Literature DB >> 10381711

Randomised controlled trial of effect of Baby Check on use of health services in first 6 months of life.

H Thomson1, S Ross, P Wilson, A McConnachie, R Watson.   

Abstract

OBJECTIVE: To evaluate the effect of Baby Check, an illness scoring system for babies of 6 months or less, on parents' use of health services for their baby.
DESIGN: Randomised controlled trial.
SETTING: 13 general practices in Glasgow.
SUBJECTS: 997 newly delivered mothers, randomised to receive either Baby Check and Play It Safe, an accident prevention leaflet (n=497), or Play It Safe alone (control group, n=500). MAIN OUTCOME MEASURES: Data on consultations and referrals extracted from general practice notes after 6 months.
RESULTS: At the time of recruitment, maternal characteristics were similar for both groups (mean maternal age 29 years; deprivation categories 6 and 1 in both groups; 424 (45%) mothers were primiparous). At 6 months, general practice notes were available for 467 (94%) of the Baby Check group and 468 (94%) of the control group. The number of general practitioner consultations did not differ between the groups: median number of consultations was 2 (interquartile range 1 to 4) in the Baby Check group, and 2 (1 to 3) in the control group. Use of out of hours services did not differ significantly between the two groups (86 v 85; P=0.93).
CONCLUSION: Distributing Baby Check to an unselected group of mothers does not affect use of health services for infants up to 6 months of age.

Entities:  

Mesh:

Year:  1999        PMID: 10381711      PMCID: PMC31104          DOI: 10.1136/bmj.318.7200.1740

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  12 in total

Review 1.  A systematic review of the effectiveness of health service interventions aimed at reducing inequalities in health.

Authors:  L Arblaster; M Lambert; V Entwistle; M Forster; D Fullerton; T Sheldon; I Watt
Journal:  J Health Serv Res Policy       Date:  1996-04

2.  Reattendance and complications in a randomised trial of prescribing strategies for sore throat: the medicalising effect of prescribing antibiotics.

Authors:  P Little; C Gould; I Williamson; G Warner; M Gantley; A L Kinmonth
Journal:  BMJ       Date:  1997-08-09

3.  Baby Check: a scoring system to grade the severity of acute systemic illness in babies under 6 months old.

Authors:  C J Morley; A J Thornton; T J Cole; P H Hewson; M A Fowler
Journal:  Arch Dis Child       Date:  1991-01       Impact factor: 3.791

4.  Field trials of the Baby Check score card: mothers scoring their babies at home.

Authors:  A J Thornton; C J Morley; S J Green; T J Cole; K A Walker; J M Bonnett
Journal:  Arch Dis Child       Date:  1991-01       Impact factor: 3.791

5.  A patient led NHS: managing demand at the interface between lay and primary care.

Authors:  A Rogers; V Entwistle; D Pencheon
Journal:  BMJ       Date:  1998-06-13

6.  Parents' difficulties and information needs in coping with acute illness in preschool children: a qualitative study.

Authors:  J Kai
Journal:  BMJ       Date:  1996-10-19

7.  Patients' accounts of calling the doctor out of hours: qualitative study in one general practice.

Authors:  J Hopton; R Hogg; I McKee
Journal:  BMJ       Date:  1996-10-19

8.  'Baby Check' in the inner city--use and value to parents.

Authors:  J Kai
Journal:  Fam Pract       Date:  1994-09       Impact factor: 2.267

9.  Open randomised trial of prescribing strategies in managing sore throat.

Authors:  P Little; I Williamson; G Warner; C Gould; M Gantley; A L Kinmonth
Journal:  BMJ       Date:  1997-03-08

10.  Incidence and prevalence of non-specific symptoms and behavioural changes in infants under the age of two years.

Authors:  C O Holme
Journal:  Br J Gen Pract       Date:  1995-02       Impact factor: 5.386

View more
  11 in total

1.  Growth hormone insensitivity: a widening diagnosis.

Authors:  R Bjarnason; M O Savage
Journal:  Arch Dis Child       Date:  1999-11       Impact factor: 3.791

2.  NHS direct: here and now.

Authors:  N McLellan
Journal:  Arch Dis Child       Date:  1999-11       Impact factor: 3.791

3.  Helping parents identify severe illnesses in their children.

Authors:  D Jewell
Journal:  BMJ       Date:  1999-06-26

4.  How well is the clinical importance of study results reported? An assessment of randomized controlled trials.

Authors:  K B Chan; M Man-Son-Hing; F J Molnar; A Laupacis
Journal:  CMAJ       Date:  2001-10-30       Impact factor: 8.262

5.  Mothers' use of and attitudes to BabyCheck.

Authors:  Hilary Thomson; Sue Ross; Philip Wilson; Alex McConnachie; Richard Watson
Journal:  Br J Gen Pract       Date:  2002-04       Impact factor: 5.386

6.  Assessment of impact of information booklets on use of healthcare services: randomised controlled trial.

Authors:  D Heaney; S Wyke; P Wilson; R Elton; P Rutledge
Journal:  BMJ       Date:  2001-05-19

Review 7.  A systematic review of the effect of primary care-based service innovations on quality and patterns of referral to specialist secondary care.

Authors:  Alex Faulkner; Nicola Mills; David Bainton; Kate Baxter; Paul Kinnersley; Tim J Peters; Deborah Sharp
Journal:  Br J Gen Pract       Date:  2003-11       Impact factor: 5.386

8.  A clinical comparison of SIDS and explained sudden infant deaths: how healthy and how normal? CESDI SUDI Research Group. Confidential Inquiry into Stillbirths and Deaths in Infancy study.

Authors:  M W Platt; P S Blair; P J Fleming; I J Smith; T J Cole; C E Leach; P J Berry; J Golding
Journal:  Arch Dis Child       Date:  2000-02       Impact factor: 3.791

9.  Modelling consultation rates in infancy: influence of maternal and infant characteristics, feeding type and consultation history.

Authors:  Alex McConnachie; Phil Wilson; Hilary Thomson; Sue Ross; Richard Watson; Patricia Muirhead; Andrew Munley
Journal:  Br J Gen Pract       Date:  2004-08       Impact factor: 5.386

Review 10.  Interventions to influence consulting and antibiotic use for acute respiratory tract infections in children: a systematic review and meta-analysis.

Authors:  Talley Andrews; Matthew Thompson; David I Buckley; Carl Heneghan; Rick Deyo; Niamh Redmond; Patricia J Lucas; Peter S Blair; Alastair D Hay
Journal:  PLoS One       Date:  2012-01-27       Impact factor: 3.240

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.