Preventive Health Consultations With Young Adults With Multiple Problems
A new working method, i.e. a questionnaire completed at home followed by a patient-centred preventive health consultation with follow-up, can be used by all general practitioners (GPs) as a preventive offer to their patients with multiple problems in lifestyle, well-being or health behaviour, if this project is shown to be effective.
The investigators use a broad preventive offer in a structured way to young adults with multiple psychosocial problems (a certain risk profile) found by a screening questionnaire when arriving to the clinic.
The main hypothesis of the project is:
By using the questionnaire and subsequent patient-centred health consultation the GP is able to support the participants to improve their resources, their well-being and self-estimated health. Subsequently, relevant changes in health habits and life situation might be initiated in order to prevent or reduce future problems or illness.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||A Study on Preventive Health Consultations in General Practice With Young Adults With Multiple Problems; a Randomised Controlled Study|
- Quality of Life (SF12) [ Time Frame: one year after intervention ]Change in Quality of Life one year after preventive health consultation (Physical Component (PCS) and Mental Component score (MCS))
- Change in life style [ Time Frame: One year after intervention ]Smoking, diet, exercise, weight loss, acohol use
- Change in self evaluated Health [ Time Frame: one year after intervention ]Question about self evaluated health (on a five point scale)
- Fraction with goal-setting [ Time Frame: during the preventive health consultation ]Fraction with one or two goal-settings during the preventive health consultation
- Change in problems with network [ Time Frame: one year after preventive health consultation ]Problems with networking, four questions (from 0 to 4 problem-points each, total range 0 to 16 problem-points)
- Change in resources [ Time Frame: one year after preventive health consultation ]Problems with resources five questions (from 0 to 4 problem-points each, total range 0 to 20 problem-points)
- Change in social problems [ Time Frame: one year after preventive health consultation ]Social problems (i.e. unemployment, family problems, child problems, ect.). A total of 15 possible problems.
- Written statements about own resources and barriers to obtain the chosen goal [ Time Frame: during the preventive health consultation ]Quantitative and qualitative analysis of participants written statements about own resources and barrieres at the preventive health consultation and at follow up consultation after 3 months
- Goals fulfilled after one year [ Time Frame: one year after preventive health consultation ]Fraction of goals fulfilled after one year - analyses in relation to goal, resources and barriers, and status at baseline
- Cost of the intervention [ Time Frame: after one year ]Cost of the intervention seen in relation to outcomes
- Side effects [ Time Frame: after one year ]Registration of any side effects or harm during the study or in the questionnaires. Written statements by participants at one year follow-up, and by the GPs
|Study Start Date:||February 1998|
|Estimated Study Completion Date:||December 2017|
|Primary Completion Date:||November 2001 (Final data collection date for primary outcome measure)|
Experimental: preventive health consultation
Half participants randomized to a one hour preventive health consultation with their own general practitioner and a follow up consultation 3 months later
Behavioral: Preventive health consultation
A one hour preventive health consultation, based on completed baseline questionnaire, with one or two goal setting for a better life during the next year, with discussion and registration of resources, barriers, and time scheme. And a 3 month follow up consultation.
Other Name: Consultation
No Intervention: Control
Controls are not offered preventive health consultations, but had questionnaires as the intervention arm
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01231256
|Research Unit for General Practice, University of Southern Denmark|
|Odense C, Denmark, DK-5000|
|Study Director:||Jørgen Lous, Prof, DMSc||University of Southern Denmark|
|Principal Investigator:||Kirsten Freund, MD, GP||University of Southern Denmark|