PMID: 9423503Jan 10, 1998Paper

Counselling in primary care: a randomised controlled trial

Patient Education and Counseling
A Hemmings

Abstract

A randomised controlled trial of the effectiveness of counselling (In-House Counselled (IHC) group) compared to routine advice from General Practitioners (Routine Treatment (RT) group) was conducted with three practices and a total of 188 patients in East Sussex. Changes in interpersonal problems using the 32 item Inventory of Interpersonal Problems, symptoms of psychological distress using the Symptom Index and self esteem using Repertory Grids were compared between groups at four months and after a further four month follow-up. A questionnaire monitoring patient service satisfaction was given to those who had received In-House counselling. The number of counselling sessions, early withdrawals and refusers was also monitored. In order to facilitate interprofessional communication, the three counsellors and a GP representative from each practice met monthly for an Action Learning group, led by an external facilitator to provide a forum to discuss working practices. The group met six times for two and a half hours. An audit of the participants' medical notes was carried out at the end of the study to establish any changes in subsequent use of medical services and prescribing patterns. The results show that patients within both g...Continue Reading

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Citations

May 25, 2002·Patient Education and Counseling·B NettletonL Jones
Feb 5, 2003·Patient Education and Counseling·Simon Evans, Philip Milner
Feb 24, 2001·BMJ : British Medical Journal·A Thornett
May 11, 1999·Primary Care·G C Jenkins
Aug 14, 2012·The American Journal of Orthopsychiatry·Mark J D JordansJoop T V M De Jong
Mar 24, 2009·Cognitive Behaviour Therapy·Kate CavanaghJudy Proudfoot
Nov 27, 2001·British Medical Bulletin·M Barkham, G E Hardy
Sep 9, 2011·The Cochrane Database of Systematic Reviews·Peter BowerNancy Rowland

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