TY - JOUR
T1 - The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services
T2 - Protocol for a Cluster-Randomized Controlled Trial
AU - Fehily, Caitlin
AU - McKeon, Emma
AU - Stettaford, Tegan
AU - Campbell, Elizabeth
AU - Lodge, Simone
AU - Dray, Julia
AU - Bartlem, Kate
AU - Reeves, Penny
AU - Oldmeadow, Christopher
AU - Castle, David
AU - Lawn, Sharon
AU - Bowman, Jenny
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Preventive care to address chronic disease risk behaviours is infrequently provided by community mental health services. In this cluster-randomised controlled trial, 12 community mental health services in 3 Local Health Districts in New South Wales, Australia, will be randomised to either an intervention group (implementing a new model of providing preventive care) or a control group (usual care). The model of care comprises three components: (1) a dedicated ‘healthy choices’ consultation offered by a ‘healthy choices’ clinician; (2) embedding information regarding risk factors into clients’ care plans; and (3) the continuation of preventive care by mental health clinicians in ongoing consultations. Evidence-based implementation strategies will support the model implementation, which will be tailored by being co-developed with service managers and clinicians. The primary outcomes are client-reported receipt of: (1) an assessment of chronic disease risks (tobacco smoking, inadequate fruit and vegetable consumption, harmful alcohol use and physical inactivity); (2) brief advice regarding relevant risk behaviours; and (3) referral to at least one behaviour change support. Resources to develop and implement the intervention will be captured to enable an assessment of cost effectiveness and affordability. The findings will inform the development of future service delivery initiatives to achieve guideline-and policy-concordant preventive care delivery.
AB - Preventive care to address chronic disease risk behaviours is infrequently provided by community mental health services. In this cluster-randomised controlled trial, 12 community mental health services in 3 Local Health Districts in New South Wales, Australia, will be randomised to either an intervention group (implementing a new model of providing preventive care) or a control group (usual care). The model of care comprises three components: (1) a dedicated ‘healthy choices’ consultation offered by a ‘healthy choices’ clinician; (2) embedding information regarding risk factors into clients’ care plans; and (3) the continuation of preventive care by mental health clinicians in ongoing consultations. Evidence-based implementation strategies will support the model implementation, which will be tailored by being co-developed with service managers and clinicians. The primary outcomes are client-reported receipt of: (1) an assessment of chronic disease risks (tobacco smoking, inadequate fruit and vegetable consumption, harmful alcohol use and physical inactivity); (2) brief advice regarding relevant risk behaviours; and (3) referral to at least one behaviour change support. Resources to develop and implement the intervention will be captured to enable an assessment of cost effectiveness and affordability. The findings will inform the development of future service delivery initiatives to achieve guideline-and policy-concordant preventive care delivery.
KW - Alcohol
KW - Clinical practice change
KW - Community mental health
KW - Mental health services
KW - Nutrition
KW - Overweight
KW - Physical activity
KW - Practice change
KW - Preventive care
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=85125960389&partnerID=8YFLogxK
U2 - 10.3390/ijerph19053119
DO - 10.3390/ijerph19053119
M3 - Article
C2 - 35270810
AN - SCOPUS:85125960389
SN - 1660-4601
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 5
M1 - 3119
ER -