Health promotion for adolescents in primary care: randomised controlled trial.
OBJECTIVE
To evaluate the effectiveness of inviting teenagers to general practice consultations to discuss health behaviour concerns and appropriate follow up care.


METHODS
Randomised controlled trial, with participants randomised to a consultation (intervention) or usual care (control). Questionnaires completed at baseline, 3 months, and 12 months.


METHODS
Eight general practices in Hertfordshire, England.


METHODS
1516 teenagers aged 14-15 years.


METHODS
Consultations with practice nurses to discuss health concerns and develop plans for healthier lifestyles.


METHODS
Mental and physical health, "stage of change" for health related behaviour, and use of health services.


RESULTS
At baseline 970 teenagers completed questionnaires; 23% smoked, 35% had been drunk in the previous three months, 64% considered they ate unhealthily, 39% took little exercise, and 36% had possible depression. 41% (304) of teenagers invited attended for a consultation; over one third (112) were offered follow up care. More intervention group teenagers reported positive movement in stage of change for diet and exercise and in at least one of four behaviours (diet, exercise, smoking, drinking alcohol) at 3 months (41% v 31%, P<0.01), but this did not persist at 12 months. There was marginally more positive change in actual behaviour by intervention teenagers at 3 months (16% v 12%, P=0.06). Recognition of possible depression resulted in improved mental health outcomes at 3 and 12 months. 97% of attenders said they would recommend the intervention to a friend.


CONCLUSIONS
Change in behaviour was slight but encouraging, and the intervention was well received and relatively cheap.
Walker
Zoe
Z
Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield AL10 9AB.
Townsend
Joy
J
Oakley
Laura
L
Donovan
Chris
C
Smith
Hilary
H
Hurst
Zunia
Z
Bell
Janet
J
Marshall
Sally
S
D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D004739:England; D005194:Family Practice / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006304:Health Status; D006801:Humans; D019359:Knowledge; D008297:Male; D008603:Mental Health; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data