P08S08:
Sexually transmitted infection (complications)
Bottom
line: Information on sexually transmitted infections was used to persuade a
patient to make a change (changing sexual practice). There was no
information-related patient health outcome.
Level 1 outcome (situational relevance): On December 30,
2008, P08 did a search at work, by themselves, and after an encounter with a
patient. They retrieved three information hits about sexually transmitted
infections [STIs]. The reported search objectives were: to search in general or
for curiosity, and to share information with a patient or caregiver. She [the patient] is nineteen and she had
had symptoms for about eight or nine months and couldnt get access to care and
then finally she could came to see me and then was wondering about
complications [such as long-term complications of Chlamydia infection] and had
lots of questions about it. [
] [Specifically] she was concerned about the
complications and infertility. [
] We
talked about it and then I said if there is any information that I come up
with, new or different, Ill let you know. [
] I wanted to just look at what
information was there. On STIs in general. [
] And that was just to provide
information, the most updated information for the patient. According to
P08, e-Therapeutics+ was the only source for information, and the found
information was relevant.
Level 2 outcome (cognitive impact): Three hits were
associated with a report of positive cognitive
impact (see table). Regarding motivation to learn, reminder, confirmation, and reassurance, P08 stated: Im diagnosing things properly. [
] I am
familiar with differential diagnosis (regarding P08S08H02).. [
] Im practicing with recommendations.
[
] Im up-to-date I guess (regarding P08S08H03).
Retrieved
information hit(s):
1) e-Therapeutics+ (CIRT):
Therapeutics tab chlamydia Highlight on lymphogranuloma venereum
(P08S08H01)
2) e-Therapeutics+ (CIRT):
Therapeutics tab chlamydia Table 1: Differential diagnosis of vaginal
discharge (P08S08H02)
3) e-Therapeutics+ (CIRT):
Therapeutics tab chlamydia Whole chapter on Sexually transmitted infections
(P08S08H03)
Level 3 outcome
(information use): Information on sexually transmitted
infections was retrieved, and used to persuade the patient to make changes
(information used as presented in e-Therapeutics+). I was able to provide additional information [to the patient]. [
] I
did [call her], yeah. [
] When we are looking at complications, theyre looking
for her to change her lifestyle practice (regarding P08S08H01).
Level 4 outcome (patient health): There was no
clear relationship between the information use and patient health outcomes.
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Satisfy curiosity Share information |
Reminded something Motivated to learn Confirmed |
Persuade |
No outcome |