Health risk behaviour in young people and youth friendly general practice Not Applicable Health risk behaviour in young people and youth friendly general practice
Conditions
Interventions
Intervention and control practice staff will all receive training in engaging young people, interviewing about health risk, and making practices 'youth-friendly'.
The intervention practices will rec
and, staff support in an office-systems change for 'youth-friendly' practice.
Phase II:
Intervention practices:
1. Plan-Do-Study-Act model of continuous quality improvement for 'youth-friendly' prac
approach to confidentiality and communication skills training around health risk assessment
2. Professional mentor/critical friend to assist with practice-centered systems change
3. Feedback of young
Sponsors
University of Melbourne (Australia)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: For practices: Current inclusion criteria as of 17/03/2014: 1. At least one GP or practice nurse willing to participate 2. Located in metropolitan Melbourne or regional cities within an hour of Melbourne 3. Ideally have at least one practice nurse Previous inclusion criteria: 1. See at least 25 young people (14 to 24 years old) per week 2. A core group of staff from various disciplines (including general practitioners, practice nurses, practice manager, receptionists) are willing to participate 3. Located in metropolitan Melbourne or regional cities within an hour of Melbourne 4. Ideally have at least one practice nurse For patients: 1. Aged 14 to 24 years (inclusive) 2. Able to speak English Phase II: For practices: 1. Same practices with same randomisation status as Phase I For patients: 1. Aged 14 to 24 years (inclusive) 2. Able to speak English For parents: 1. Parent of 14 to 24 years young person 2. Attends practice (with or without young person) 3. Able to read/write English
Exclusion criteria
Exclusion criteria: For patients: 1. Disability affecting capacity to provide informed consent 2. Acutely unwell (physically or mentally) 3. Severe emotional distress 4. Aged 14 to 17 years and not a mature minor and not willing for parent contact for consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of intervention versus control in: 1. Clinician's accuracy in identifying risk-taking behaviour 2. Young people's uptake of risky behaviour or intention to change or reduction of established behaviour at three and 12 months post-intervention In intervention: Acceptability of risk screening to young people, their parents and general practice staff. Phase II: Comparison of intervention versus control in: 1. Young people's: 1.1. Willingness to return to general practice for psychosocial issues 1.2. Trust in the clinician, including perception of confidential care 1.3. Satisfaction with access, patient centeredness and outcomes of care 2. Parents' attitudes toward 'youth friendly' practice and perceived support in parenting adolescents 3. Staff: 3.1. Self-perceived competency in dealing with young people's issues 3.2. Communication skills with young people 3.3. Clinicians' detection of mental health issues and health risks 4. Practice: 4.1. Internal policy, structure and processes supporting quality care for young people 4.2. External resources supporting quality care (collaborators, youth participation) 4.3. Costs of general practice | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of intervention versus control in: 1. Young people's pathways to care, trust in their clinician and likelihood of returning for future visits 2. Parents' attitudes to 'youth-friendly' practice including seeing the clinician alone and conditional confidentiality In intervention: 1. Identification of the economic incentives/disincentives that might influence the uptake of the intervention 2. The economic efficiency of the intervention 3. Qualitative evaluation of the practice nurses' expectations, experience and effectiveness in delivering the intervention and performing a linkage function Phase II: Young people's health service resource utilisation | — |
Countries
Australia
Outcome results
None listed