A randomised controlled trial of a lengthened and multi-disciplinary consultation model in a socially deprived community: a study protocol.
AffiliationFamily and Community Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, Adliya, Kingdom of Bahrain. firstname.lastname@example.org
Patient Care Team
Primary Health Care
Referral and Consultation
MetadataShow full item record
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 Pract
JournalBMC family practice
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.
- A multidisciplinary primary care team consultation in a socio-economically deprived community: an exploratory randomised controlled trial.
- Authors: Chan WS, Whitford DL, Conroy R, Gibney D, Hollywood B
- Issue date: 2011 Jan 24
- A randomised controlled trial of joint consultations with general practitioners and cardiologists in primary care.
- Authors: Vlek JF, Vierhout WP, Knottnerus JA, Schmitz JJ, Winter J, Wesselingh-Megens AM, Crebolder HF
- Issue date: 2003 Feb
- Activity and Life After Survival of a Cardiac Arrest (ALASCA) and the effectiveness of an early intervention service: design of a randomised controlled trial.
- Authors: Moulaert VR, Verbunt JA, van Heugten CM, Bakx WG, Gorgels AP, Bekkers SC, de Krom MC, Wade DT
- Issue date: 2007 Aug 27
- Consultations in general practice and at an Aboriginal community controlled health service: do they differ?
- Authors: Larkins SL, Geia LK, Panaretto KS
- Issue date: 2006 Jul-Sep
- Care of patients with selected health problems in fundholding practices in Scotland in 1990 and 1992: needs, process and outcome.
- Authors: Howie JG, Heaney DJ, Maxwell M
- Issue date: 1995 Mar