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Family Practice Vol. 12, No. 4, 443-447
© Oxford University Press 1995

other

Using interactive videos in general practice to inform patients about treatment choices: a pilot study

Sasha Shepperd, Angela Coulter and Andrew Farmer

Health Services Research Unit, Department of Public Health and Primary Care, University of Oxford Radcliffe Infirmary, Oxford OX2 6HE

Correspondence to A. Coulter at King's Fund Development Centre, 11–13 Cavendish Square, London W1M 0AN, UK.

Our objective was to assess the acceptability of using an interactive video system in a general practice setting to inform patients about treatment choices. A descriptive cohort study was carried out in eight general practices in Oxfordshire. Fifty-four patients with mild hypertension and 29 with benign prostatic hypertrophy were studied. Patients' views of the video, treatment preference, level of involvement in treatment decision and satisfaction with decision-making process and GPs' views of the effect of the video on subsequent consultations were measured. Both patients and GPs reported favourable impressions of the interactive video system: 71% of patients said it definitely helped with their treatment decision; GPs said they found the video helpful in 82% of cases. The results of this pilot study were sufficiently encouraging to indicate the need for a randomized controlled trial to evaluate the impact of the video on the doctor-patient relationship, on subsequent treatment decisions and on health outcomes and patients' well-being.


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