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Application of Computer Assisted Colposcopy Education

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Technical Report

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Uniformed Services University Of The Health Sciences Bethesda United States

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The Papanicolaou test is a commonly performed screening test often requiring further investigation by colposcopy if abnormal results are obtained. Women are often apprehensive regarding the abnormality that may exist and what occurs in the follow-up. Education plays a vital role in health care expectations and follow-up compliance. Various educational tools exist to facilitate improved knowledge. Computer technology may represent an additional avenue to enhance patient education and comprehension. The purpose of this study was to establish the effectiveness of computer-assisted instruction on dysplasia and colposcopy. The quasi-experimental study measured the participants knowledge before and after the computer assisted-instruction CAI intervention via a ten-item pre- and post- multiple choice exam. Estimates of content validity, obtained using three experts in colposcopy resulted in a CVI of one after revisions. There was 95 agreement in the test-retest of the tool at one week. The participants perception of the usefulness of the computer-assisted instruction was assessed with a nine-item survey accomplished after the colposcopy procedure. Subjects consisted of a non-random convenience sample of 27 first time colposcopy patients attending a specialty clinic at a military treatment facility. Using the paired t-test, significant pre- and post-test differences were found for six of the 10 items and for the total exam, suggesting the use of CAI as a valuable patient education tool for dysplasia and colposcopy. The unanimous recommendation by the participants for this type of program for future use suggests user friendliness and high satisfaction with this modality.

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