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

Caitlin Fehily, Emma McKeon, Tegan Stettaford, Elizabeth Campbell, Simone Lodge, Julia Dray, Kate Bartlem, Penny Reeves, Christopher Oldmeadow, David Castle, Sharon Lawn and Jenny Bowman
Additional contact information
Caitlin Fehily: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia
Emma McKeon: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia
Tegan Stettaford: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia
Elizabeth Campbell: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia
Simone Lodge: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia
Julia Dray: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia
Kate Bartlem: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia
Penny Reeves: Hunter Medical Research Institute, Clinical Research Centre, New Lambton Heights, NSW 2305, Australia
Christopher Oldmeadow: Hunter Medical Research Institute, Clinical Research Centre, New Lambton Heights, NSW 2305, Australia
David Castle: Centre for Addictions and Mental Health, Toronto, ON M6J 1H4, Canada
Sharon Lawn: Lived Experience Australia Ltd., Adelaide, SA 5001, Australia
Jenny Bowman: School of Psychological Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia

IJERPH, 2022, vol. 19, issue 5, 1-19

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.

Keywords: practice change; clinical practice change; mental health services; community mental health; preventive care; smoking; nutrition; alcohol; physical activity; overweight (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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