Condom promotion in women attending inner city general practices for cervical smears: a randomized controlled trial.

Abstract:

BACKGROUND:Although condom promotion schemes have been widely piloted in UK general practices, there have been no rigorous evaluations of their effectiveness. OBJECTIVES:To see if a practice-based sexual health education intervention increases the number of women having smears who are given condoms and advice on avoiding STDs. To see if this low cost intervention affects subsequent condom use. METHOD:We conducted a cluster randomized trial of condom promotion in 1382 women aged <35 years attending 28 South London general practices for cervical smear tests. RESULTS:More women in intervention than control practices reported receiving advice on avoiding sexually transmitted infections (27% versus 10%) and being given condoms (28% versus 1%, P < 0.05). However, there was no difference in subsequent condom use, even in the 22% of women reporting >/=2 sexual partners in the previous year. CONCLUSIONS:To provide evidence of effectiveness, future interventions may need to be more intensive or focus on higher risk groups.

journal_name

Fam Pract

journal_title

Family practice

authors

Oakeshott P,Kerry S,Hay S,Hay P

doi

10.1093/fampra/17.1.56

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

56-9

issue

1

eissn

0263-2136

issn

1460-2229

journal_volume

17

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Family practitioners' attitudes and knowledge about irritable bowel syndrome: effect of a trial of physician education.

    abstract:BACKGROUND:Primary physicians care for most patients with irritable bowel syndrome (IBS), but data on their attitudes and knowledge about the disorder are limited to research in the UK. OBJECTIVE:The purpose of the present study was to assess US family practitioners' attitudes and knowledge about IBS and determine the...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmg608

    authors: Longstreth GF,Burchette RJ

    更新日期:2003-12-01 00:00:00

  • House calls in Lebanon: reflections on personal experience.

    abstract:BACKGROUND:Home health services play an important role in decreasing hospital admissions and physicians' medical house calls play an integral role in home health services. There is no national survey of physicians' house call practice in the Lebanon. OBJECTIVES:The aim of this study was to provide some information abo...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/15.6.571

    authors: Sarru E,Abyad A

    更新日期:1998-12-01 00:00:00

  • Variations in cardiac interventions: doctors' practices and views.

    abstract:OBJECTIVES:To investigate referral rates for cardiac interventions by clinical specialty, to document doctors' reasons for referrals and to explore doctors' perceptions of the factors that influenced their clinical decisions. STUDY DESIGN:Doctors completed a clinical decision-making exercise involving, in total, 6093 ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmi125

    authors: Bowling A,Harries C,Forrest D,Harvey N

    更新日期:2006-08-01 00:00:00

  • An overview of training curricula for diabetes peer educators.

    abstract::Global community members who experience similar health problems gravitate to each other for information and support. Peers may be more approachable and can relate to the particular living circumstances one experiences. In well-resourced countries, people have opportunities for learning diabetes self-management; howeve...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn102

    authors: Nettles A,Belton A

    更新日期:2010-06-01 00:00:00

  • Medical students' perceptions of an undergraduate general practice preceptorship.

    abstract::A survey was undertaken to evaluate an undergraduate general practice preceptorship by means of an open-ended six-item questionnaire given to students at the end of their general practice attachment. The aim of the survey was to evaluate the preceptorship as a learning experience and to examine ways in which the prece...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/9.3.323

    authors: Cooper CW

    更新日期:1992-09-01 00:00:00

  • Pregnant women's ailments and psychosocial conditions.

    abstract::Pregnant women's ailments may cause anxiety and reduce the quality of life. Sixty-five pregnant women were followed prospectively in antenatal care in general practice, and spontaneously reported ailments not associated with serious pregnancy complications were registered prospectively. The vast majority of pregnant w...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/9.3.270

    authors: Førde R

    更新日期:1992-09-01 00:00:00

  • Predictive value of signs and symptoms for colorectal cancer in patients with rectal bleeding in general practice.

