Family Preventive Visits to Detect Risk Factors in the Family

无干预：Usual Care

Traditional care with no systematic assessment of family member´s health problems or risk factors.

实验性的：Family Preventive Visit

Systematic assessment of health diseases or risk factors in the spouse and adolescent child.

行为的：Family Preventive Visit

Systematic assessment of health diseases or risk factors in the spouse and adolescent child.

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.

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.

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.

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.

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.