- Title
- The effectiveness of interventions to increase preventive care provision for chronic disease risk behaviours in mental health settings: a systematic review and meta-analysis
- Creator
- Fehily, Caitlin; Hodder, Rebecca; Bartlem, Kate; Wiggers, John; Wolfenden, Luke; Dray, Julia; Bailey, Jacqueline; Wilczynska, Magda; Stockings, Emily; Clinton-McHarg, Tara; Regan, Timothy; Bowman, Jenny
- Relation
- Preventive Medicine Reports Vol. 19, Issue September 2020, no. 101108
- Publisher Link
- http://dx.doi.org/10.1016/j.pmedr.2020.101108
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2020
- Description
- Clinical practice guidelines direct mental health services to provide preventive care to address client chronic disease risk behaviours, however, this care is not routinely provided. The aim of this systematic review was to synthesise evidence regarding the effectiveness of interventions to increase provision of preventive care by mental health services; by care element (ask, assess, advice, assist, arrange) and risk behaviour (tobacco smoking, poor nutrition, harmful alcohol consumption, physical inactivity). Electronic bibliographic databases, Google Scholar, relevant journals, and included study reference lists were searched. Eligible studies were of any design with a comparison group that reported the effectiveness of an intervention to increase the provision of at least one element of preventive care for at least one risk behaviour in a mental health setting. Twenty studies were included, most commonly examining smoking (n = 20) and ‘ask’ (n = 12). Meta-analysis found interventions involving task shifting were effective in increasing smoking ‘advice’ (n = 2 RCTs; p = 0.009) and physical activity ‘advice’ (n = 2 RCTs; p = 0.002). Overall, meta-analysis and narrative synthesis indicated that effective intervention strategies (categorised according to the Effective Practice and Organisation of Care taxonomy) were: task shifting, educational meetings, health information systems, local consensus processes, authority and accountability, and reminders. The most consistent findings across studies were with regard to preventive care for smoking, while conflicting or limited evidence was found regarding other risk behaviours. While further rigorous research examining key risk behaviours is recommended, the findings may inform the selection of strategies for future interventions and service delivery initiatives.
- Subject
- mental illness; physical health; chronic disease; preventive care; mental health services; service delivery; risk behaviours
- Identifier
- http://hdl.handle.net/1959.13/1416362
- Identifier
- uon:37040
- Identifier
- ISSN:2211-3355
- Rights
- © 2020 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
- Language
- eng
- Full Text
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