    abstract::The aim of the study is to determine the diagnostic value of (combinations of) signs, symptoms and simple laboratory test results for colorectal cancer in patients with rectal bleeding presenting in general practice. Initial complaints and findings were compared with the final diagnoses based on clinical follow-up aft...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章

    doi:10.1093/fampra/12.3.279

    authors: Fijten GH,Starmans R,Muris JW,Schouten HJ,Blijham GH,Knottnerus JA

    更新日期:1995-09-01 00:00:00

  • Barriers and facilitators to GP-patient communication about emotional concerns in UK primary care: a systematic review.

    abstract:BACKGROUND:In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns. OBJECTIVE:To update and synthesize literature on barriers and facilitators to GP-patient communication about emotional concerns in UK primary care. DESIGN:Systematic review and qualitative synthesis....

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmaa002

    authors: Parker D,Byng R,Dickens C,Kinsey D,McCabe R

    更新日期:2020-09-05 00:00:00

  • Selections from current literature: hormone therapy in postmenopausal women.

    abstract::The articles reviewed for this issue of 'Selections' concern potential therapies to prevent osteoporosis and cardiovascular disease in postmenopausal women. Each therapy is controversial and provokes more questions than answers. The most benign intervention is the administration of calcium to postmenopausal women whos...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/8.3.288

    authors: Froom J

    更新日期:1991-09-01 00:00:00

  • Who do we discharge from renal clinic and what does it mean for primary care?

    abstract:BACKGROUND:It is unclear whether discharging patients from renal clinic to primary care is safe. AIM:To determine the characteristics, primary care monitoring and renal outcomes of patients discharged from renal clinic. DESIGN AND SETTING:A retrospective study of 2236 adults discharged from a tertiary renal clinic be...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmz055

    authors: Pyart R,Lim S,Hussein B,Riley S,Roberts G

    更新日期:2020-03-25 00:00:00

  • Post-consultation illness trajectories in children with acute cough and respiratory tract infection: prospective cohort study.

    abstract:Background:Little is known about respiratory tract infection (RTI) severity in children following consultation. Objectives:To investigate post-consultation symptom trajectories in children with acute cough and RTI and whether baseline characteristics predict trajectory group. Methods:Prospective cohort study of 2296 ...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/cmy021

    authors: Wensaas KA,Heron J,Redmond N,Turnbull S,Christensen H,Thornton H,Peters TJ,Blair PS,Hay AD

    更新日期:2018-12-12 00:00:00

  • Effectiveness of a learner-centred training programme for primary care physicians in using a patient-centred consultation style.

    abstract:OBJECTIVE:The aim of the present study was to find out if a training programme adapted to family physicians with several years of clinical experience changes their behaviour when they deal with fibromyalgic patients in the sense of introducing the communication skills that define the 'patient-centred' approach. METHOD...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/18.1.60

    authors: Moral RR,Alamo MM,Jurado MA,de Torres LP

    更新日期:2001-02-01 00:00:00

  • Barriers and facilitators to the timely diagnosis of endometriosis in primary care in the Netherlands.

    abstract:BACKGROUND:Endometriosis is an invalidating gynaecological condition in women of reproductive age, and a frequent cause of infertility. Unfortunately, the condition is characterized by a long interval between onset of symptoms and diagnosis. GPs in the Netherlands are educated to provide basic gynaecological care and s...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmz041

    authors: van der Zanden M,Teunissen DAM,van der Woord IW,Braat DDM,Nelen WLDM,Nap AW

    更新日期:2020-02-19 00:00:00

  • Keeping families of heroin addicts together: results of 13 months' intake for community detoxification and rehabilitation at a family centre for drug users.

    abstract:BACKGROUND:Heroin addiction is a major public health problem affecting both the addicted individuals and their children, who have been shown to have poor social, educational and health status and to be at higher risk of abuse than their peers. Whilst the antenatal effects of parental drug use and the overall poor outco...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/17.6.484

    authors: Keen J,Oliver P,Rowse G,Mathers N

    更新日期:2000-12-01 00:00:00

  • Development and validation of a concise scale for assessing patient experience of primary care for adults in Japan.

