Methods on how we did a patient-focused primary prevention to younger vulnerable patients in general practice, Denmark

Joint Event on 3^rd International Conference on General Practice & Primary Care & 24^th International Conference on Dental Public Health & Dental Hygiene

August 16-17, 2018 Madrid, Spain

Jorgen Lous and Kirsten S Freund

University of Southern Denmark, Denmark
University of Copenhagen and Aalborg, Denmark

Scientific Tracks Abstracts: J Gen Pract

Abstract :

Several elements have to be fulfilled to achieve a success in prevention in general practice. Motivated GPs got education: 50 (15%) of invited GPs from the County of North Jutland, Denmark participated in the 40 hour training program and 8.6% (28) recruited patient into the study. Exercise in patient-focused preventive consultation was an important part of the training. Fee for extra time: The GPs got a fee for courses and preventive health consultations. Find patients who need some intervention: A screening Questionnaire (Q33) on own resources, network, lifestyle and social conditions was completed by 2.056 patients 20-45 years old when coming to the clinic for any other reason. The 30% with most psychosocial problems (>7) were invited to participate and were randomized to control or intervention (two consultations with their GP). All had oneyear postal follow-up. Motivate patients who feel they need some changes in their daily life: A baseline-questionnaire (QB) with 84 questions on life conditions, health, life style and social problems was priming the participants to the patient-focused consultation. Patients might choose one or two goals for a better life. Discuss resources, barriers and time schedule for chosen changes: important to explore the patient's own agenda and resources and support self-efficacy. A 20 minutes follow-up within three months: How is it going? What is difficult and why?, support self-efficacy again and A one-year questionnaire (Q1) like QB. What has changed during the year? After one year the intervention group had significant better SF-12 mental score 4.3 (95% confidence interval), fewer problems (from 10.0 to 8.2=1.8 problems) and the overweight who had prioritized weightloss had mean weight loss of 4.73 kg (95% Cl: 1.8 to 7.7). Recent Publications 1. Freund KS and Lous J (2012) The effect of preventive consulations on young adults with psychosocial problems; a randomized trial. Health Educ Res 27(5):927-45. 2. Hansen E and Fonager K Freund KS and Lous J (2014) The impact of non-responders on health and lifestyle outcomes in an intervention study. BMJ Res Notes 7:632-40 3. Lous J and Freund KS (2016) Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems: a post hoc analysis. BMC Fam Pract 17(43):11.

Biography :

Jorgen Lous is a Doctor of Medicine and since from 1984. He has been working at the University of Aarhus and University of Southern Denmark. He worked parttime in General Practice and retired in 2016.

E-mail: Jlous@health.sdu.dk