2023 |
Regan C, Dray J, Fehily C, Campbell E, Bartlem K, Orr M, et al., 'Co-development of implementation strategies to assist staff of a mental health community managed organisation provide preventive care for health behaviours', Health Promotion Journal of Australia, (2023) [C1]
Issue Addressed: People with a mental health condition are at risk of developing chronic physical disease due to smoking tobacco, inadequate nutrition, high alcohol consumption, l... [more]
Issue Addressed: People with a mental health condition are at risk of developing chronic physical disease due to smoking tobacco, inadequate nutrition, high alcohol consumption, low physical activity and poor sleep (SNAPS). Community managed organisations (CMOs) represent an opportune setting to support mental health consumers to improve their health behaviours through providing preventive care. Reporting of methods used to co-develop implementation strategies to assist CMO staff to deliver preventive care for SNAPS are scarce yet warranted. Objectives: This study aims to: (1) describe a co-development workshop involving CMO staff and researchers to identify preferred implementation support strategies to help staff routinely provide preventive care; (2) describe the strategies that emerged from the workshop; and (3) report staff ratings of the workshop on four co-development principles. Methods: A three-hour co-development workshop was conducted on two occasions with staff of one CMO in New South Wales, Australia. Twenty staff participated in the workshops. Results: Participants generated and ranked a total of seven discrete implementation strategies within five categories (training, point of care prompts, guidelines, continuous quality improvement and consumer activation). Training for staff to have difficult conversations about behaviour change was ranked highest in both workshops. Participants rated the workshops positively across four co-development principles. Conclusions: The co-development workshop enabled implementation strategies to be developed within the context in which they were to be delivered and tested, potentially increasing their feasibility, acceptability, appropriateness and impact. So What?: Implementation strategies selected from the workshops will inform a pilot implementation support trial to assist CMO staff to provide preventive care to people with mental health conditions.
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2023 |
Regan C, Bartlem K, Fehily C, Campbell E, Lecathelinais C, Doherty E, et al., 'Evaluation of an implementation support package to increase community mental health clinicians' routine delivery of preventive care for multiple health behaviours: a non-randomised controlled trial.', Implement Sci Commun, 4 137 (2023) [C1]
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Nova |
2023 |
Fehily C, Jackson B, Hansen V, Stettaford T, Bartlem K, Clancy R, Bowman J, 'Increasing chronic disease preventive care in community mental health services: clinician-generated strategies.', BMC Psychiatry, 23 933 (2023) [C1]
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Nova |
2022 |
Hanly G, Campbell E, Bartlem K, Dray J, Fehily C, Bradley T, et al., 'Effectiveness of referral to a population-level telephone coaching service for improving health risk behaviours in people with a mental health condition: study protocol for a randomised controlled trial', TRIALS, 23 (2022)
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2022 |
Bradley T, Campbell E, Dray J, Bartlem K, Wye P, Hanly G, et al., 'Systematic review of lifestyle interventions to improve weight, physical activity and diet among people with a mental health condition', SYSTEMATIC REVIEWS, 11 (2022) [C1]
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Nova |
2022 |
Clinton-McHarg T, Gibson L, Bartlem K, Murray S, Ryall J, Orr M, et al., 'Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation.', International journal of environmental research and public health, 19 4458 (2022) [C1]
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Nova |
2022 |
Dray J, Gibson L, Clinton-McHarg T, Byrnes E, Wynne O, Bartlem K, et al., 'Exploring Support Provided by Community Managed Organisations to Address Health Risk Behaviours Associated with Chronic Disease among People with Mental Health Conditions: A Qualitative Study with Organisational Leaders.', International journal of environmental research and public health, 19 5533 (2022) [C1]
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Nova |
2022 |
Lodge S, Bartlem K, Gibson L, Fehily C, Bradley T, McKeon E, et al., 'Characteristics and service use of NSW Quitline callers with and without mental health conditions.', Frontiers in psychiatry, 13 868084 (2022) [C1]
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Nova |
2022 |
Regan C, Fehily C, Campbell E, Bowman J, Faulkner J, Oldmeadow C, Bartlem K, 'Clustering of chronic disease risks among people accessing community mental health services', PREVENTIVE MEDICINE REPORTS, 28 (2022) [C1]
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Nova |
2022 |
Fehily C, McKeon E, Stettaford T, Campbell E, Lodge S, Dray J, et al., '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', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19 (2022)
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2021 |
Bradley T, Hansen V, Wye P, Campbell E, Bartlem K, Reid K, Bowman J, 'Telephone-delivered health behaviour change support for people with a mental health condition: the coaches perspective', BMC Health Services Research, 21 (2021) [C1]
Background: People with a mental health condition experience a greater prevalence of chronic disease and reduced life expectancy compared to the general population. Modifiable hea... [more]
Background: People with a mental health condition experience a greater prevalence of chronic disease and reduced life expectancy compared to the general population. Modifiable health risk behaviours, such as physical inactivity and poor nutrition are major contributing factors. Population-level health coaching delivering behavioural change support via telephone for healthy eating, physical activity, and weight management is an opportunity utilised by this group to support improvement in healthy lifestyle behaviours. Health coaches offer a valuable perspective into the provision of services to this high-risk group. This study aims to qualitatively explore coaches¿ experiences in providing support to these participants, consider factors which may contribute to engagement and outcomes; and potentially inform future service improvement. Method: A qualitative study design was employed involving semi-structured telephone interviews with six coaches employed in a telephone-based behaviour change support service in New South Wales, Australia, between April and July 2019. Interview data was analysed using an inductive thematic analysis. Results: Coaches believed that the service was of benefit to people with a mental health condition, however making changes to health risk behaviours was potentially more difficult for this group of service users. Coaches indicated that in supporting this group there was a greater focus on building confidence and readiness to change. They noted that improvement in mental health as a result of physical health changes was an additional ¿measure of success¿ of particular relevance. Coaches expressed a desire to receive more mental health training to better deliver coaching to participants with a mental health condition. Program variables such as limited call length were posed as possible barriers to care. Conclusion: Further training and additional support for coaches, in additon to considering variations to aspects of service delivery may assist in improving engagement and outcomes for participants with mental health conditions. Examining mental health consumers¿ experiences when engaging with telephone coaching services would be an important area to address in further research.