    abstract:BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmz038

    authors: Aoki T,Fukuhara S,Yamamoto Y

    更新日期:2020-02-19 00:00:00

  • Inter-clinician eConsults without programmatic incentives or requirements: a qualitative study of primary care provider perspectives.

    abstract:BACKGROUND:Inter-clinician electronic consultation (eConsult) programmes are becoming more widespread in the USA as health care systems seek innovative ways of improving specialty access. Existing studies examine models with programmatic incentives or requirements for primary care providers (PCPs) to participate. OBJE...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmaa016

    authors: Zallman L,Fisher CF,Ladner S,Mengistu K,Rapaport AB,Bor D,He Z,Sawady J,Stavert R,Nardin R,Bajracharya A,Pels R,Sayah A

    更新日期:2020-09-05 00:00:00

  • A primary care pragmatic cluster randomized trial of the use of home blood pressure monitoring on blood pressure levels in hypertensive patients with above target blood pressure.

    abstract:BACKGROUND:The measurement of blood pressure (BP) at home by patients with hypertension is increasingly used to assess and monitor BP. Evidence for its effectiveness in improving BP control is mixed. METHODS:To determine if home BP monitoring improves BP a pragmatic cluster randomized contolled trial was carried out i...

    journal_title:Family practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/fampra/cmp094

    authors: Godwin M,Lam M,Birtwhistle R,Delva D,Seguin R,Casson I,MacDonald S

    更新日期:2010-04-01 00:00:00

  • Perspectives of family medicine in Central and Eastern Europe.

    abstract:INTRODUCTION:In the last decade of the 20th century, the countries of Central and Eastern Europe (CEE) have experienced rapid changes in health policies. This process was largely supported by international grants. After this support has ended, it is important to keep up with the development, developing its own strategi...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn009

    authors: Seifert B,Svab I,Madis T,Kersnik J,Windak A,Steflova A,Byma S

    更新日期:2008-04-01 00:00:00

  • Utility of catastrophizing, body symptom diagram score and history of opioid use to predict future health care utilization after a primary care visit for musculoskeletal pain.

    abstract:BACKGROUND:Self-report information about pain and pain beliefs are often collected during initial consultation for musculoskeletal pain. These data may provide utility beyond the initial encounter, helping provide further insight into prognosis and long-term interactions of the patient with the health system. OBJECTIV...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmz046

    authors: Rhon DI,Lentz TA,George SZ

    更新日期:2020-02-19 00:00:00

  • Consultations involving people with congenital disabilities: factors that help or hinder giving care.

    abstract:BACKGROUND:Previous studies have suggested that the attitudes of health professionals towards people with disability may be as negative as those of society. Further, even positive attitudes may not always be reflected in the health professional's behaviour. OBJECTIVE:The aim of this study was to examine GPs' (registra...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/18.4.419

    authors: Muir EH,Ogden J

    更新日期:2001-08-01 00:00:00

  • A randomized controlled trial of direct access for laparoscopic sterilization.

    abstract:OBJECTIVES:The aim of this study was to establish and evaluate a direct access service for laparoscopic sterilization. METHODS:A pragmatic randomized controlled trial was carried out on a total of 232 women referred to Aberdeen Royal Infirmary for sterilization between 1 June 1996 and 31 March 1997, from 57 general pr...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/18.1.1

    authors: McKessock L,Smith BH,Scott A,Graham W,Terry PB,Templeton A,Fitzmaurice AE

    更新日期:2001-02-01 00:00:00

  • Association between unexplained hypoalbuminaemia and new cancer diagnoses in UK primary care patients.

    abstract:BACKGROUND:The association between hypoalbuminaemia and a new diagnosis of cancer is as yet unknown. OBJECTIVE:This study aimed to assess whether unexplained hypoalbuminaemia was associated with an increased risk of subsequent new cancer diagnosis within the next 12 months. METHODS:A cohort study was performed using ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmw051

    authors: Merriel SW,Carroll R,Hamilton F,Hamilton W

    更新日期:2016-10-01 00:00:00

  • Measuring general practitioners' attitudes towards medical care.

