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, Article 100969
2019
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/Creators
- J.M. Bailey (Author/Creator)K.M. Bartlem (Author/Creator)J.H. Wiggers (Author/Creator)P.M. Wye (Author/Creator)E.A.L. Stockings (Author/Creator)R.K. Hodder (Author/Creator)A.P. Metse (Author/Creator)T.W. Regan (Author/Creator)R. Clancy (Author/Creator)J.A. Dray (Author/Creator)D.L. Tremain (Author/Creator)T. Bradley (Author/Creator)J.A. Bowman (Author/Creator)
- Publication Details
- Preventive Medicine Reports, Vol.16, Article 100969
- Publisher
- Elsevier Inc.
- Identifiers
- 991005545190607891
- Copyright
- © 2019 The Authors.
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.21 Psychiatry
- 1.21.1692 Schizophrenia Comorbidities
- Web Of Science research areas
- Public, Environmental & Occupational Health
- ESI research areas
- Clinical Medicine