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Nova |
2021 |
Gibson L, Bartlem K, Clinton-McHarg T, Wilczynska M, Rasmussen A, Bailey J, et al., 'The Provision of Preventive Care for Chronic Disease Risk Behaviours to People with a Mental Health Condition: A Survey of Staff from One Australian Community Managed Organisation', Journal of Psychosocial Rehabilitation and Mental Health, 8 191-198 (2021) [C1]
People with mental health conditions have a median reduced life expectancy of 10¿years, largely due to a higher prevalence of chronic diseases. Health risk behaviours, including t... [more]
People with mental health conditions have a median reduced life expectancy of 10¿years, largely due to a higher prevalence of chronic diseases. Health risk behaviours, including tobacco smoking, inadequate fruit and vegetable consumption, harmful alcohol consumption and physical inactivity, contribute substantially to the burden of chronic disease for this population. Community Managed Organisations (CMOs) may have an important role in addressing these behaviours among consumers with a mental health condition; however, little previous research has explored the provision of preventive care from these organisations. To fill this research gap, a cross-sectional online survey was conducted between August and November 2017 with staff (n = 174) of one CMO which has multiple services in two states of Australia. The survey explored the provision of preventive care for four key health risk behaviours. Optimal preventive care (to = 80% consumers for all four behaviours) was reported more frequently for brief advice (28%) and assessment (26%), than for assistance (13%) and referring/connecting consumers to services for help (12%) with modifying health risk behaviours. Preventive care to = 80% consumers was least frequently reported for alcohol consumption and most frequently reported for physical activity. The provision of preventive care for health risk behaviours appears to be part of CMO staffs¿ existing practice; however, it does not appear to be routinely provided across all behaviours. Further research exploring the barriers and facilitators to providing preventive care is needed to understand how CMOs may better support people with a mental health condition to improve their health risk behaviours.
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Nova |
2021 |
Bartlem K, Gibson L, Fehily C, Lodge S, Wiggers J, Bowman J, 'Multiple health behaviours and interest in change among people with a mental health condition: A brief report', Preventive Medicine Reports, 22 (2021) [C1]
People with a mental illness experience a disproportionate burden of chronic disease morbidity and mortality; contributed to by a higher prevalence of health risk behaviours that ... [more]
People with a mental illness experience a disproportionate burden of chronic disease morbidity and mortality; contributed to by a higher prevalence of health risk behaviours that increase the risk of chronic disease development. Amongst this population there is little understanding of multiple risk behaviour co-occurrence and client interest in improving multiple such risks. A cross-sectional survey was undertaken with a random selection of 557 clients of 12 community mental health services in Australia. Participants reported their engagement in health risk behaviours (tobacco smoking, harmful alcohol consumption, inadequate fruit and/or vegetable consumption, and inadequate physical activity), and those deemed ¿at risk¿ reported whether they were seriously considering improving their risk behaviours. Almost all participants engaged in at least one risk behaviour (96.1%), with 78.4% of participants engaging in two or more risk behaviours. Of those with two risks, the most frequently paired behaviours were inadequate fruit and vegetable consumption and inadequate physical activity (39.7%); of those with three risks the most common combination was inadequate fruit and vegetable consumption, tobacco smoking and harmful alcohol consumption (42.5%). Of those at risk for all behaviours, 68.4% were interested in improving multiple behaviours, and 14% were interested in improving all; with these participants being most frequently interested in changing smoking, nutrition, and physical activity (19.3%), followed by all risk behaviours (14.0%). The findings strengthen the evidence that people with a mental illness are interested in improving their health risk behaviours and indicate a need to address the multiple health risks in this population group.
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Nova |
2021 |
Gibson L, Clinton-McHarg T, Wilczynska M, Latter J, Bartlem K, Henderson C, et al., 'Preventive care practices to address health behaviours among people living with mental health conditions: A survey of Community Managed Organisations', Preventive Medicine Reports, 23 (2021) [C1]
People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases a... [more]
People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases and higher rates of tobacco smoking, poor nutrition, harmful alcohol consumption, physical inactivity and poor sleep behaviours. Community managed organisations (CMOs) may play a valuable role in providing preventive care to people with mental health conditions (consumers) to address these health behaviours. This paper reports the findings of a cross-sectional survey undertaken between November 2018 and February 2019 with leaders of CMOs (n = 76) that support people with mental health conditions in the state of New South Wales, Australia to: 1) measure the provision of preventive care (screening, support, and connections to specialist services) for five health behaviours; 2) identify the presence of key organisational features (e.g., data collection, staff training); and 3) explore if these organisational features were associated with the provision of preventive care. Preventive care provision to a majority of consumers (50% or more) was least frequently reported for tobacco smoking and most frequently reported for physical activity. Staff training and guidelines regarding the provision of preventive care were associated with the provision of such care. The results demonstrate that CMOs are already engaged in providing preventive care to some extent, with certain behaviours and preventive care elements addressed more frequently than others. Further research with additional CMO stakeholders, including staff and consumers, is needed to gain a deeper understanding of factors that may underlie CMOs capacity to routinely provide preventive care.
