3.9 (1.2)NS
    Doctor has control over disease4.1 (0.9)4.2 (1.1)NS
    • Pre-examination scores reported using a Likert scale (1 = not at all and 5 = extremely). Data are presented as mean (SD).

    • * Wilcoxon rank sum test.

    • † NS, not significant (p > .05).

    • View popup
    Table 2.

    Mean Monitor and Blunter Coping Style Scores for Colposcopy and Telecolposcopy Cohorts

    Mean Coping Style Score
    CohortNMonitorBlunter
    Colposcopy1509.5 (3.5)4.6 (2.6)
    Telecolposcopy26310.4 (3.5)*4.8 (2.7)†
    • Monitors attend to threatening cues; blunters avoid threatening cues. Scores >11 indicate high monitor or blunter, scores <11 indicate low monitor or blunter. Data are presented as mean (SD).

    • * Comparison of monitor scores between cohorts, P = .03, Wilcoxon rank sum test.

    • † Comparison of blunter scores between cohorts, P = .6, Wilcoxon rank sum test.

    • View popup
    Table 3.

    Mean Patient Acceptance Questionnaire Results

    Cohorts
    QuestionColposcopyTelecolposcopyP Value*
    Examination was painful2.3 (1.2)3.0 (1.3)<.001
    Regular clinician can find abnormalities3.1 (1.3)3.5 (1.2).005
    Tele-/colposcopy examination saved me money3.6 (1.0)4.1 (1.0)<.001
    Not satisfied with examination1.7 (1.1)1.9 (1.3)NS†
    Tele-/colposcopy improved diagnostic accuracy4.4 (0.8)4.4 (0.8)NS
    Getting cancer would be serious4.7 (0.7)4.7 (0.8)NS
    Tele-/colposcopy improved quality of my care4.4 (0.9)4.6 (0.7)NS
    Would not like name recognition by distant expert3.1 (1.4)2.8 (1.4).04
    Telecolposcopy saved/would save me time4.0 (1.0)4.3 (0.9)<.001
    If clinician says telecolposcopy improves my care, I’ll do it4.4 (0.7)4.6 (0.6)<.001
    Thoughts and fears of cervical cancer after told about abnormal Papanicolaou smear4.0 (1.0)4.2 (1.1).02
    Difficult to travel 1 to 4 hours for medical care3.4 (1.4)3.9 (1.3)<.001
    Distant expert can see/could have seen my cervix as well as local clinician3.5 (1.1)4.1 (1.0)<.001
    Recommend tele-/colposcopy to a friend4.4 (0.7)4.5 (0.7)NS
    Felt better about health after tele-/colposcopy examination4.3 (0.9)4.4 (0.8)NS
    Felt comfortable with tele-/colposcopy exam today4.3 (0.9)4.3 (0.8)NS
    Satisfied with tele-/colposcopy and care4.6 (0.7)4.6 (0.6)NS
    Confident distant expert/colposcopist was competent4.6 (0.7)4.6 (0.6)NS
    Felt distant expert/colposcopist concered about my health4.5 (0.8)4.5 (0.7)NS
    • Postexamination scores reported using a Likert scale (1 = strongly disagree and 5 = strongly agree). Some questions slightly rephrased as appropriate for each situation. Data are presented as mean (SD).

    • * Wilcoxon rank sum test.

    • † NS, not significant (P > .05).

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The Journal of the American Board of Family Practice: 16 (5)
The Journal of the American Board of Family Practice
Vol. 16, Issue 5
1 Sep 2003
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Patient Acceptance and the Psychological Effects of Women Experiencing Telecolposcopy and Colposcopy
Daron G. Ferris, Mark S. Litaker, Priscilla Ann Gilman, Ahidee G. Leyva Lopez
The Journal of the American Board of Family Practice Sep 2003, 16 (5) 405-411; DOI: 10.3122/jabfm.16.5.405

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Patient Acceptance and the Psychological Effects of Women Experiencing Telecolposcopy and Colposcopy
Daron G. Ferris, Mark S. Litaker, Priscilla Ann Gilman, Ahidee G. Leyva Lopez
The Journal of the American Board of Family Practice Sep 2003, 16 (5) 405-411; DOI: 10.3122/jabfm.16.5.405
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