Journal of Preventive Medicine

Increase SF-12 mental score, reduce overweight and number of problems! How we performed a patient-focused primary prevention to younger vulnerable patients in General Practice, Denmark.

9^th Edition of International Conference on Preventive Medicine & Public Health
July 16-17, 2018 London, UK

Jorgen Lous and Kirsten S Freund

University of Southern Denmark, Odense, Denmark General Practice, Aalborg University and secondary Copenhagen University

ScientificTracks Abstracts: J Prev Med

DOI: 10.21767/2572-5483-C1-002

Abstract

Motivated GPs got education: 15% of invited GPs from the Region participated in the training program, and 8.6% (28) recruited patient into the study, which offered a 40 hours training program. Patient-focused preventive consultation was an important part. Fee for extra time: The GPs got 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 reason. The 30% with most psycho-social problems ( >7) were invited to participate and randomized to control or intervention with two consultations with their GP. One- year postal follow-up. Motivate patients who feel they need some changes in thier daily life: A baseline-Questionnaire (Q0) 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 agenda and resources and support self-efficacy. A 20 minutes follow-up within three months: What has succeeded and what is difficult and why? Support self-efficacy again. A one-year questionnaire (Q1) like Q0. What has changed during the year? Results: After one year the intervention group had significant better SF-12 mental score 4,3 (1,6-6,9), fewer problems (10,0- 8,2= 1,8 problems) and the overweight who had prioritized weight-loss had mean weight loss of 4,73 kg (95% CI: 1,8-7,7).

Biography

Jorgen Lous had six year training at hospital and in 1976 he started as a General Practitioner (GP). Since 1992 he was part time academic and part time GP. From 2001 to 2009, he was a Professor in General Practice at University of Southern Denmark, Odense, and after that part time GP. He wrote his thesis on secretory otitis media in children in 1994.

E-mail: jlous@health.sdu.dk