A Study on Preventive Health Consultations in General Practice With Young Adults With Multiple Problems; a Randomised Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 495
- 试验地点
- 2
- 主要终点
- Quality of Life (SF12)
研究概览
简要总结
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.
详细描述
The main hypothesis of the project is:
By using the questionnaire and subsequent patient-centred health consultation the GP is able to contribute to improve the resources of the participants, 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.
The investigators want to test this hypothesis by describing
- the participating patients' situation at baseline (resources and problems), and after one year
- the content of the health interview (goals, resources and barriers for change)
- measure change of lifestyle and living conditions
- to evaluate the economic costs of the intervention
- evaluation of positive and negative effect of the health consultations for the patient and the GP
Partial hypothesis 1:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients coming to the clinic
- •having multiple problems (the quartile with most problems)
排除标准
- •Do not want to participate
- •Do not understand Danish well enough to complete the questionnaires
- •Have too few problems
- •Have severe psychiatric disease
研究组 & 干预措施
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
干预措施: Preventive health consultation (Behavioral)
Control
Controls are not offered preventive health consultations, but had questionnaires as the intervention arm
结局指标
主要结局
Quality of Life (SF12)
时间窗: one year after intervention
Change in Quality of Life one year after preventive health consultation (Physical Component (PCS) and Mental Component score (MCS))
次要结局
- Cost of the intervention(after one year)
- Side effects(after one year)
- Change in life style(One year after intervention)
- Goals fulfilled after one year(one year after preventive health consultation)
- Change in self evaluated Health(one year after intervention)
- Change in problems with network(one year after preventive health consultation)
- Change in resources(one year after preventive health consultation)
- Fraction with goal-setting(during the preventive health consultation)
- Change in social problems(one year after preventive health consultation)
- Written statements about own resources and barriers to obtain the chosen goal(during the preventive health consultation)
研究者
Jørgen Lous
Professor
University of Southern Denmark