Pap smear versus speculum examination

Can we teach providers to educate patients?

Amy M. Fry, Elizabeth A. Ferries-Rowe, Lee A. Learman, David Haas

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To test whether provider-based training in focused patient communication can improve patient knowledge about Pap screening as part of the speculum examination in an urban urgent care setting. Methods: A separate samples pretest, posttest study evaluated the intervention. Before the intervention, we surveyed a convenience sample of 383 consecutive patients who received a speculum examination in a gynecology urgent care clinic of an urban public hospital about their understanding of the Pap smear and its correct use. The intervention trained healthcare providers to briefly explain speculum examinations and Pap smears. After the intervention, we surveyed 130 additional consecutive patients. Results: The intervention was associated with improved identification that a Pap smear had not been performed (57.7% preintervention vs. 70.7% postintervention, p?=?0.013) and improved knowledge that the Pap smear screens only for cervical cancer (12.0% preintervention vs. 23.8% postintervention, p?=?0.002). In logistic regression analysis controlling for age and other potential confounders, being in the postintervention group and speaking Spanish predicted correct identification of Pap test use (odds ratio [OR], 95% confidence interval [CI] 2.70, 1.54-4.75, and 2.98, 1.48-5.98, respectively). Conclusions: In an urban urgent care setting, patients may lack awareness that screening tests are not being performed at the time of a problem-oriented pelvic examination. A targeted intervention to improve physician counseling was associated with partial improvement in patient awareness and knowledge.

Original languageEnglish
Pages (from-to)1715-1719
Number of pages5
JournalJournal of women's health (2002)
Volume19
Issue number9
DOIs
StatePublished - Sep 1 2010

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Papanicolaou Test
Surgical Instruments
Ambulatory Care
Gynecological Examination
Public Hospitals
Urban Hospitals
Ambulatory Care Facilities
Gynecology
Uterine Cervical Neoplasms
Health Personnel
Counseling
Logistic Models
Odds Ratio
Communication
Regression Analysis
Confidence Intervals
Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pap smear versus speculum examination : Can we teach providers to educate patients? / Fry, Amy M.; Ferries-Rowe, Elizabeth A.; Learman, Lee A.; Haas, David.

In: Journal of women's health (2002), Vol. 19, No. 9, 01.09.2010, p. 1715-1719.

Research output: Contribution to journalArticle

Fry, Amy M. ; Ferries-Rowe, Elizabeth A. ; Learman, Lee A. ; Haas, David. / Pap smear versus speculum examination : Can we teach providers to educate patients?. In: Journal of women's health (2002). 2010 ; Vol. 19, No. 9. pp. 1715-1719.
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