Systematic Review of Interventions to Increase the Provision of Care for Chronic Disease Risk Behaviours in Mental Health Settings: Review Protocol

Overview

Journal Syst Rev

Publisher Biomed Central

Date 2018 May 2

PMID 29712561

Citations 1

Authors

Caitlin Fehily

Kate Bartlem

John Wiggers

Luke Wolfenden

Timothy Regan

Julia Dray

Jacqueline Bailey

Jenny Bowman

Affiliations

Soon will be listed here.

Abstract

Background: People with a mental illness experience a higher morbidity and mortality from chronic diseases relative to the general population. A higher prevalence of risk behaviours, including tobacco smoking, poor nutrition, harmful alcohol consumption and physical inactivity, is a substantial contributor to this health inequity. Clinical practice guidelines recommend that mental health services routinely provide care to their clients to address these risk behaviours. Such care may include the following elements: ask, assess, advise, assist and arrange (the '5As'), which has been demonstrated to be effective in reducing risk behaviours. Despite this potential, the provision of such care is reported to be low internationally and in Australia, and there is a need to identify effective strategies to increase care provision. The proposed review will examine the effectiveness of interventions which aimed to increase care provision (i.e. increase the proportion of clients receiving or clinicians providing the 5As) for the chronic disease risk behaviours of clients within the context of mental health service delivery.

Methods: Eligible studies will be any quantitative study designs with a comparison group and which report on the effectiveness of an intervention strategy (including delivery arrangements, financial arrangements, governance arrangements and implementation strategies) to increase care provision specifically for chronic disease risk behaviours (tobacco smoking, poor nutrition, harmful alcohol consumption and physical inactivity). Screening for studies will be conducted across seven electronic databases: PsycINFO, MEDLINE, Excerpta Medica database (EMBASE), Psychology and Behavioural Sciences Collection, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL) and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Two authors will independently screen studies for eligibility and extract data from included studies. Where studies are sufficiently homogenous, meta-analysis will be performed. Where considerable heterogeneity exists (I ≥ 75), narrative synthesis will be used.

Discussion: This review will be the first to synthesise evidence for the effectiveness of intervention approaches to facilitate care provision for chronic disease risk behaviours in the context of mental health service delivery. The results have the potential to inform the development of evidenced-based approaches to address the health inequities experienced by this population group.

Systematic Review Registration: PROSPERO CRD42017074360 .

Citing Articles

The effectiveness of interventions to increase preventive care provision for chronic disease risk behaviours in mental health settings: A systematic review and meta-analysis.

Fehily C, Hodder R, Bartlem K, Wiggers J, Wolfenden L, Dray J Prev Med Rep. 2020; 19:101108.

PMID: 32477852 PMC: 7248238. DOI: 10.1016/j.pmedr.2020.101108.

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