TY - JOUR
KW - Adult
KW - Anxiety Disorders/diagnosis/therapy
KW - Comparative Effectiveness Research
KW - Depressive Disorder/diagnosis/therapy
KW - Female
KW - Humans
KW - Logistic Models
KW - Mothers/psychology/statistics & numerical data
KW - Outcome Assessment (Health Care)
KW - Patient Care Team
KW - Poverty
KW - Primary Health Care/methods
KW - Prospective Studies
KW - Psychiatric Status Rating Scales
KW - Quality of Life
KW - Questionnaires
KW - Referral and Consultation
KW - Reproducibility of Results
AU - W. S. Chan
AU - D. L. Whitford
AU - R. Conroy
AU - D. Gibney
AU - B. Hollywood
A1 - 
AB - 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.
BT - BMC health services research
C5 - General Literature
CY - England
DO - 10.1186/1472-6963-11-15
JF - BMC health services research
N2 - 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.
PP - England
PY - 2011
SN - 1472-6963; 1472-6963
SP - 15
T1 - A multidisciplinary primary care team consultation in a socio-economically deprived community: an exploratory randomised controlled trial
T2 - BMC health services research
TI - A multidisciplinary primary care team consultation in a socio-economically deprived community: an exploratory randomised controlled trial
U1 - General Literature
U2 - 21261966
U3 - 10.1186/1472-6963-11-15
VL - 11
VO - 1472-6963; 1472-6963
Y1 - 2011
ER -