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Titolo:
Randomised controlled trial of self management leaflets and booklets for minor illness provided by post
Autore:
Little, P; Somerville, J; Williamson, I; Warner, G; Moore, M; Wiles, R; George, S; Smith, A; Peveler, R;
Indirizzi:
Aldermoor Hlth Ctr, Primary Med Care Grp, Southampton SO16 5ST, Hants, England Aldermoor Hlth Ctr Southampton Hants England SO16 5ST 5ST, Hants, England Three Swans Surg, Salisbury, Wilts, England Three Swans Surg Salisbury Wilts England Surg, Salisbury, Wilts, England Univ Southampton, Sch Occupat Therapy & Physiotherapy, Hlth Res Unit, Southampton SO9 5NH, Hants, England Univ Southampton Southampton Hants EnglandSO9 5NH O9 5NH, Hants, England Univ Southampton, Wessex Inst Hlth Res & Dev, Community Clin Sci Hlth Med & Biol Sci Div, Hlth Care Res Unit, Southampton SO9 5NH, Hants, England Univ Southampton Southampton Hants England SO9 5NH O9 5NH, Hants, England Southampton & SW Hants Hlth Commiss, Southampton, Hants, England Southampton & SW Hants Hlth Commiss Southampton Hants England s, England Univ Southampton, Dept Psychiat, Community Clin Sci Hlth Med & Biol Sci Div, Mental Hlth Grp, Southampton SO9 5NH, Hants, England Univ Southampton Southampton Hants England SO9 5NH O9 5NH, Hants, England
Titolo Testata:
BRITISH MEDICAL JOURNAL
fascicolo: 7296, volume: 322, anno: 2001,
pagine: 1214 - 1217
SICI:
0959-535X(20010519)322:7296<1214:RCTOSM>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL-PRACTICE; CONSULTATIONS; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Little, P Aldermoor Hlth Ctr, Primary Med Care Grp, Southampton SO16 5ST, Hants, England Aldermoor Hlth Ctr Southampton Hants England SO16 5ST , England
Citazione:
P. Little et al., "Randomised controlled trial of self management leaflets and booklets for minor illness provided by post", BR MED J, 322(7296), 2001, pp. 1214-1217

Abstract

Objective To assess the effectiveness of providing information by post about managing minor illnesses. Design Randomised controlled trial. Setting Six general practices. Participants Random sample of 4002 patients from the practice registers. Intervention Patients were randomised to receive one of three kinds of leaflet or booklet endorsed by their general practitioner: control (surgery access times), booklet, or summary card. Main outcome measures Attendance with the 42 minor illnesses listed in thebooklet. Perceived usefulness of leaflets or booklets, confidence in managing illness, and willingness to wait before seeing the doctor. Results 238 (6%) patients did not receive the intervention as allocated. Of the remaining 3764 patients, 2965 (79%) had notes available for review after one year. Compared with the control group, fewer patients attended commonly with the minor illnesses in the booklet group (greater than or equal to2 consultations a year: odds ratio 0.81, 95% confidence interval 0.67 to 0.99) and the summary card group (0.83; 0.72 to 0.96). Among patients who had attended with respiratory tract infections in the past year there was a reduction in those attending in the booklet group (0.81; 0.62 to 1.07) and summary card group (0.67; 0.51 to 0.89) compared with the control group. Theincidence of contacts with minor illness fell slightly compared with die previous year in the booklet (incidence ratio 0.97; 0.84 to 1.13) and summary card groups (0.93; 0.80 to 1.07). More patients in the intervention groups felt greater confidence in managing illness (booklet 32%, card 34%, control 12%, P < 0.001), but there was no difference in willingness to wait score (all groups mean = 32, P = 0.67). Conclusion Most patients find information about minor illness provided by post useful, and it helps their confidence in managing illness. Informationmay reduce the number attending commonly with minor illness, but the effect on overall contacts is likely to be modest. These data suggest that posting detailed information booklets about minor illness to the general population would have a limited effect.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 09:38:00