Malcolm – Cohort studies
Malcolm started taking part in a medical cohort study in 2009. It has involved attending two hospital appointments ten years apart. The first time he had an electrocardiogram (ECG) and an ultrasound and the second appointment involved memory and cognitive tests. Apart from personal reports, he would appreciate getting an update about the study in general: “about what it’s being used for, how useful it’s been and just a little update, a little summary every year to the patients would be well-received.”
Malcolm got a letter from his GP inviting him to take part in a new medical cohort study looking at cardiovascular health. In his late forties, Malcolm was diagnosed with rheumatoid arthritis and taking part in the study was “a nice way of keeping tabs on how my heart is performing,” as well as for altruistic reasons: “It’s both, it’s for my own benefit and for the benefit of society in general. I’m a big believer in ‘the big society’ and in volunteering whenever I can.” Malcolm discussed his taking part in the study with his wife and a friend in the village, who was also taking part in medical research.
Participating in the medical cohort has involved attending two hospital appointments 10 years apart. The first time he had an electrocardiogram and an ultrasound and told that his heart health was normal. He felt the nurse doing the screening was “very thorough”, explained things in detail and showed him the video of his heart. Later, he and his GP got a letter letting him know that everything was normal, but there was not much detail in the “very general letter”.
He recently attended the second follow-up appointment, describing it as a comprehensive session. In addition to heart valve screening, he wore a heart monitor for 5 days, and took his blood pressure regularly and wore a Fitbit to record his level of daily activity. Participation was made easier since after 5 days he put everything in the envelope they gave him and took it back to the GP surgery that sent it all back to the medical research team. Moreover, he recalled that on the self-addressed envelope, there has been no name, just an identification number.
In the second follow-up appointment, he also took some cognitive and memory tests. He describes the cognitive test as “quite comprehensive”. The memory test consisted of giving him a string of words that he had to repeat a few minutes or half an hour later. He was also asked to “say a number, 94 and subtract 8 from it each time until I got back down as far as I could, so that was like a mental arithmetic test.” He appreciated that the doctor explained things in detail before and during the tests. He was pleased to get a detailed report about how he was doing in terms of heart health, cognitive ability and memory function.
He would be happy to receive more information about the study and feels that an update “about what it’s being used for, how useful it’s been and just a little update, a little summary every year to the patients would be well-received.”
Malcolm has agreed to take part in a third follow-up session that will take place in 5 years’ time.
Interview conducted in 2019.