title: Improving self-management of cancer risk factors, underscreening for cancer and depression among general practice patients: study protocol of a randomised controlled trial.
abstract: General practitioners have a key role in reducing cancer risk factors, screening for cancer and managing depression. Given the time-limited nature of consultations, a new and more time-efficient approach is needed which addresses multiple health needs simultaneously, and encourages patient self-management to address health risks. The aim of this cluster randomised controlled trial is to test the effectiveness of a patient feedback intervention in improving patient self-management of health needs related to smoking, risky alcohol consumption and underscreening for cancers at 1 month follow-up.
  
  
  
  Adult general practice patients will be invited to participate in a baseline survey to assess cancer risk factors, screening needs and depression. A total of 360 participants identified by the baseline survey as having at least one health need (a self-reported cancer risk factor, underscreening for cancer, or an elevated depression score) will be randomised to an intervention or control group. Participants in the intervention group will receive tailored printed feedback summarising their identified health needs and recommended self-management actions to address these. All participants will be invited to complete a telephone interview 1 month following recruitment to assess self-management actions taken in relation to health needs identified in the baseline survey. Control group participants will receive tailored printed feedback on their identified health needs after their follow-up interview. A logistic regression model, with group allocation as the main predictor, will be used to assess the impact of the intervention on self-management actions.
  
  
  
  Participants identified as being at risk of depression will be advised to speak with their doctor. Results will be disseminated via publication in peer-reviewed journals. The study has been approved by the University of Newcastle Human Research Ethics Committee.
  
  
  
  ACTRN12616001443482.
authors.affiliation: Faculty of Health and Medicine, Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, New South Wales, Australia.|Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, New South Wales, Australia.
authors.forename: Mariko
authors.initials: M
authors.lastname: Carey
authors.affiliation: Faculty of Health and Medicine, Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, New South Wales, Australia.|Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, New South Wales, Australia.
authors.forename: Rob
authors.initials: R
authors.lastname: Sanson-Fisher
authors.affiliation: Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, New South Wales, Australia.
authors.forename: Christopher
authors.initials: C
authors.lastname: Oldmeadow
authors.affiliation: Faculty of Health and Medicine, Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, New South Wales, Australia.|Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, New South Wales, Australia.
authors.forename: Elise
authors.initials: E
authors.lastname: Mansfield
authors.affiliation: Faculty of Health and Medicine, Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, New South Wales, Australia.|Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, New South Wales, Australia.
authors.forename: Justin
authors.initials: J
authors.lastname: Walsh
mesh_terms: D000368:Aged; D000428:Alcohol Drinking / Q000009:adverse effects; D001315:Australia; D003863:Depression / Q000175:diagnosis*; D005260:Female; D058006:General Practice / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D012107:Research Design; D012307:Risk Factors; D012648:Self Care / Q000379:methods*; D012907:Smoking / Q000009:adverse effects; D011795:Surveys and Questionnaires
keywords: health behaviour; primary health care; primary prevention; screening; self care