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Nova |
2021 |
Bradley T, Bartlem K, Colyvas K, Wye P, Campbell E, Reid K, Bowman J, 'Examining service participation and outcomes from a population-level telephone-coaching service supporting changes to healthy eating, physical activity and weight: A comparison of participants with and without a mental health condition', Preventive Medicine Reports, 24 (2021) [C1]
Population-level telephone coaching services provide accessible behaviour change support for modifiable health risk behaviours. The NSW Get Healthy Information and Coaching Servic... [more]
Population-level telephone coaching services provide accessible behaviour change support for modifiable health risk behaviours. The NSW Get Healthy Information and Coaching Service® (GHS) is a free telephone-based coaching service in Australia, supporting improvements in healthy eating, physical activity and achieving or maintaining a healthy weight. This study compared measures of participation (such as program completion) and outcomes achieved immediate post-program (including changes in fruit and vegetable consumption, physical activity and weight) for GHS participants with and without a self-identified mental health condition (MHC). Secondary data analysis was conducted on service data collected at program intake and completion for individuals who enrolled in a coaching program between January 2018 and October 2019 (n = 5,629); 33% identified as having had an MHC. While those with and without an MHC had similar rates of completion, those with an MHC were less likely to complete a coaching program (31% vs 36%, p = .003). Participants with an MHC made significant positive changes to their fruit and vegetable consumption, physical activity (walking and moderate), weight and BMI, but not to waist circumference or vigorous physical activity. When comparing the magnitude of change for those with and without an MHC, individuals without made greater improvements to their weight (adjusted mean difference -0.623 kg, p = .034) and daily vegetable intake (adjusted mean difference -0.199 serves; p = .01). There were no differences for other variables. The GHS is an effective means of supporting behaviour change for people with an MHC who complete a coaching program. Further research should consider means of improving retention rates.
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Nova |
2020 |
Tremain D, Freund M, Wolfenden L, Bowman J, Dunlop A, Bartlem K, et al., 'The provision of preventive care for modifiable health risk behaviours by clinicians within substance use treatment settings: A systematic review', PREVENTIVE MEDICINE, 130 (2020) [C1]
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Nova |
2020 |
Fehily C, Latter J, Bartlem K, Wiggers J, Bradley T, Rissel C, et al., 'Awareness and use of telephone-based behaviour change support services among clients of a community mental health service', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 44 482-488 (2020) [C1]
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Nova |
2020 |
Fehily CMC, Bartlem KM, Wiggers JH, Hodder RK, Gibson LK, Hancox N, Bowman JA, 'Uptake of a preventive care consultation offered to clients of a community mental health service', Preventive Medicine Reports, 18 (2020) [C1]
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Nova |
2020 |
Tremain D, Freund M, Bowman J, Wolfenden L, Wye P, Dunlop A, et al., 'Substance use treatment clinician attitudes to care for chronic disease health risk behaviours and associations of attitudes with care provision', Drug and Alcohol Review, 39 232-237 (2020) [C1]
Introduction and Aims: People who use substances have a high prevalence of modifiable chronic disease health risk behaviours. Preventive care to address such risks has not traditi... [more]
Introduction and Aims: People who use substances have a high prevalence of modifiable chronic disease health risk behaviours. Preventive care to address such risks has not traditionally been provided during substance use treatment. This study aimed to assess clinicians' attitudes towards preventive care and their association with care provision. Design and Methods: A cross-sectional study utilising computer-assisted telephone interviews was undertaken with clinicians (n = 54) of community-based substance use treatment services in one health district, Australia. Clinicians indicated their agreement with 10 attitudinal statements regarding their perceived role and self-efficacy in providing preventive care and perceptions of client interest in modifying behaviours. Logistic regression analyses examined the association between clinician attitudinal items and self-reported care provision. Results: Fifty-four clinicians (74%) agreed to participate. The most positive attitudes were preventive care being part of their role (100%), and they have the knowledge and skills to provide preventive care (100%). The least favourable attitude was clients were interested in changing their health risk behaviours (60%). Clinicians who reported that preventive care left little time to undertake acute care were more likely to assess for smoking (OR 8.06 [95% CI 1.31, 49.46]) and less likely to provide brief advice for all risks combined (OR 0.11 [95% CI 0.02, 0.63]). Discussion and Conclusions: Overall, clinicians reported positive attitudes regarding the preventive care provision for modifiable health risk behaviours in substance use treatment settings. Further research is required to investigate why, despite such positive attitudes, clinicians in substance use treatment settings do not routinely provide preventive care.
