Family Preventive Visits to Detect Risk Factors in the Family

Study Overview
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Brief Summary
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The purpose of this study is to determine whether a systematic family assessment in adult preventive health visits increases the detection of risk factors in the spouse or adolescent child of the screened person.

Official Title
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Family Preventive Visits to Detect Risk Factors in the Family

Conditions
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Primary Heath Care, Preventive Medicine, Adolescent Health Services, Family, Family Practice

Intervention / Treatment
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* Behavioral: Family Preventive Visit


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parents of adolescents between 14-17 years. Exclusion Criteria: Living with single parents. Does not accept participating in the study.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Care<br>Traditional care with no systematic assessment of family member´s health problems or risk factors. | |
| Experimental: Family Preventive Visit<br>Systematic assessment of health diseases or risk factors in the spouse and adolescent child. | Behavioral: Family Preventive Visit<br>* Systematic assessment of health diseases or risk factors in the spouse and adolescent child.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Composite outcome: Family Risk Factors | The composite outcome is conformed by: detection of smoking, alcohol, substance abuse, major depression or other mental health disease, high emotional stress, suicide risk in the couple and the adolescent child; and risk of pregnancy, risk of sexually transmitted diseases, risk of eating disorders, risk of school grade repetition or school drop-out in the adolescent child, and the presence of marital or parent-child relationship problems detected by the parent/spouse. | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Composite outcome: Couple Risk Factors | The composite outcome is conformed by: detection of smoking, alcohol, substance abuse, major depression or other mental health disease, high emotional stress, suicide risk in the couple, and the presence of marital relationship problems detected by the spouse. | 1 month | 
| Composite outcome: Adolescent Risk Factors | The composite outcome is conformed by: smoking, alcohol, substance abuse, major depression or other mental health disease, high emotional stress, risk of suicide, risk of pregnancy, risk of sexually transmitted diseases, risk of eating disorders, risk of school grade repetition or school drop-out in the adolescent child, and the presence of parent-child relationship problems detected by the parent. | 1 month | 
| Type of health plan for follow up | The health plan will be categorized in comprehensive bio-psycho-social health plans or only biomedical health plans. | 1 month | 
| Diagnostic accuracy of adults to diagnose risk factors in their spouse or adolescent child. | We will assess sensibility, specificity, positive and negative predictive values, positive and negative likelihood ratios of parents to detect risk factors in their spouse and child. | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Primary Heath Care, Preventive Medicine, Adolescent Health Services, Spouses, Family, Family Practice