    abstract::The construction and development of a questionnaire which measures the attitudes of general practitioners towards their role in the medical care system is described. Factor analytic procedures identified seven reliable factor-based subscales. The subscales measured attitudes towards: a psychological orientation to pat...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/4.3.192

    authors: Cockburn J,Killer D,Campbell E,Sanson-Fisher RW

    更新日期:1987-09-01 00:00:00

  • Focus on early-career GPs: qualitative evaluation of a multi-faceted educational intervention to improve antibiotic prescribing.

    abstract:Background:We conducted an educational intervention emphasizing rational antibiotic prescribing in early-career General Practitioners (GP) in vocational training (trainees). The intervention consisted of an online introduction module, an online communication training module, face-to-face workshops, and cases to be disc...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx074

    authors: Deckx L,Anthierens S,Magin PJ,Morgan S,McArthur L,Yardley L,Dallas A,Little P,van Driel ML

    更新日期:2018-01-16 00:00:00

  • A randomized controlled trial of an intervention designed to improve the care given in general practice to Type II diabetic patients: patient outcomes and professional ability to change behaviour.

    abstract:AIM:Our objective was to evaluate the effect of training in a patient-centred intervention for GPs and practice nurses on outcomes for patients with Type II diabetes. METHODS:We carried out a randomized controlled trial within general practices as the basis for randomization and a before-and-after design for measures ...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/15.3.229

    authors: Pill R,Stott NC,Rollnick SR,Rees M

    更新日期:1998-06-01 00:00:00

  • Prescription of antibiotics and prescribers' characteristics. A study into prescription of antibiotics in upper respiratory tract infections in general practice.

    abstract::There is a growing concern about rational prescribing of antibiotics. That is why a secondary analysis of prescribing antibiotics in upper respiratory tract infections has been conducted by means of a nationwide study of morbidity and interventions in The Netherlands. The mean percentage of antibiotic prescriptions va...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/10.4.366

    authors: Kuyvenhoven M,de Melker R,van der Velden K

    更新日期:1993-12-01 00:00:00

  • Mapping primary health care renewal in South America.

    abstract:BACKGROUND:Primary health care (PHC) renewal processes are currently ongoing in South America (SA), but their characteristics have not been systematically described. OBJECTIVE:The study aimed to describe and contrast the PHC approaches being implemented in SA to provide knowledge of current conceptions, models and cha...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmw013

    authors: Acosta Ramírez N,Giovanella L,Vega Romero R,Tejerina Silva H,de Almeida PF,Ríos G,Goede H,Oliveira S

    更新日期:2016-06-01 00:00:00

  • Assessment of a rapid referral pathway for suspected colorectal cancer in Madrid.

    abstract:OBJECTIVE:To assess the results achieved with a rapid referral pathway for suspected colorectal cancer (CRC), comparing with the standard referral pathway. METHODS:Three-year audit of patients suspected of having CRC routed via a rapid referral pathway, and patients with CRC routed via the standard referral pathway of...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr080

    authors: Valentín-López B,Ferrándiz-Santos J,Blasco-Amaro JA,Morillas-Sáinz JD,Ruiz-López P

    更新日期:2012-04-01 00:00:00

  • Attitudes of GPs to the care of people with epilepsy.

    abstract:BACKGROUND:Most individuals with current epilepsy are solely under the care of the primary care team for follow-up care. Government working party recommendations, expert epilepsy panels and patients have also stressed the central role of the GP in follow-up care. Problems in the provision of care in the community have,...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/15.5.437

    authors: Thapar AK,Stott NC,Richens A,Kerr M

    更新日期:1998-10-01 00:00:00

  • Effects of secondary prevention clinics on health status in patients with coronary heart disease: 4 year follow-up of a randomized trial in primary care.

    abstract:BACKGROUND:The long-term effects of disease management programmes for coronary heart disease on health status are unknown. In a randomized trial of nurse-led secondary prevention clinics, we found significantly improved health status at 1 year. Participants were followed-up again at 4 years to determine if improvements...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/cmh514

    authors: Murchie P,Campbell NC,Ritchie LD,Deans HG,Thain J

    更新日期:2004-10-01 00:00:00