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Nova |
2020 |
Fehily CMC, Bartlem KM, Wiggers JH, Wye PM, Clancy RV, Castle DJ, et al., 'Effectiveness of embedding a specialist preventive care clinician in a community mental health service in increasing preventive care provision: A randomised controlled trial', Australian and New Zealand Journal of Psychiatry, 54 620-632 (2020) [C1]
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Nova |
2020 |
Fehily C, Ling R, Searles A, Bartlem K, Wiggers J, Hodder R, et al., 'An economic evaluation of a specialist preventive care clinician in a community mental health service: A randomised controlled trial', BMC Health Services Research, 20 (2020) [C1]
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Nova |
2020 |
Bailey JM, Clinton-McHarg TL, Wye PM, Wiggers JH, Bartlem KM, Bowman JA, 'Preventive care for physical activity and fruit and vegetable consumption: a survey of family carer expectations of health service delivery for people with a mental health condition', BMC HEALTH SERVICES RESEARCH, 20 (2020) [C1]
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Nova |
2020 |
Bradley T, Bartlem K, Campbell E, Wye P, Rissel C, Reid K, et al., 'Characteristics of participants utilising a telephone-based coaching service for chronic disease health risk behaviours: A retrospective examination comparing those with and without a mental health condition', Preventive Medicine Reports, 19 (2020) [C1]
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Nova |
2020 |
Fehily C, Hodder R, Bartlem K, Wiggers J, Wolfenden L, Dray J, et al., 'The effectiveness of interventions to increase preventive care provision for chronic disease risk behaviours in mental health settings: A systematic review and meta-analysis', Preventive Medicine Reports, 19 (2020) [C1]
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Nova |
2019 |
Hodder RK, O'Brien KM, Stacey FG, Tzelepis F, Wyse RJ, Bartlem KM, et al., 'Interventions for increasing fruit and vegetable consumption in children aged five years and under', Cochrane Database of Systematic Reviews, 2019 (2019) [C1]
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Nova |
2019 |
Bartlem K, Wolfenden L, Colyvas K, Campbell L, Freund M, Doherty E, et al., 'The association between the receipt of primary care clinician provision of preventive care and short term health behaviour change.', Preventive Medicine, 123 308-315 (2019) [C1]
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Nova |
2019 |
Metse AP, Stockings E, Bailey J, Regan T, Bartlem K, Wolfenden L, et al., 'Rates of retention of persons with a mental health disorder in outpatient smoking cessation and reduction trials, and associated factors: protocol for a systematic review and meta-analysis', BMJ OPEN, 9 (2019)
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Nova |
2019 |
Bailey JM, Bartlem KM, Wiggers JH, Wye PM, Stockings EAL, Hodder RK, et al., 'Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services', Preventive Medicine Reports, 16 (2019) [C1]
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Nova |
2019 |
Stockings E, Black N, Bartlem KM, Metse AP, Regan T, Bailey JM, et al., 'Outpatient interventions for smoking cessation and reduction for adults with a mental disorder', Cochrane Database of Systematic Reviews, 2019 (2019)
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this review is to determine the effectiveness of smoking reduction... [more]
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this review is to determine the effectiveness of smoking reduction and cessation interventions (alone, or in combination with other interventions), delivered primarily in an outpatient or community-based setting among individuals with mental disorders, on rates of abstinence at the longest follow-up (minimum six months), mental health symptoms and adverse events. Secondary objectives are to examine the impact of such interventions on rates of abstinence at the end of the intervention, change in daily cigarette consumption, and quality-of-life or other function scores. We will explore (via subgroup analyses) potential differential effects on the basis of intervention type, control group type, recruitment setting (inpatient versus outpatient), mental disorder type, and motivation to quit at study intake. We may come across studies testing interventions which aim to increase the uptake of smoking interventions in people with a mental disorder. This may comprise interventions that either are incorporated into the system of delivering care, aimed at health professionals (e.g. Within a community mental health facility), as well as interventions aimed directly at people with a mental disorder to increase uptake. In this case we aim to examine whether these interventions increase the uptake of the smoking cessation treatment among people with a mental disorder, as well as whether they ultimately result in increased quit rates.
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Nova |
2019 |
Taylor G, Aveyard P, Bartlem K, Shaw A, Player J, Metcalfe C, et al., 'IntEgrating Smoking Cessation treatment As part of usual Psychological care for dEpression and anxiety (ESCAPE): protocol for a randomised and controlled, multicentre, acceptability, feasibility and implementation trial', PILOT AND FEASIBILITY STUDIES, 5 (2019)
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2019 |
Bailey JM, Regan TW, Bartlem KM, Wiggers JH, Wye PM, Bowman JA, 'A survey of the prevalence of modifiable health risk behaviours among carers of people with a mental illness', BMC PUBLIC HEALTH, 19 (2019) [C1]
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Nova |
2018 |
Hodder RK, Stacey FG, O'Brien KM, Wyse RJ, Clinton-McHarg T, Tzelepis F, et al., 'Interventions for increasing fruit and vegetable consumption in children aged five years and under', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2018)
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2018 |
Tremain D, Freund M, Wye P, Bowman J, Wolfenden L, Dunlop A, et al., 'Providing routine chronic disease preventive care in community substance use services: A pilot study of a multistrategic clinical practice change intervention', BMJ Open, 8 (2018) [C1]
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Nova |
2018 |
Fehily C, Bartlem K, Wiggers J, Gibson L, Hancox N, Bowman J, 'AWARENESS AND USE OF TELEPHONE BEHAVIOUR CHANGE SERVICES AMONG CLIENTS OF A COMMUNITY MENTAL HEALTH SERVICE', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 25 S44-S44 (2018)
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2018 |
Hodder RK, O'Brien KM, Stacey FG, Wyse RJ, Clinton-McHarg T, Tzelepis F, et al., 'Interventions for increasing fruit and vegetable consumption in children aged five years and under (Review)', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2018) [C1]
