A randomised controlled trial of a lengthened and multi-disciplinary consultation model in a socially deprived community: a study protocol.

Hdl Handle:
http://hdl.handle.net/10147/117445
Title:
A randomised controlled trial of a lengthened and multi-disciplinary consultation model in a socially deprived community: a study protocol.
Authors:
Whitford, David L; Chan, Wai-Sun
Affiliation:
Family and Community Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, Adliya, Kingdom of Bahrain. dwhitford@rcsi-mub.com
Citation:
A randomised controlled trial of a lengthened and multi-disciplinary consultation model in a socially deprived community: a study protocol. 2007, 8:38 BMC Fam Pract
Journal:
BMC family practice
Issue Date:
2007
URI:
http://hdl.handle.net/10147/117445
DOI:
10.1186/1471-2296-8-38
PubMed ID:
17598899
Additional Links:
http://www.biomedcentral.com/1471-2296/8/38
Abstract:
BACKGROUND: There has been little development of the general practice consultation over the years, and many aspects of the present consultation do not serve communities with multiple health and social problems well. Many of the problems presenting to general practitioners in socio-economically disadvantaged areas are not amenable to a purely medical solution, and would particularly benefit from a multidisciplinary approach. Socio-economic deprivation is also associated with those very factors (more psychosocial problems, greater need for health promotion, more chronic diseases, more need for patient enablement) that longer consultations have been shown to address. This paper describes our study protocol, which aims to evaluate whether a lengthened multidisciplinary primary care team consultation with families in a socially deprived area can improve the psychological health of mothers in the families. METHODS/DESIGN: In a randomised controlled trial, families with a history of social problems, substance misuse or depression are randomly allocated to an intervention or control group. The study is based in three general practices in a highly deprived area of North Dublin. Primary health care teams will be trained in conducting a multidisciplinary lengthened consultation. Families in the intervention group will participate in the new style multidisciplinary consultation. Outcomes of families receiving the intervention will be compared to the control group who will receive only usual general practitioner care. The primary outcome is the psychological health of mothers of the families and secondary outcomes include general health status, quality of life measures and health service usage. DISCUSSION: The main aim of this study is to evaluate the effectiveness of a lengthened multidisciplinary team consultation in primary care. The embedded nature of this study in general practices in a highly deprived area ensures generalisability to other deprived communities, but more particularly it promises relevance to primary care. TRIAL REGISTRATION: Current Controlled Trials ISRCTN70578736.
Language:
en
MeSH:
Anxiety; Cultural Deprivation; Depression; Family Practice; Humans; Ireland; Models, Organizational; Mothers; Patient Care Team; Poverty Areas; Primary Health Care; Program Evaluation; Referral and Consultation; Residence Characteristics; Social Problems; Time Factors; Vulnerable Populations
ISSN:
1471-2296

Full metadata record

DC FieldValue Language
dc.contributor.authorWhitford, David Len
dc.contributor.authorChan, Wai-Sunen
dc.date.accessioned2010-12-08T16:33:44Z-
dc.date.available2010-12-08T16:33:44Z-
dc.date.issued2007-
dc.identifier.citationA randomised controlled trial of a lengthened and multi-disciplinary consultation model in a socially deprived community: a study protocol. 2007, 8:38 BMC Fam Practen
dc.identifier.issn1471-2296-
dc.identifier.pmid17598899-
dc.identifier.doi10.1186/1471-2296-8-38-
dc.identifier.urihttp://hdl.handle.net/10147/117445-
dc.description.abstractBACKGROUND: There has been little development of the general practice consultation over the years, and many aspects of the present consultation do not serve communities with multiple health and social problems well. Many of the problems presenting to general practitioners in socio-economically disadvantaged areas are not amenable to a purely medical solution, and would particularly benefit from a multidisciplinary approach. Socio-economic deprivation is also associated with those very factors (more psychosocial problems, greater need for health promotion, more chronic diseases, more need for patient enablement) that longer consultations have been shown to address. This paper describes our study protocol, which aims to evaluate whether a lengthened multidisciplinary primary care team consultation with families in a socially deprived area can improve the psychological health of mothers in the families. METHODS/DESIGN: In a randomised controlled trial, families with a history of social problems, substance misuse or depression are randomly allocated to an intervention or control group. The study is based in three general practices in a highly deprived area of North Dublin. Primary health care teams will be trained in conducting a multidisciplinary lengthened consultation. Families in the intervention group will participate in the new style multidisciplinary consultation. Outcomes of families receiving the intervention will be compared to the control group who will receive only usual general practitioner care. The primary outcome is the psychological health of mothers of the families and secondary outcomes include general health status, quality of life measures and health service usage. DISCUSSION: The main aim of this study is to evaluate the effectiveness of a lengthened multidisciplinary team consultation in primary care. The embedded nature of this study in general practices in a highly deprived area ensures generalisability to other deprived communities, but more particularly it promises relevance to primary care. TRIAL REGISTRATION: Current Controlled Trials ISRCTN70578736.-
dc.language.isoenen
dc.relation.urlhttp://www.biomedcentral.com/1471-2296/8/38en
dc.subject.meshAnxiety-
dc.subject.meshCultural Deprivation-
dc.subject.meshDepression-
dc.subject.meshFamily Practice-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshModels, Organizational-
dc.subject.meshMothers-
dc.subject.meshPatient Care Team-
dc.subject.meshPoverty Areas-
dc.subject.meshPrimary Health Care-
dc.subject.meshProgram Evaluation-
dc.subject.meshReferral and Consultation-
dc.subject.meshResidence Characteristics-
dc.subject.meshSocial Problems-
dc.subject.meshTime Factors-
dc.subject.meshVulnerable Populations-
dc.titleA randomised controlled trial of a lengthened and multi-disciplinary consultation model in a socially deprived community: a study protocol.en
dc.contributor.departmentFamily and Community Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, Adliya, Kingdom of Bahrain. dwhitford@rcsi-mub.comen
dc.identifier.journalBMC family practiceen

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