The effect of video information on anxiety levels in women attending colposcopy: a randomized controlled trial

Abstract

Objective: The aim was to investigate whether additional information, in video form, reduces anxiety, depression and pain levels in women referred for colposcopy. Material and methods: Between September 2012 and March 2015, 136 patients referred for colposcopy were randomized into two study arms. Group A received video information in addition to the regular information leaflet, and group B (control group) received only the regular information leaflet. The patients were requested to complete standardized online questionnaires. The first online questionnaire (T1) was pre-randomization, and was completed at home, 5 days prior to the appointment. The second online questionnaire (T2) was completed directly before the colposcopy appointment, and the last online questionnaire (T3) was completed directly following colposcopy at the out-patient clinic. The questionnaires included the Spielberger State-Trait Anxiety Inventory (STAI), the Hospital Anxiety and Depression Scale (HADS), and the Numeric Rating Scale (NRS) to assess pain. Results: The STAI state anxiety score was high (44.6), but there was no significant difference in STAI, HADS and NRS between the two groups at the three measuring points. A post hoc analysis showed that women with a generally higher baseline anxiety trait had significantly lower HADS anxiety levels following video information. Conclusions: Additional information (video) before colposcopy did not significantly reduce anxiety, depression, and expected or experienced pain, as measured by the STAI, HADS and NRS in patients attending their first colposcopy appointment. However, most patients positively appreciated the video information, which may reduce the anxiety of extremely anxious patients. ARTICLE HISTORY

The effect of an animation video on consultation time, anxiety and satisfaction in women with abnormal cervical cytology

“…Our findings regarding anxiety reduction are in agreement with those obtained by other studies, none of which found an association between an intervention and anxiety reduction in women referred for colposcopy (Ketelaars et al, 2017; Byrom et al, 2002; Greimel et al, 1997). Only music during the colposcopy significantly reduces anxiety (Chan et al, 2003).…”

“…Recently, Ketelaars et al investigated whether anxiety might be reduced by means of a hospital-dependent non-animation information video. However, they found no significant anxiety reduction compared to women receiving a standard brochure (Ketelaars et al, 2017). They recommended standardising the pre-colposcopy information.…”

Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in 18F-FDG PET/CT Examinations

“…Similar to our findings, another study found no statistically significant difference between patients who received standard information before colposcopy and those who additionally received video information (14). However, patient satisfaction was high and anxiety reduced in those who saw the video (14). Also, the high satisfaction with the nursing staff in the present study is similar to the findings of other studies on patients undergoing 18 F-FDG PET/ CT (4-6).…”

Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results

“…Anxiety among patients in a gynecological setting has been measured using different scales such as the Psychological Consequences Questionnaire, Hospital Anxiety and Depression Scale, the Montgomery-Åsberg Depression Rating Scale, and different versions of State-Trait Anxiety Inventory (STAI) [5,6,9]. STAI has the advantage of measuring both trait anxiety, which is considered stable over time, and state anxiety, which is affected by stressful situations such as receiving an abnormal screening result [10,11].…”