• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of annrheumdAnnals of the Rheumatic DiseasesVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Ann Rheum Dis. Jun 1977; 36(3): 225–231.
PMCID: PMC1006670

The cartoon in doctor-patient communication. Further study of the Arthritis and Rheumatism Council handbook on gout.


A sample of 50 consecutive patients with gout was tested by means of a multiple-choice knowledge-testing questionnaire based on the Arthritis and Rheumatism Council's Gout: A Handbook for Patients. Patients were divided into two groups: (a) those tested with an illustrated booklet containing 89 cartoons, and (b) those tested with an unillustrated booklet with text exactly the same as in the illustrated booklet. No significant difference was observed in either the overall test scores between the two groups or between individual question scores. It was concluded that increasing the number of illustrations in the Arthritis and Rheumatism Council's handbook on gout had not significantly increased the value of this material as a communication aid. Certain sources of error have been discussed including the possibility of an 'interest factor' due to the inevitable interest patients have in reading about their own disease, and also the possibility that technical factors to do with page layout and picture/text imbalance might be responsible for failing to show differences between the two groups.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (736K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Joyce CR, Caple G, Mason M, Reynolds E, Mathews JA. Quantitative study of doctor-patient communication. Q J Med. 1969 Apr;38(150):183–194. [PubMed]
  • Ley P, Spelman MS. Communications in an out-patient setting. Br J Soc Clin Psychol. 1965 Jun;4(2):114–116. [PubMed]
  • Moll JM, Wright V. Evaluation of the Arthritis and Rheumatism Council Handbook on Gout. An objective study of doctor-patient communication. Ann Rheum Dis. 1972 Sep;31(5):405–411. [PMC free article] [PubMed]

Articles from Annals of the Rheumatic Diseases are provided here courtesy of BMJ Group


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • MedGen
    Related information in MedGen
  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...