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Nova |
2018 |
Bartlem K, Bailey J, Metse A, Asara A, Wye P, Clancy R, et al., 'Do mental health consumers want to improve their long-term disease risk behaviours? A survey of over 2000 psychiatric inpatients', International Journal of Mental Health Nursing, 27 1032-1043 (2018) [C1]
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Nova |
2018 |
Fehily C, Bartlem K, Wiggers J, Wolfenden L, Regan T, Dray J, et al., 'Systematic review of interventions to increase the provision of care for chronic disease risk behaviours in mental health settings: review protocol', SYSTEMATIC REVIEWS, 7 (2018)
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Nova |
2018 |
Bailey JM, Hansen V, Wye PM, Wiggers JH, Bartlem KM, Bowman JA, 'Supporting change in chronic disease risk behaviours for people with a mental illness: a qualitative study of the experiences of family carers', BMC PUBLIC HEALTH, 18 (2018) [C1]
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Nova |
2018 |
Stockings E, Bartlem K, Hall A, Hodder R, Gilligan C, Wiggers J, et al., 'Whole-of-community interventions to reduce population-level harms arising from alcohol and other drug use: A systematic review and meta-analysis', Addiction, 113 1984-2018 (2018) [C1]
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Nova |
2017 |
Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, et al., 'Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services', Drug and Alcohol Review, 36 369-377 (2017) [C1]
Introduction and Aims: Health risk behaviours, such as smoking, nutrition and physical inactivity, are significant contributors to chronic disease for people with substance use di... [more]
Introduction and Aims: Health risk behaviours, such as smoking, nutrition and physical inactivity, are significant contributors to chronic disease for people with substance use disorders. This study reports the prevalence of these behaviours amongst substance use treatment clients, their attitudes towards modifying such behaviours and the acceptability of receiving support to do so. Client characteristics associated with risk status and interest in modifying behaviours were examined. Design and Methods: A cross-sectional survey was undertaken with clients of 15 community substance use treatment services within in New South Wales, Australia. Data for the study were collected via computer assisted telephone interviews. Results: Of those contactable and eligible, 386 (71%) clients completed the survey. Clients reported a high prevalence of smoking (80%), insufficient fruit and/or vegetable consumption (89%) and insufficient physical activity (31%). Overall, 51¿69% of clients reported considering modifying their health risk behaviours and 88¿97% thought it was acceptable to be provided preventive care to address such behaviours. Younger clients were more likely to smoke (18¿34 years (odds ratio [OR] = 4.6 [95% confidence interval [CI] = 1.9, 11.3]); 35¿54 years (OR = 2.6 [95% CI = 1.2, 5.7])) and be interested in increasing vegetable consumption (18¿34 years (OR = 4.4 [95% CI = 1.3, 14.8]); 35¿54 years (OR = 8.0 [95% CI = 2.5, 25.4])) than older clients (=55 years). Discussion and Conclusions: There is a high prevalence of health risk behaviours amongst clients of community substance use treatment services. However, contrary to commonly cited barriers to care provision, clients are interested in modifying their risk behaviours and report that receiving preventive care to address these behaviours is acceptable. [Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, Gillham K, Bartlem K, McElwaine K, Gow B, Wiggers J. Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services. Drug Alcohol Rev 2017;36:369¿377.].
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Nova |
2017 |
Bailey JM, Wye PM, Stockings EA, Bartlem KM, Metse AP, Wiggers JH, Bowman JA, 'Smoking Cessation Care for People with a Mental Illness: Family Carer Expectations of Health and Community Services', Journal of Smoking Cessation, 12 221-230 (2017) [C1]
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Nova |
2017 |
Wiggers J, McElwaine K, Freund M, Campbell L, Bowman J, Wye P, et al., 'Increasing the provision of preventive care by community healthcare services: a stepped wedge implementation trial', IMPLEMENTATION SCIENCE, 12 (2017) [C1]
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Nova |
2017 |
Hodder RK, Stacey FG, Wyse RJ, O'Brien KM, Clinton-McHarg T, Tzelepis F, et al., 'Interventions for increasing fruit and vegetable consumption in children aged five years and under', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2017) [C1]
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Nova |
2017 |
Bailey JM, Wye PM, Wiggers JH, Bartlem KM, Bowman JA, 'Family carers: A role in addressing chronic disease risk behaviours for people with a mental illness?', Preventive Medicine Reports, 7 140-146 (2017) [C1]
People with a mental illness experience greater chronic disease morbidity and mortality compared to those without mental illness. Family carers have the potential to promote the h... [more]
People with a mental illness experience greater chronic disease morbidity and mortality compared to those without mental illness. Family carers have the potential to promote the health behaviours of those they care for however factors which may influence the extent to which they do so have not been reported. An exploratory study was conducted to investigate carers': 1) promotion of fruit and vegetable consumption, physical activity, quitting smoking, and reducing alcohol consumption; 2) perceptions of their role and ability to promote such behaviours; 3) and the association between carer perceptions and the promotion of such behaviours. A cross-sectional survey was conducted with mental health carers (N¿=¿144, 37.6% response rate) in New South Wales, Australia in 2013. Associations between current promotion of health behaviours and carer perceptions were explored through multivariate regression analysis in 2016. A majority of respondents promoted fruit and vegetable consumption (63.8%), physical activity (60.3%), quitting smoking (56.3%), and reducing alcohol consumption (56.2%) to the person they cared for. A perception that it was ¿very important¿ to have a positive influence on these behaviours was positively related with promotion of each of the four behaviours, with those holding such a view being more likely to promote such behaviours, than those who did not (odds ratio: 9.47¿24.13, p¿<¿0.001). The majority (56.2%¿63.8%) of carers reported promoting the health behaviours of those they cared for, demonstrating a need and opportunity to build the capacity of carers to contribute to reducing the health risk behaviours among people with a mental illness.
