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A qualitative study exploring the experience of viewing three‐dimensional medical images during an orthopaedic outpatient consultation from the perspective of patients, health care professionals, and lay representatives
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Phelps, E. E., Wellings, R. M. (Richard M.), Kunar, Melina A., Hutchinson, Charles E. and Griffiths, Frances (2021) A qualitative study exploring the experience of viewing three‐dimensional medical images during an orthopaedic outpatient consultation from the perspective of patients, health care professionals, and lay representatives. Journal of Evaluation in Clinical Practice, 27 (2). pp. 333-343. doi:10.1111/jep.13417 ISSN 1356-1294.
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Official URL: https://doi.org/10.1111/jep.13417
Abstract
Rationale, aims and objectives
Three‐dimensional (3D) medical images are shown to patients during clinical consultations about certain health conditions. However, little is known about patients' experience of viewing them. The aim of this qualitative study was to explore the impact of sharing 3D medical images with patients during a clinical consultation about hip surgery, from the perspective of patients, health care professionals, and lay representatives.
Method
Interviews were conducted with 14 patients who were shown their own 3D medical images during their clinical consultation and four health care professionals conducting consultations within one orthopaedic outpatient clinic. In addition to interviews, 31 lay representatives participated in six focus groups. The focus groups aimed to gain a broader understanding of the advantages and concerns of showing patients their medical images and to compare 3D and two‐dimensional (2D) medical images. Interviews and focus groups were audio‐recorded, transcribed verbatim, and analysed using thematic analysis.
Results
Three themes were developed from the data: (a) the truthful image, (b) the empowering image, and (c) the unhelpful image. Focus group participants' preference for 3D or 2D images varied between conditions and groups, suggesting that the experience of viewing images may differ between individuals and conditions.
Conclusions
When shown to patients during an orthopaedic clinical consultation, 3D medical images may be an empowering resource. However, in this study, patients and focus group participants perceived medical images as factual and believed they could provide evidence of a diagnoses. This perception could result in overreliance in imaging tests or disregard for other forms of information.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > R Medicine (General) | |||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | |||||||||
Library of Congress Subject Headings (LCSH): | Medical care -- Research, Patient participation -- Research, Hospital patients -- Great Britain -- Attitudes | |||||||||
Journal or Publication Title: | Journal of Evaluation in Clinical Practice | |||||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | |||||||||
ISSN: | 1356-1294 | |||||||||
Official Date: | April 2021 | |||||||||
Dates: |
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Volume: | 27 | |||||||||
Number: | 2 | |||||||||
Page Range: | pp. 333-343 | |||||||||
DOI: | 10.1111/jep.13417 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Reuse Statement (publisher, data, author rights): | "This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions." | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 19 May 2020 | |||||||||
Date of first compliant Open Access: | 7 August 2020 | |||||||||
RIOXX Funder/Project Grant: |
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