Changing health workforce attitudes to promote improved physical health in mental health service users: Keeping our Staff in Mind (KoSiM)

Simon Rosenbaum; Philip B Ward; Rishi Baldeo; Hamish Fibbins; Rebecca Jarman; Oscar Lederman; Amy Perram; Josephine Poole; Elisa Rossimel; Gabriella Smith; Scott Teasdale; Tammy Wade; Andrew Watkins; Annette White; David Pearce; Jackie Curtis

doi:10.1002/hpja.320

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Changing health workforce attitudes to promote improved physical health in mental health service users: Keeping our Staff in Mind (KoSiM)

Journal article

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Changing health workforce attitudes to promote improved physical health in mental health service users: Keeping our Staff in Mind (KoSiM)

Simon Rosenbaum, Philip B Ward, Rishi Baldeo, Hamish Fibbins, Rebecca Jarman, Oscar Lederman, Amy Perram, Josephine Poole, Elisa Rossimel, Gabriella Smith, …

Health Promotion Journal of Australia, Vol.31(3), pp.447-455

2020

DOI: https://doi.org/10.1002/hpja.320

PMID: 31925974

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Abstract

mental health staff

staff

mental illness

physical health

health workforce wellness

lifestyle intervention

People living with mental illness die on average 15 years earlier than the general population, primarily due to preventable and premature cardiovascular disease. Lifestyle interventions can be effective in reducing cardiovascular risk, yet mental health services do not routinely provide targeted lifestyle interventions. Exposing mental health staff to lifestyle interventions prior to targeting patients may be critical to changing culture and improving patient outcomes. This study aimed to improve the physical health of mental health staff through a targeted lifestyle intervention. A pragmatic single-arm intervention study was conducted in a public mental health service, including inpatient and community settings, in Sydney, Australia. Participants in this study were n = 212 clinical and non-clinical staff. A five-session individualised lifestyle intervention (delivered over 5 weeks) incorporating physical activity and nutritional counselling was delivered by multidisciplinary teams. Participants were assessed at baseline, following the intervention, and at follow-up (mean = 16.7 weeks). The primary outcome was the barriers, attitudes, knowledge and confidence regarding screening, promoting and intervening to improve physical health outcomes of patients (M-BACK questionnaire). Secondary outcomes included anthropometric measures, cardiorespiratory fitness, sedentary time and nutritional intake. Repeated measures ANCOVAs were performed. A total of 212 staff (79% female) participated in this study. M-BACK total score significantly increased from baseline to follow-up (P < .001). Waist circumference, sedentary time and total energy intake all significantly decreased (all P's < .001) and cardiorespiratory fitness significantly increased (P < .001). A brief lifestyle intervention for staff of a public mental health service may increase the capability of the participants to improve their own physical health. SO WHAT?: Improving staff health may be an important strategy in improving the uptake and/or the effectiveness of lifestyle interventions targeting mental health service users.

Details

Title: Changing health workforce attitudes to promote improved physical health in mental health service users: Keeping our Staff in Mind (KoSiM)
Authors: Simon Rosenbaum (Author) - UNSW Australia
Philip B Ward (Author) - UNSW Australia
Rishi Baldeo (Author) - South Eastern Sydney Local Health District
Hamish Fibbins (Author) - South Eastern Sydney Local Health District
Rebecca Jarman (Author) - South Eastern Sydney Local Health District
Oscar Lederman (Author) - South Eastern Sydney Local Health District
Amy Perram (Author) - South Eastern Sydney Local Health District
Josephine Poole (Author) - South Eastern Sydney Local Health District
Elisa Rossimel (Author) - South Eastern Sydney Local Health District
Gabriella Smith (Author) - South Eastern Sydney Local Health District
Scott Teasdale (Author) - UNSW Australia
Tammy Wade (Author) - South Eastern Sydney Local Health District
Andrew Watkins (Author) - South Eastern Sydney Local Health District
Annette White (Author) - South Eastern Sydney Local Health District
David Pearce (Author) - South Eastern Sydney Local Health District
Jackie Curtis (Corresponding Author) - UNSW Australia
Publication details: Health Promotion Journal of Australia, Vol.31(3), pp.447-455
Publisher: John Wiley & Sons Ltd.
Date published: 2020
DOI: 10.1002/hpja.320
ISSN: 2201-1617; 1036-1073
PMID: 31925974
Copyright note: © Australian Health Promotion Association. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Organisation Unit: University of the Sunshine Coast, Queensland; Thompson Institute
Language: English
Record Identifier: 99472505402621
Output Type: Journal article

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