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Nova |
2017 |
Stacey FG, Finch M, Wolfenden L, Grady A, Jessop K, Wedesweiler T, et al., 'Evidence of the Potential Effectiveness of Centre-Based Childcare Policies and Practices on Child Diet and Physical Activity: Consolidating Evidence from Systematic Reviews of Intervention Trials and Observational Studies', Current Nutrition Reports, 6 228-246 (2017) [C1]
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Nova |
2017 |
Fehily C, Bartlem K, Wiggers J, Wyne P, Clancy R, Castle D, et al., 'Evaluating the effectiveness of a healthy lifestyle clinician in addressing the chronic disease risk behaviours of community mental health clients: study protocol for a randomised controlled trial', TRIALS, 18 (2017)
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Nova |
2017 |
Dray J, Bowman J, Campbell E, Freund M, Wolfenden L, Hodder RK, et al., 'Systematic Review of Universal Resilience-Focused Interventions Targeting Child and Adolescent Mental Health in the School Setting', Journal of the American Academy of Child and Adolescent Psychiatry, 56 813-824 (2017) [C1]
Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were ra... [more]
Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were randomized controlled trials (RCTs) of universal, school-based interventions that included strategies to strengthen a minimum of 3 internal resilience protective factors, and included an outcome measure of mental health problems in children and adolescents aged 5 to 18 years. Six databases were searched from 1995 to 2015. Results were pooled in meta-analyses by mental health outcome (anxiety symptoms, depressive symptoms, hyperactivity, conduct problems, internalizing problems, externalizing problems, and general psychological distress), for all trials (5-18 years). Subgroup analyses were conducted by age (child: 5-10 years; adolescent: 11-18 years), length of follow-up (short: post-=12 months; long: >12 months), and gender (narrative). Results A total of 57 included trials were identified from 5,984 records, with 49 contributing to meta-analyses. For all trials, resilience-focused interventions were effective relative to a control in reducing 4 of 7 outcomes: depressive symptoms, internalizing problems, externalizing problems, and general psychological distress. For child trials (meta-analyses for 6 outcomes), interventions were effective for anxiety symptoms and general psychological distress. For adolescent trials (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. For short-term follow-up, interventions were effective for 2 of 7 outcomes: depressive symptoms and anxiety symptoms. For long-term follow-up (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. Conclusion The findings may suggest most promise for using universal resilience-focused interventions at least for short-term reductions in depressive and anxiety symptoms for children and adolescents, particularly if a cognitive-behavioral therapy-based approach is used. The limited number of trials providing data amenable for meta-analysis for some outcomes and subgroups, the variability of interventions, study quality, and bias mean that it is not possible to draw more specific conclusions. Identifying what intervention qualities (such as number and type of protective factor) achieve the greatest positive effect per mental health problem outcome remains an important area for future research. Systematic review protocol and registration Systematic Review of Universal Resilience Interventions Targeting Child and Adolescent Mental Health in the School Setting; http://dx.doi.org/10.1186/s13643-015-0172-6; PROSPERO CRD42015025908.
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Nova |
2016 |
Bartlem KM, Bowman J, Freund M, Wye PM, Barker D, McElwaine KM, et al., 'Effectiveness of an intervention in increasing the provision of preventive care by community mental health services: a non-randomized, multiple baseline implementation trial', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
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Nova |
2016 |
Bartlem K, Bowman J, Ross K, Freund M, Wye P, McElwaine K, et al., 'Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision', BMC Psychiatry, 16 (2016) [C1]
Background: Preventive care for chronic disease risk behaviours by mental health clinicians is sub-optimal. Little research has examined the association between clinician attitude... [more]
Background: Preventive care for chronic disease risk behaviours by mental health clinicians is sub-optimal. Little research has examined the association between clinician attitudes and such care delivery. This study aimed to explore: i) the attitudes of a multi-disciplinary group of community mental health clinicians regarding their perceived role, perception of client interest, and perceived self-efficacy in the provision of preventive care, ii) whether such attitudes differ by professional discipline, and iii) the association between these attitudes and clinician provision of such care. Method: A telephone survey was conducted with 151 Australian community mental health clinicians regarding their attitudes towards provision of assessment, advice and referral addressing smoking, nutrition, alcohol, and physical activity, and their reported provision of such care. Logistic regression was used to examine the association between attitudes and care delivery, and attitudinal differences by professional discipline. Results: Most clinicians reported that: their manager supported provision of preventive care; such care was part of their role; it would not jeopardise their practitioner-client relationships, clients found preventive care acceptable, and that they had the confidence, knowledge and skills to modify client health behaviours. Half reported that clients were not interested in changing their health behaviours, and one third indicated that the provision of preventive care negatively impacted on time available for delivery of acute care. The following attitudes were positively associated with the provision of preventive care: role congruence, client interest in change, and addressing health risk behaviours will not jeopardise the client-clinician relationship. Conclusions: Strategies are required to translate positive attitudes to improved client care and address attitudes which may hinder the provision of preventive care in community mental health.
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Nova |
2016 |
McElwaine KM, Freund M, Campbell EM, Bartlem KM, Wye PM, Wiggers JH, 'Systematic review of interventions to increase the delivery of preventive care by primary care nurses and allied health clinicians', Implementation Science, 11 (2016) [C1]
Background: Primary care nurses and allied health clinicians are potential providers of opportunistic preventive care. This systematic review aimed to summarise evidence for the e... [more]
Background: Primary care nurses and allied health clinicians are potential providers of opportunistic preventive care. This systematic review aimed to summarise evidence for the effectiveness of practice change interventions in increasing nurse or allied health professional provision of any of five preventive care elements (ask, assess, advise, assist, and/or arrange) for any of four behavioural risks (smoking, inadequate nutrition, alcohol overconsumption, physical inactivity) within a primary care setting. Methods: A search of Medline, Embase, PsycInfo, and CINAHL databases was undertaken to locate controlled intervention trials published between 1992 and May 2014 that provided practice change interventions to primary care nurses and/or allied health professionals to increase preventive care. The effect of interventions aimed at increasing the provision of any of the five care elements for any of the four behavioural risks was examined. A narrative synthesis was utilised. Results: From 8109 articles, seven trials met the inclusion criteria. All trials bar one, assessed multi-strategic practice change interventions (three to five strategies) focused on care by nurses (six trials) or mixed nursing/allied health clinicians. One trial examined care provision for all four risks, five trials examined care for smoking only, and one trial examined care for alcohol consumption only. For the six trials reporting significance testing (excludes one smoking care trial), significant effects favouring the intervention group were reported in at least one trial for smoking risk assessment (2/4 trials reported an effect for at least one analysis of an assessment outcome), brief advice (2/3), assistance (2/2), and arranging referral (2/3); alcohol risk assessment (1/2) and brief advice (1/2); inadequate nutrition risk assessment (1/1); and physical inactivity risk assessment and brief advice (1/1). When the number of analyses undertaken within trials focusing on smoking care was considered, the results were less promising (e.g. of the 15 analyses conducted on brief advice variables across three trials, four showed a positive effect). Conclusions: Evidence for the effect of practice change interventions on preventive care by primary care nurses or allied health providers is inconclusive given the small number of trials and inconsistency of results between and within trials. Systematic review registration number: None.
