Randomised trial of the psychological effect of information about oral cancer in primary care settings

Aim: To determine the immediate influence of a validated patient informatio n leaflet (PIL) on patient anxiety and intention to have a screen for oral cancer in primary care attenders. Participants: Patients (n = 800) attendin g their primary health care provider. Setting: Fourteen general practices ( eight dental and six medical) in the northwest of England. Design: Randomis ed controlled trial with two arms: leaflets provided in information group, leaflet was absent in control group. Measures: Single item ratings of (1) i ntention to have an oral cancer screen, and (2) anxiety towards a screen, ( 3) perceived risk of oral cancer. Knowledge of oral cancer, self-reported d ental service attendance history and demographic variables were also collec ted. Results: Patients who had read the oral cancer PIL demonstrated an inc rease in their intention to have a screen (Mann Whitney U test: z = -3.67, P < 0.001) and reduced anxiety (Mann Whitney U test: z = -2.07, P < 0.05). Subjective risk was not elevated by the extra information. Intention to hav e a screen was predicted by knowledge level and anxiety (odds ratios: 1.10 and 0.70 respectively, both P's < 0.001). Conclusion: The influence of an i nformation leaflet appeared to have a positive effect on anxiety level and intentions to agree to receive an oral cancer screen. (C) 2001 Elsevier Sci ence Ltd. All rights reserved.