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Imagining life with an ostomy: Does a video intervention improve quality-of-life predictions for a medical condition that may elicit disgust?

Citation
Angott AM, Comerford DA & Ubel PA (2013) Imagining life with an ostomy: Does a video intervention improve quality-of-life predictions for a medical condition that may elicit disgust?, Patient Education and Counseling, 91 (1), pp. 113-119.

Abstract

Objective: To test a video intervention as a way to improve predictions of mood and quality-of-life with an emotionally evocative medical condition. Such predictions are typically inaccurate, which can be consequential for decision making.

Method: In Part 1, people presently or formerly living with ostomies predicted how watching a video depicting a person changing his ostomy pouch would affect mood and quality-of-life forecasts for life with an ostomy. In Part 2, participants from the general public read a description about life with an ostomy; half also watched a video depicting a person changing his ostomy pouch. Participants' quality-of-life and mood forecasts for life with an ostomy were assessed.

Results: Contrary to our expectations, and the expectations of people presently or formerly living with ostomies, the video did not reduce mood or quality-of-life estimates, even among participants high in trait disgust sensitivity. Among low-disgust participants, watching the video increased quality-of-life predictions for ostomy.

Conclusion: Video interventions may improve mood and quality-of-life forecasts for medical conditions, including those that may elicit disgust, such as ostomy.

Practice implications: Video interventions focusing on patients' experience of illness continue to show promise as components of decision aids, even for emotionally charged health states such as ostomy.

Keywords
Ostomy; Video; Quality-of-life; Judgment

StatusPublished
AuthorsAngott Andrea M, Comerford David A, Ubel Peter A
Publication date04/2013
Publication date online21/11/2012
Date accepted by journal27/10/2012
PublisherElsevier for the American Academy on Communication in Healthcare (AACH) and the European Association for Communication in Healthcare (EACH)
ISSN 0738-3991
LanguageEnglish

Journal
Patient Education and Counseling: Volume 91, Issue 1

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