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van CCT (UK)

van CCT (UK)

Identifying frequent attenders with anxiety complaints, a pilot study in general practice

- candidate number25533
- NTR NumberNTR6155
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR15-nov-2016
- Secondary IDsUMCG research registry: 201600223 
- Public TitleIdentifying frequent attenders with anxiety complaints, a pilot study in general practice
- Scientific TitleIdentifying frequent attenders with anxiety complaints, a pilot study in general practice
- hypothesis1. It is common to stratify a dataset on gender and age when identifying frequent attenders within general practice. However, this could lead to an oversampling of patients with chronic diseases, e.g., cardio-vascular disease or diabetes. We therefore propose that datasets should also be stratified on presence of chronic disease before frequent attendance is determined.

2. Stratification based on age, gender and chronic disease will result in
a) better responserates from patients themselves
b) better identification of patients with anxiety complaints
- Healt Condition(s) or Problem(s) studiedAnxiety, Family practice/general practice
- Inclusion criteria* identification as frequent attender
- Exclusion criteria* current situation, e.g, death in the family, severe somatic/psychiatric illness, making it undesirable that the patient is approached for participation in the study, as judged by the treating GP
- mec approval receivedyes
- multicenter trialno
- randomisedno
- group[default]
- TypeSingle arm
- Studytypeobservational
- planned startdate 1-okt-2016
- planned closingdate1-mrt-2017
- Target number of participants0
- Interventionsnone, in this pilot study we only screen for the presence of problems. In a follow-up study we will offer those screening positive for anxiety complaints a light form of cognitive behavioral therapy, to be specific, problem solving treatment.
- Primary outcomeLevel of anxiety as measured with the 4DSQ/4DKL (Terluin, 1994; 2014).
- Secondary outcomenone
- Timepointsone time screening
- Trial web site
- statusplanned
- Sponsor/Initiator University Medical Center Groningen (UMCG), Department of General Practice
- Funding
(Source(s) of Monetary or Material Support)
Healthy Aging Pilots UMCG
- Publications
- Brief summaryAnxiety is a very common problem in the general population. Early treatment of anxiety complaints can be beneficial in the prevention of the development of anxiety disorders. Given the burden for both the individual and society in general early intervention when anxiety complaints arise is welcome. Particularly in general practice there is a group of patients who frequently visit their GP but do so with a variety of (somatic) complaints which can not be traced back to a specific cause. Research shows that these so called frequent attenders might actually have either anxiety complaints or a anxiety disorder. However, since they do not present themselves with these complaints it is very difficult for the GP to identify them and to offer them the necessary care. More active screening of frequent attenders for anxiety might therefore prove beneficial in the identification of frequent attenders with anxiety complaints. In the current study we examine various different methods for identifying frequent attenders with anxiety complaints, taking into account that patients with chronic diseases, such as cardio-vascular disease and diabetes, might visit their GP more frequently for a valid reason. Earlier studies have not corrected for this fact.
- Main changes (audit trail)
- RECORD15-nov-2016 - 7-feb-2017

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