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Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services1.06 MB
Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services
Preventive Medicine Reports, Vol.16, pp.1-15
2019
PMCID: PMC6718945
PMID: 31497500
Abstract
People with mental illness experience increased chronic disease burden, contributed to by a greater prevalence of modifiable chronic disease risk behaviours. Policies recommend mental health services provide preventive care for such risk behaviours. Provision of such care has not previously been synthesised. This review assessed the provision of preventive care for modifiable chronic disease risk behaviours by mental health services. Four databases were searched from 2006 to 2017. Eligible studies were observational quantitative study designs conducted in mental health services, where preventive care was provided to clients for tobacco smoking, harmful alcohol consumption, inadequate nutrition, or inadequate physical activity. Two reviewers independently screened studies, conducted data extraction and critical appraisal. Results were pooled as proportions of clients receiving or clinicians providing preventive care using random effects meta-analyses, by risk behaviour and preventive care element (ask/assess, advise, assist, arrange). Subgroup analyses were conducted by mental health service type (inpatient, outpatient, other/multiple). Narrative synthesis was used where meta-analysis was not possible. Thirty-eight studies were included with 26 amenable to meta-analyses. Analyses revealed that rates of assessment were highest for smoking (78%, 95% confidence interval [CI]:59%–96%) and lowest for nutrition (17%, 95% CI:1%–35%); with variable rates of care provision for all behaviours, care elements, and across service types, with substantial heterogeneity across analyses. Findings indicated suboptimal and variable provision of preventive care for modifiable chronic disease risk behaviours in mental health services, but should be considered with caution due to the very low quality of cumulative evidence.
Details
- Title
- Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services
- Authors
- Jacqueline M Bailey (Author) - University of Newcastle AustraliaKate M Bartlem (Author) - University of Newcastle AustraliaJohn H Wiggers (Author) - Hunter Medical Research InstitutePaula M Wye (Author) - University of Newcastle AustraliaEmily A.L Stockings (Author) - University of Newcastle AustraliaRebecca K Hodder (Author) - Hunter Medical Research InstituteAlexandra P Metse (Author) - University of Newcastle AustraliaTim W Regan (Author) - University of Newcastle AustraliaRichard Clancy (Author) - University of Newcastle AustraliaJulia A Dray (Author) - University of Newcastle AustraliaDanika L Tremain (Author) - Hunter New England Local Health DistrictTegan Bradley (Author) - University of Newcastle AustraliaJenny A Bowman (Author) - University of Newcastle Australia
- Publication details
- Preventive Medicine Reports, Vol.16, pp.1-15
- Publisher
- Elsevier BV
- Date published
- 2019
- DOI
- 10.1016/j.pmedr.2019.100969
- ISSN
- 2211-3355
- PMID
- 31497500; PMC6718945
- Copyright note
- © 2019 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/).
- Organisation Unit
- School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health - Psychology; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99507095902621
- Output Type
- Journal article
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