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Published on: September 26, 2018
[Strategy to increase screening for cardiovascular risk factors among young people]
Irene Prat-González1, Dolors Juvinyà-Canal, Inma Sánchez-Pérez
1Centro de Atención Primaria de Palamós, Serveis de Salut Integrats Baix Empordà (SSIBE), Palamós, Girona, España. renepratgo@gmail.com
Objective:
To evaluate the effectiveness of an intervention to increase the participation among young people in the Health Prevention and Promotion Activities Programme (PAPPS) and the register of their variables. To evaluate differences in registering based on age and sex.
Design:
randomized, controlled clinical trial.
Setting:
Palamós primary care centre.
Participants:
A total of 828 people between the ages of 25 and 40 assigned to a nurse with one of the PAPPS variables improperly completed: 415 in control group and 413 in intervention group.
Intervention:
letter to complete the PAPPS and phone call if the response after three weeks was less than 10%.
Variables:
age, sex, nationality, clinic attendance, number of variables of PAPPS variables properly completed and the correct registration of each one at the beginning and end of the period.
Statistical Analysis:
univariate and bivariate analysis, 95% confidence interval, RRR and NNT.
Results:
Heterogeneous groups as regards clinic attendance: 5 (1.2%) of control and 85 (20.6%) of intervention group, NNT=5 (95% CI, 4-7); and properly completed registration of PAPPS (P<.001): 5 (1.2%) of control and 73 (17.7%) of intervention, NNT=6 (95% CI, 5-8). At the end, there were differences with regard to age and sex in the number of variables completed and in the registration of cholesterol (P<.001), and only in regard to age in body mass index (P=.005).
Conclusions:
The strategy significantly increased the number of people who completed the PAPPS and their registration. Sex and age influenced the completion.
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