None listed
Conditions
Brief summary
Background: More evidence is needed on the effectiveness of developing youth-friendly services that address the barriers adolescents face in accessing care. Responding to the needs of young people is one of the priorities of Foundation fami, an organisation working in collaboration Geneva University Hospitals to rebuild family medicine services in post-war Bosnia & Herzegovina. Working hypothesis: Services exposed to an intervention to improve their youth-friendliness will be assessed as more youth-friendly by adolescent clients and will fulfil a higher number of youth-friendly standards as control services that are on a wait-list to receive the intervention. This will be a cluster randomised trial involving 10 municipalities and 60 health services of the canton of Zenica in Bosnia & Herzegovina: 5 municipalities will be randomised to the intervention arm and 5 to a wait-list control arm. Family medicine teams in the intervention arm will be invited to participate in an interactive training program about youth-friendly service principles and change processes within their service. The main outcome measures at baseline (before randomisation) and 6 months follow-up will be the score on the YFHS-WHO+ questionnaire, a recently validated tool which young people aged 15 to 24 years complete following a family medicine consultation. The results of this trial will provide much awaited evidence about the development of youth-friendly primary care services and inform their further development both in Bosnia & Herzegovina and worldwide.
Interventions
training of the family medicine team and organisational changes in the family medicine services in order to transform them into youth friendly health services. Family medicine teams in the intervention arm will attend two one-day training sessions at 3 months interval and complete assignments between the two training sessions. Training will take place in interactive sessions involving 10 teams at a time. Three trainers experienced in adolescent medicine and family medicine will provide the train
training of the family medicine team and organisational changes in the family medicine services in order to transform them into youth friendly health services. Family medicine teams in the intervention arm will attend two one-day training sessions at 3 months interval and complete assignments between the two training sessions. Training will take place in interactive sessions involving 10 teams at a time. Three trainers experienced in adolescent medicine and family medicine will provide the training.
Sponsors
University of Geneva
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
15 Years to 24 Years
Healthy volunteers
No
Inclusion criteria
Young people (15-24 years) consulting in participating family medicine services. Only young people from the age of 15 years will be included for the evaluation of the services, although the aim is to provide services that are friendly also to younger adolescents. From the age of 15, young people are considered mature enough to provide consent on their own for participation in the study. The YFHS-WHO+ has been validated for completion by young people aged 15 years and older
Exclusion criteria
acute illness or injury requiring immediate attention of the physician, severe mental disorder such as psychosis or suicidal thoughts requiring treatment in a specialised setting, intellectual disability, inability to understand questions in the language of Bosnia & Herzegovina.
Outcome results
None listed