The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial.

Fehily, C; McKeon, E; Stettaford, T; Campbell, E; Lodge, S; Dray, J; Bartlem, K; Reeves, P; Oldmeadow, C; Castle, D; Lawn, S; Bowman, J

The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial.

Fehily, C McKeon, E Stettaford, T Campbell, E Lodge, S Dray, J

Bartlem, K Reeves, P Oldmeadow, C Castle, D Lawn, S Bowman, J

Permalink

Publisher:: MDPI
Publication Type:: Journal Article
Citation:: Int J Environ Res Public Health, 2022, 19, (5), pp. 3119
Issue Date:: 2022-03-07

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Published versionAdobe PDF (1.41 MB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Fehily, C
dc.contributor.author	McKeon, E
dc.contributor.author	Stettaford, T
dc.contributor.author	Campbell, E
dc.contributor.author	Lodge, S
dc.contributor.author	Dray, J https://orcid.org/0000-0003-4613-2634
dc.contributor.author	Bartlem, K
dc.contributor.author	Reeves, P
dc.contributor.author	Oldmeadow, C
dc.contributor.author	Castle, D
dc.contributor.author	Lawn, S
dc.contributor.author	Bowman, J
dc.date.accessioned	2024-04-24T09:34:16Z
dc.date.available	2022-03-01
dc.date.available	2024-04-24T09:34:16Z
dc.date.issued	2022-03-07
dc.identifier.citation	Int J Environ Res Public Health, 2022, 19, (5), pp. 3119
dc.identifier.issn	1661-7827
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/178328
dc.description.abstract	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.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI
dc.relation.ispartof	Int J Environ Res Public Health
dc.relation.isbasedon	10.3390/ijerph19053119
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	Toxicology
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Community Mental Health Services
dc.subject.mesh	Humans
dc.subject.mesh	Mental Health
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Vegetables
dc.subject.mesh	Humans
dc.subject.mesh	Vegetables
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Mental Health
dc.subject.mesh	Community Mental Health Services
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Community Mental Health Services
dc.subject.mesh	Humans
dc.subject.mesh	Mental Health
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Vegetables
dc.title	The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	Switzerland
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2024-04-24T09:34:11Z
pubs.issue	5
pubs.publication-status	Published online
pubs.volume	19
utslib.citation.issue	5

Abstract:

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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/178328