In search of optimal genital herpes management and standard of care (INSIGHTS): doctors’ and patients’ perceptions of genital herpes
Objective: To compare and contrast attitudes and behaviours of family doctors and patients with regard to genital herpes and its management. Methods: Family doctors and infected patients were surveyed online to explore disease importance/seriousness, emotional impact, transmission and treatment. The...
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| Veröffentlicht in: | Sexually transmitted infections 2008-02, Vol.84 (1), p.51-56 |
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| creator | Romanowski, B Zdanowicz, Y M Owens, S T |
| description | Objective: To compare and contrast attitudes and behaviours of family doctors and patients with regard to genital herpes and its management. Methods: Family doctors and infected patients were surveyed online to explore disease importance/seriousness, emotional impact, transmission and treatment. The study received ethics approval. Results: 400 patients and 200 doctors participated. Doctors estimated the emotional impact of genital herpes to be higher than did patients. Patient distress increased with recurrences and more recent diagnosis. Doctors and patients underestimated the risk of transmission during periods of asymptomatic viral shedding, 45% and 51%, respectively. Doctors reported that 74% of their patients were taking medication, whereas only 29% of patients reported use of anti-virals. Doctors reported discussing suppressive therapy with 59% of patients, whereas only 25% of patients recalled such a discussion. Only 40% of patients were aware that daily anti-viral therapy was available to reduce the risk of transmission. The most compelling reason for high interest in suppressive therapy was to reduce the frequency or severity of outbreaks (62%). Conclusions: Although doctor and patient attitudes and behaviours coincide in a number of areas, there are many areas of misalignment. This presents opportunities for education and improvement in the management of genital herpes. |
| doi_str_mv | 10.1136/sti.2007.027631 |
| format | Article |
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Methods: Family doctors and infected patients were surveyed online to explore disease importance/seriousness, emotional impact, transmission and treatment. The study received ethics approval. Results: 400 patients and 200 doctors participated. Doctors estimated the emotional impact of genital herpes to be higher than did patients. Patient distress increased with recurrences and more recent diagnosis. Doctors and patients underestimated the risk of transmission during periods of asymptomatic viral shedding, 45% and 51%, respectively. Doctors reported that 74% of their patients were taking medication, whereas only 29% of patients reported use of anti-virals. Doctors reported discussing suppressive therapy with 59% of patients, whereas only 25% of patients recalled such a discussion. Only 40% of patients were aware that daily anti-viral therapy was available to reduce the risk of transmission. The most compelling reason for high interest in suppressive therapy was to reduce the frequency or severity of outbreaks (62%). Conclusions: Although doctor and patient attitudes and behaviours coincide in a number of areas, there are many areas of misalignment. This presents opportunities for education and improvement in the management of genital herpes.</description><identifier>ISSN: 1368-4973</identifier><identifier>EISSN: 1472-3263</identifier><identifier>DOI: 10.1136/sti.2007.027631</identifier><identifier>PMID: 18033790</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; Antiviral Agents - therapeutic use ; Attitude of Health Personnel ; Attitude to Health ; Biological and medical sciences ; Emotions ; Epidemics ; Family Practice - standards ; Female ; General aspects ; Health participants ; Herpes Genitalis - diagnosis ; Herpes Genitalis - psychology ; Herpes Genitalis - therapy ; Human infectious diseases. Experimental studies and models ; Human viral diseases ; Humans ; Infections ; Infectious diseases ; Male ; Medical sciences ; Morbidity ; Patients ; Perception ; Physician-Patient Relations ; Public health. Hygiene ; Public health. 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Methods: Family doctors and infected patients were surveyed online to explore disease importance/seriousness, emotional impact, transmission and treatment. The study received ethics approval. Results: 400 patients and 200 doctors participated. Doctors estimated the emotional impact of genital herpes to be higher than did patients. Patient distress increased with recurrences and more recent diagnosis. Doctors and patients underestimated the risk of transmission during periods of asymptomatic viral shedding, 45% and 51%, respectively. Doctors reported that 74% of their patients were taking medication, whereas only 29% of patients reported use of anti-virals. Doctors reported discussing suppressive therapy with 59% of patients, whereas only 25% of patients recalled such a discussion. Only 40% of patients were aware that daily anti-viral therapy was available to reduce the risk of transmission. 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Experimental studies and models</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Morbidity</topic><topic>Patients</topic><topic>Perception</topic><topic>Physician-Patient Relations</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality of Health Care</topic><topic>Sexual Partners</topic><topic>Standard of care</topic><topic>Studies</topic><topic>Viral diseases</topic><topic>Viral diseases of the genital and urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Romanowski, B</creatorcontrib><creatorcontrib>Zdanowicz, Y M</creatorcontrib><creatorcontrib>Owens, S T</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Sexually transmitted infections</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Romanowski, B</au><au>Zdanowicz, Y M</au><au>Owens, S T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In search of optimal genital herpes management and standard of care (INSIGHTS): doctors’ and patients’ perceptions of genital herpes</atitle><jtitle>Sexually transmitted infections</jtitle><addtitle>Sex Transm Infect</addtitle><date>2008-02</date><risdate>2008</risdate><volume>84</volume><issue>1</issue><spage>51</spage><epage>56</epage><pages>51-56</pages><issn>1368-4973</issn><eissn>1472-3263</eissn><abstract>Objective: To compare and contrast attitudes and behaviours of family doctors and patients with regard to genital herpes and its management. Methods: Family doctors and infected patients were surveyed online to explore disease importance/seriousness, emotional impact, transmission and treatment. The study received ethics approval. Results: 400 patients and 200 doctors participated. Doctors estimated the emotional impact of genital herpes to be higher than did patients. Patient distress increased with recurrences and more recent diagnosis. Doctors and patients underestimated the risk of transmission during periods of asymptomatic viral shedding, 45% and 51%, respectively. Doctors reported that 74% of their patients were taking medication, whereas only 29% of patients reported use of anti-virals. Doctors reported discussing suppressive therapy with 59% of patients, whereas only 25% of patients recalled such a discussion. Only 40% of patients were aware that daily anti-viral therapy was available to reduce the risk of transmission. The most compelling reason for high interest in suppressive therapy was to reduce the frequency or severity of outbreaks (62%). Conclusions: Although doctor and patient attitudes and behaviours coincide in a number of areas, there are many areas of misalignment. This presents opportunities for education and improvement in the management of genital herpes.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>18033790</pmid><doi>10.1136/sti.2007.027631</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Antiviral Agents - therapeutic use Attitude of Health Personnel Attitude to Health Biological and medical sciences Emotions Epidemics Family Practice - standards Female General aspects Health participants Herpes Genitalis - diagnosis Herpes Genitalis - psychology Herpes Genitalis - therapy Human infectious diseases. Experimental studies and models Human viral diseases Humans Infections Infectious diseases Male Medical sciences Morbidity Patients Perception Physician-Patient Relations Public health. Hygiene Public health. Hygiene-occupational medicine Quality of Health Care Sexual Partners Standard of care Studies Viral diseases Viral diseases of the genital and urinary system |
| title | In search of optimal genital herpes management and standard of care (INSIGHTS): doctors’ and patients’ perceptions of genital herpes |
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