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Nova |
2016 |
Tremain D, Freund M, Wye P, Wolfenden L, Bowman J, Dunlop A, et al., 'Provision of Chronic Disease Preventive Care in Community Substance Use Services: Client and Clinician Report', Journal of Substance Abuse Treatment, 68 24-30 (2016) [C1]
Introduction: People with substance use problems have a higher prevalence of modifiable health risk behaviors. Routine clinician provision of preventive care may be effective in r... [more]
Introduction: People with substance use problems have a higher prevalence of modifiable health risk behaviors. Routine clinician provision of preventive care may be effective in reducing such health behaviors. This study aimed to examine clinician provision of preventive care to clients of community substance use treatment services. Methods: A cross-sectional survey was undertaken with 386 clients and 54 clinicians of community substance use treatment services in one health district in New South Wales, Australia. Client- and clinician-reported provision of three elements of care (assessment, brief advice and referral) for three health risk behaviors (tobacco smoking, insufficient fruit and/or vegetable consumption and insufficient physical activity) was assessed, with associations with client characteristics examined. Results: Provision was highest for tobacco smoking assessment (90% client reported, 87% clinician reported) and brief advice (79% client reported, 80% clinician reported) and lowest for fruit and vegetable consumption (assessment 23%, brief advice 25%). Few clients reported being offered a referral (<. 10%). Assessment of physical activity and brief advice for all behaviors was higher for clients residing in rural/remote areas. Conclusion: Assessment and brief advice were provided to the majority of clients for smoking, but sub-optimally for the other behaviors. Further investigation of barriers to the provision of preventive care within substance use treatment settings is required, particularly for referral to ongoing support.
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Nova |
2016 |
McElwaine KM, Freund M, Campbell EM, Slattery C, Wye PM, Lecathelinais C, et al., 'Clinician assessment, advice and referral for multiple health risk behaviours: Prevalence and predictors of delivery by primary health care nurses and allied health professionals (vol 94, pg 193, 2014)', PATIENT EDUCATION AND COUNSELING, 99 1749-1749 (2016)
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2015 |
Stockings EAL, Bowman JA, Bartlem KM, Mcelwaine KM, Baker AL, Terry M, et al., 'Implementation of a smoke-free policy in an inpatient psychiatric facility: Patient-reported adherence, support, and receipt of nicotine-dependence treatment', International Journal of Mental Health Nursing, 24 342-349 (2015) [C1]
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependen... [more]
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependence treatment to patients, has been reported to be poor. The extent to which the quality of smoke-free policy implementation is associated with patient views of a policy is unknown. We conducted a cross-sectional survey of 181 patients (53.6%, n = 97 smokers; and 46.4%, n = 84 non-smokers) in an Australian inpatient psychiatric facility with a total smoke-free policy. Smokers' adherence to the policy was poor (83.5% smoked). Only half (53.6%) perceived staff to be supportive of the policy. Most smokers used nicotine-replacement therapy (75.3%); although few received optimal nicotine-dependence treatment (19.6%). Overall, 45.9% of patients viewed the smoke-free policy in the unit as positive (29.9% smokers; 64.3% non-smokers). For smokers, adhering to the ban, perceiving staff to be supportive, and reporting that the nicotine-replacement therapy reduced cravings to smoke were associated with a more positive view towards the smoke-free policy. These findings support the importance of patient adherence, mental health nursing staff support, and adequate provision of nicotine-dependence treatment in strengthening smoke-free policy implementation in inpatient psychiatric settings.
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Nova |
2015 |
Bartlem K, Bowman J, Freund M, Wye P, Lecathelinais C, McElwaine K, et al., 'Acceptability and receipt of preventive care for chronic-disease health risk behaviors reported by clients of community mental health services', Psychiatric Services, 66 857-864 (2015) [C1]
Objective: Compared with the general population, people with a mental illness have a greater prevalence of behaviors that contribute to higher chronic disease rates. Mental health... [more]
Objective: Compared with the general population, people with a mental illness have a greater prevalence of behaviors that contribute to higher chronic disease rates. Mental health clinical guidelines recommend preventive care to address such behaviors; however, little information is available about whether clients consider preventive care acceptable or about the prevalence of such care in mental health services. This article describes acceptability and receipt of assessment, advice, and referral for smoking, inadequate fruit and vegetable consumption, harmful alcohol consumption, and physical inactivity, as reported by community mental health service clients. The association between preventive care, diagnosis, and number of clinical appointments was examined. Methods: A cross-sectional telephone interview was conducted with clients (N=558) of community mental health services in Australia. Results: Although preventive care was highly acceptable to clients (86%297%), receipt of preventive care was low. Client receipt of risk assessment ranged from 26% (assessment of fruit or vegetable intake) to 76% (assessment of alcohol consumption). The proportion of clients at risk of and assessed for unhealthy behavior who then received brief advice ranged from 69% (fruit or vegetable intake) to 85% (physical activity), whereas only 38% (alcohol consumption) to 49% (smoking) received any referral. A greater number of mental health appointments were associated with higher prevalence of preventive care, as were diagnoses of diabetes or respiratory conditions and not having a schizophrenia diagnosis. Conclusions: Practice change strategies are required to increase the delivery of routine preventive care within mental health services if clients are to benefit from clinical guidelines.
