A multidisciplinary primary care team consultation in a socio-economically deprived community: An exploratory randomised controlled trial

Hdl Handle:
http://hdl.handle.net/10147/239171
Title:
A multidisciplinary primary care team consultation in a socio-economically deprived community: An exploratory randomised controlled trial
Authors:
Chan, Wai-Sun; Whitford, David L; Conroy, Ronan; Gibney, David; Hollywood, Brid
Citation:
BMC Health Services Research. 2011 Jan 24;11(1):15
Issue Date:
24-Jan-2011
URI:
http://dx.doi.org/10.1186/1472-6963-11-15; http://hdl.handle.net/10147/239171
Abstract:
Abstract Background Psychosocial problems in socioeconomically deprived communities are not always amenable to traditional medical approaches. Mothers living in these areas are a particularly vulnerable group. The objective of this study was to evaluate the effectiveness of a lengthened multi-disciplinary team consultation in primary care in reducing anxiety and depression in mothers. Methods This was a prospective randomised controlled trial of a multidisciplinary team consultation against normal care. 94 mothers were recruited from three general practices from an area of extreme socio-economic deprivation. Mothers randomised into the intervention group attended a multidisciplinary consultation with up to four case-specific health care professionals. Consultations addressed medical, psychological and social problems and lasted up to one hour. Conventional primary care continued to be available to the intervention families. Control group families received normal primary care services. The outcomes measured were anxiety and depression as using the Hospital Anxiety and Depression Scale (HADS), health status using SF36v2, and quality of life using the abbreviated Schedule for the Evaluation of Individual Quality of Life (SEIQoL-DW) at baseline, 6 months and 12 months. Results Ordered logistic regression was used to analyse the data. There was no significant difference found between intervention and control groups after 6 months and 12 months in all of the measured outcomes. Conclusions The new lengthened multi-disciplinary team consultation did not have any impact on the mental health, general health, and quality of life of mothers after 6 and 12 months. Other methods of primary health care delivery in socio-economically deprived communities need to be evaluated.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorChan, Wai-Sun-
dc.contributor.authorWhitford, David L-
dc.contributor.authorConroy, Ronan-
dc.contributor.authorGibney, David-
dc.contributor.authorHollywood, Brid-
dc.date.accessioned2012-08-20T11:55:41Z-
dc.date.available2012-08-20T11:55:41Z-
dc.date.issued2011-01-24-
dc.identifier.citationBMC Health Services Research. 2011 Jan 24;11(1):15-
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6963-11-15-
dc.identifier.urihttp://hdl.handle.net/10147/239171-
dc.description.abstractAbstract Background Psychosocial problems in socioeconomically deprived communities are not always amenable to traditional medical approaches. Mothers living in these areas are a particularly vulnerable group. The objective of this study was to evaluate the effectiveness of a lengthened multi-disciplinary team consultation in primary care in reducing anxiety and depression in mothers. Methods This was a prospective randomised controlled trial of a multidisciplinary team consultation against normal care. 94 mothers were recruited from three general practices from an area of extreme socio-economic deprivation. Mothers randomised into the intervention group attended a multidisciplinary consultation with up to four case-specific health care professionals. Consultations addressed medical, psychological and social problems and lasted up to one hour. Conventional primary care continued to be available to the intervention families. Control group families received normal primary care services. The outcomes measured were anxiety and depression as using the Hospital Anxiety and Depression Scale (HADS), health status using SF36v2, and quality of life using the abbreviated Schedule for the Evaluation of Individual Quality of Life (SEIQoL-DW) at baseline, 6 months and 12 months. Results Ordered logistic regression was used to analyse the data. There was no significant difference found between intervention and control groups after 6 months and 12 months in all of the measured outcomes. Conclusions The new lengthened multi-disciplinary team consultation did not have any impact on the mental health, general health, and quality of life of mothers after 6 and 12 months. Other methods of primary health care delivery in socio-economically deprived communities need to be evaluated.-
dc.titleA multidisciplinary primary care team consultation in a socio-economically deprived community: An exploratory randomised controlled trial-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderWai-Sun Chan et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2012-08-20T11:07:17Z-
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