Cargando…
The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice
BACKGROUND: There are growing worldwide concerns about the ability of primary health care systems to manage the major burden of illness in young people. Over two thirds of premature adult deaths result from risks that manifest in adolescence, including injury, neuropsychiatric problems and consequen...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3533834/ https://www.ncbi.nlm.nih.gov/pubmed/22672481 http://dx.doi.org/10.1186/1471-2458-12-400 |
_version_ | 1782254466484928512 |
---|---|
author | Sanci, Lena Grabsch, Brenda Chondros, Patty Shiell, Alan Pirkis, Jane Sawyer, Susan Hegarty, Kelsey Patterson, Elizabeth Cahill, Helen Ozer, Elizabeth Seymour, Janelle Patton, George |
author_facet | Sanci, Lena Grabsch, Brenda Chondros, Patty Shiell, Alan Pirkis, Jane Sawyer, Susan Hegarty, Kelsey Patterson, Elizabeth Cahill, Helen Ozer, Elizabeth Seymour, Janelle Patton, George |
author_sort | Sanci, Lena |
collection | PubMed |
description | BACKGROUND: There are growing worldwide concerns about the ability of primary health care systems to manage the major burden of illness in young people. Over two thirds of premature adult deaths result from risks that manifest in adolescence, including injury, neuropsychiatric problems and consequences of risky behaviours. One policy response is to better reorientate primary health services towards prevention and early intervention. Currently, however, there is insufficient evidence to support this recommendation for young people. This paper describes the design and implementation of a trial testing an intervention to promote psychosocial risk screening of all young people attending general practice and to respond to identified risks using motivational interviewing. Main outcomes: clinicians’ detection of risk-taking and emotional distress, young people’s intention to change and reduction of risk taking. Secondary outcomes: pathways to care, trust in the clinician and likelihood of returning for future visits. The design of the economic and process evaluation are not detailed in this protocol. METHODS: PARTY is a cluster randomised trial recruiting 42 general practices in Victoria, Australia. Baseline measures include: youth friendly practice characteristics; practice staff’s self-perceived competency in young people’s care and clinicians’ detection and response to risk taking behaviours and emotional distress in 14–24 year olds, attending the practice. Practices are then stratified by a social disadvantage index and billing methods and randomised. Intervention practices receive: nine hours of training and tools; feedback of their baseline data and two practice visits over six weeks. Comparison practices receive a three hour seminar in youth friendly practice only. Six weeks post-intervention, 30 consecutive young people are interviewed post-consultation from each practice and followed-up for self-reported risk taking behaviour and emotional distress three and 12 months post consultation. DISCUSSION: The PARTY trial is the first to examine the effectiveness and efficiency of a psychosocial risk screening and counselling intervention for young people attending primary care. It will provide important data on health risk profiles of young people attending general practice and on the effects of the intervention on engagement with primary care and health outcomes over 12 months. TRIAL REGISTRATION: ISRCTN16059206 |
format | Online Article Text |
id | pubmed-3533834 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35338342013-01-03 The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice Sanci, Lena Grabsch, Brenda Chondros, Patty Shiell, Alan Pirkis, Jane Sawyer, Susan Hegarty, Kelsey Patterson, Elizabeth Cahill, Helen Ozer, Elizabeth Seymour, Janelle Patton, George BMC Public Health Study Protocol BACKGROUND: There are growing worldwide concerns about the ability of primary health care systems to manage the major burden of illness in young people. Over two thirds of premature adult deaths result from risks that manifest in adolescence, including injury, neuropsychiatric problems and consequences of risky behaviours. One policy response is to better reorientate primary health services towards prevention and early intervention. Currently, however, there is insufficient evidence to support this recommendation for young people. This paper describes the design and implementation of a trial testing an intervention to promote psychosocial risk screening of all young people attending general practice and to respond to identified risks using motivational interviewing. Main outcomes: clinicians’ detection of risk-taking and emotional distress, young people’s intention to change and reduction of risk taking. Secondary outcomes: pathways to care, trust in the clinician and likelihood of returning for future visits. The design of the economic and process evaluation are not detailed in this protocol. METHODS: PARTY is a cluster randomised trial recruiting 42 general practices in Victoria, Australia. Baseline measures include: youth friendly practice characteristics; practice staff’s self-perceived competency in young people’s care and clinicians’ detection and response to risk taking behaviours and emotional distress in 14–24 year olds, attending the practice. Practices are then stratified by a social disadvantage index and billing methods and randomised. Intervention practices receive: nine hours of training and tools; feedback of their baseline data and two practice visits over six weeks. Comparison practices receive a three hour seminar in youth friendly practice only. Six weeks post-intervention, 30 consecutive young people are interviewed post-consultation from each practice and followed-up for self-reported risk taking behaviour and emotional distress three and 12 months post consultation. DISCUSSION: The PARTY trial is the first to examine the effectiveness and efficiency of a psychosocial risk screening and counselling intervention for young people attending primary care. It will provide important data on health risk profiles of young people attending general practice and on the effects of the intervention on engagement with primary care and health outcomes over 12 months. TRIAL REGISTRATION: ISRCTN16059206 BioMed Central 2012-06-06 /pmc/articles/PMC3533834/ /pubmed/22672481 http://dx.doi.org/10.1186/1471-2458-12-400 Text en Copyright ©2012 Sanci et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol Sanci, Lena Grabsch, Brenda Chondros, Patty Shiell, Alan Pirkis, Jane Sawyer, Susan Hegarty, Kelsey Patterson, Elizabeth Cahill, Helen Ozer, Elizabeth Seymour, Janelle Patton, George The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice |
title | The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice |
title_full | The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice |
title_fullStr | The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice |
title_full_unstemmed | The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice |
title_short | The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice |
title_sort | prevention access and risk taking in young people (party) project protocol: a cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3533834/ https://www.ncbi.nlm.nih.gov/pubmed/22672481 http://dx.doi.org/10.1186/1471-2458-12-400 |
work_keys_str_mv | AT sancilena thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT grabschbrenda thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT chondrospatty thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT shiellalan thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT pirkisjane thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT sawyersusan thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT hegartykelsey thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT pattersonelizabeth thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT cahillhelen thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT ozerelizabeth thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT seymourjanelle thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT pattongeorge thepreventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT sancilena preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT grabschbrenda preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT chondrospatty preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT shiellalan preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT pirkisjane preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT sawyersusan preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT hegartykelsey preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT pattersonelizabeth preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT cahillhelen preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT ozerelizabeth preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT seymourjanelle preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice AT pattongeorge preventionaccessandrisktakinginyoungpeoplepartyprojectprotocolaclusterrandomisedcontrolledtrialofhealthriskscreeningandmotivationalinterviewingforyoungpeoplepresentingtogeneralpractice |