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A Trial to Maximize the Accuracy of Military Womens Genitourinary Self-Diagnoses

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Purpose We evaluated the type and intensity of training that is required for military women to make accurate self-diagnosis and self-treatment decisions with the WMSD Kit copyright . Design A randomized, two-factor, controlled trial design was used to compare women s accuracy rates among six levels of training, ranging from simplest videotape to most intensive videotape psychomotor skill training cognitive rehearsal training. Methods The Kit included commercial, point-of-care diagnostic devices and the WMSD Decision-Making Guidecopyright . To determine their self-diagnoses and self-treatment decisions, women analyzed standardized non-infectious specimens that yielded positive and negative diagnostic results. Sample The volunteer participants included Army, Navy, Air Force, and Marine women N265 from three military installations, ages 18-58 years. Analysis Comparison of accuracy rates among the six types of training sessions were determined by a 2-factor analysis of variance at alpha0.05. Self-treatment accuracy, commission error, and omission error rates for each of the 7 potential self-diagnosis and self-treatment decisions were calculated from 2x2 contingency tables. Findings Women s overall self-diagnosis and self-treatment accuracy was 80.7, which exceeds the minimum accuracy criterion of more or equal to 75.Overall treatment commission errors were 10, and omission errors were 9.9, which meet the maximum error criteria of less or equal to 10 and less or equal to 15 respectively. Six of the 7 potential diagnosis and treatment options met these criteria. Vaginal yeast diagnoses were least accurate 67.4, in part, due to faulty test indicators on the diagnostic devices. Implications for Military Nursing The WMSD Kit shows great promise for improving military women s health during deployment. This study shows that pre-deployment training for accurate use of the Kit requires only a 23-minute videotape.

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  • Medicine and Medical Research

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