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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
NONE
Enrollment
300
Systematic assessment of health diseases or risk factors in the spouse and adolescent child.
Centro de Salud Familiar San Alberto Hurtado
Santiago, Chile
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.
Time frame: 1 month
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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
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Time frame: 1 month