Family Practice, Vol 14, 233-237, Copyright © 1997 by World Organization of Family Doctors
A Howe
BACKGROUND: Videorecording of the consultation has become a widespread
training and research technique in general practice. Previous studies have
suggested a good level of patient acceptability. OBJECTIVE: This study
aimed to elucidate patient factors associated with refusal to be videoed.
METHOD: A research study of GP detection of psychological problems was
carried out by opportunistic recruitment of adult attenders in primary care
for collection of sociodemographic data, mental health status, and video of
consultation. Patients were consented for participation in a research
project by a skilled research assistant while waiting to see their general
practitioner. This involved a two-stage process, where completion of a
brief questionnaire was followed by consent for video before the patient
entered the consulting room. RESULTS: Although the overall response rate
was 85%, a surprisingly high level of refusal of consent by patients for
their consultations to be videoed was found. The data were therefore
analysed to examine the characteristics of the patient population, and to
look for possible associated factors. The main factors associated with
refusal of video consent were decreasing age, and overt presentation of a
psychological problem. Although patients who were defined (either in the
opinion of the GP or by mental health questionnaire score) as
psychologically distressed were more likely to decline to be videoed, this
was a less significant predictor of whether the patient would consent.
CONCLUSIONS: Consent to be videoed may be more context- specific than
previous studies have suggested. Refusal to be videoed appears to be
associated with psychological problems, but the relationship is complex,
and sociodemographic factors also play a part. The factors which influence
consent, including the reason given for recording, need further
clarification.
ORIGINAL CLINICAL RESEARCH
Refusal of videorecording: what factors may influence patient consent?
Department of General Practice, Northern General Hospital, Sheffield, UK.
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