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Nova |
2015 |
Bartlem KM, Bowman JA, Bailey JM, Freund M, Wye PM, Lecathelinais C, et al., 'Chronic disease health risk behaviours amongst people with a mental illness', Australian and New Zealand Journal of Psychiatry, 49 731-741 (2015) [C1]
Objective: Amongst people with a mental illness, modifiable health risk behaviours contribute substantially to increased chronic disease morbidity and mortality. This study examin... [more]
Objective: Amongst people with a mental illness, modifiable health risk behaviours contribute substantially to increased chronic disease morbidity and mortality. This study examined the prevalence of and interest in changing such behaviours amongst community mental health service clients in Australia. Method: A telephone interview was undertaken with Australian community mental health service clients. Participants reported engagement in four health risk behaviours: tobacco smoking, fruit and vegetable consumption, alcohol consumption, and physical activity. Participants were classified as at risk based upon Australian national guidelines. At-risk participants were asked whether they were considering improving their health risk behaviour within the next month. The association between psychiatric diagnosis and risk, and interest in improving health risk behaviours was examined. Results: Risk prevalence was highest for inadequate vegetable consumption (78.3%), followed by inadequate fruit consumption (60%), smoking (50.7%), physical inactivity (46.8%), short-term alcohol risk (40.3%) and chronic alcohol risk (35.3%). A majority of at-risk participants were considering improving their health risk behaviour for smoking, physical inactivity and inadequate fruit and vegetable consumption (65.1%, 71.1%, and 53.3%, respectively). After adjusting for demographic factors, no diagnostic categories were associated with risk for any behaviour. Those with a diagnosis of depression were more likely to be interested in quitting smoking and increasing physical activity. Conclusions: Regardless of diagnosis, a high prevalence of chronic disease health risk behaviours was identified, with many participants expressing an interest in improving these behaviours. Such findings reinforce recommendations that preventive care addressing the chronic disease risks of clients be provided routinely by mental health clinicians. Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12613000693729. URL: www.anzctr.org.au/
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Nova |
2014 |
McElwaine KM, Freund M, Campbell EM, Slattery C, Wye PM, Lecathelinais C, et al., 'Clinician assessment, advice and referral for multiple health risk behaviors: Prevalence and predictors of delivery by primary health care nurses and allied health professionals', PATIENT EDUCATION AND COUNSELING, 94 193-201 (2014) [C1]
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Nova |
2014 |
Bartlem KM, Bowman JA, Freund M, Wye PM, McElwaine KM, Wolfenden L, et al., 'Care provision to prevent chronic disease by community mental health clinicians', American Journal of Preventive Medicine, 47 762-770 (2014) [C1]
Background People with a mental illness have higher prevalence of behavioral risks for chronic disease than the general population. Despite recommendations regarding the provision... [more]
Background People with a mental illness have higher prevalence of behavioral risks for chronic disease than the general population. Despite recommendations regarding the provision of preventive care by mental health services, limited research has examined the extent to which such care is provided.
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Nova |
2014 |
McElwaine KM, Freund M, Campbell EM, Knight J, Bowman JA, Wolfenden L, et al., 'Increasing preventive care by primary care nursing and allied health clinicians a non-randomized controlled trial', American Journal of Preventive Medicine, 47 424-434 (2014) [C1]
Background: Although primary care nurse and allied health clinician consultations represent key opportunities for the provision of preventive care, it is provided suboptimally. Pu... [more]
Background: Although primary care nurse and allied health clinician consultations represent key opportunities for the provision of preventive care, it is provided suboptimally. Purpose: To assess the effectiveness of a practice change intervention in increasing primary care nursing and allied health clinician provision of preventive care for four health risks. Design: Two-group (intervention versus control), non-randomized controlled study assessing the effectiveness of the intervention in increasing clinician provision of preventive care. Setting/participants: Randomly selected clients from 17 primary healthcare facilities participated in telephone surveys that assessed their receipt of preventive care prior to (September 2009-2010, n=876) and following intervention (October 2011-2012, n=1,113). Intervention: The intervention involved local leadership and consensus processes, electronic medical record system modification, educational meetings and outreach, provision of practice change resources and support, and performance monitoring and feedback. Main outcome measures: The primary outcome was differential change in client-reported receipt of three elements of preventive care (assessment, brief advice, referral/follow-up) for each of four behavioral risks individually (smoking, inadequate fruit and vegetable consumption, alcohol overconsumption, physical inactivity) and combined. Logistic regression assessed intervention effectiveness. Results: Analyses conducted in 2013 indicated significant improvements in preventive care delivery in the intervention compared to the control group from baseline to follow-up for assessment of fruit and vegetable consumption (+23.8% vs -1.5%); physical activity (+11.1% vs -0.3%); all four risks combined (+16.9% vs -1.0%) and for brief advice for inadequate fruit and vegetable consumption (+19.3% vs -2.0%); alcohol overconsumption (+14.5% vs -8.9%); and all four risks combined (+14.3% vs +2.2%). The intervention was ineffective in increasing the provision of the remaining forms of preventive care. Conclusions: The intervention's impact on the provision of preventive care varied by both care element and risk type. Further intervention is required to increase the consistent provision of preventive care, particularly referral/follow-up.
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Nova |
2013 |
Bowman J, Fletcher A, Wiggers J, Anderson AE, McElwaine K, Bartlem K, et al., 'Psychologists and Smoking Cessation Intervention: Unrealised Potential', Journal of Smoking Cessation, 8 76-84 (2013) [C1]
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Nova |
2013 |
Stockings E, Bowman J, McElwaine K, Baker A, Terry M, Clancy R, et al., 'Readiness to quit smoking and quit attempts among Australian mental health inpatients.', Nicotine Tob Res, 15 942-949 (2013) [C1]
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Nova |
2013 |
Bartlem K, Bowman J, Freund M, Wye P, McElwaine K, Knight J, et al., 'Evaluating the effectiveness of a clinical practice change intervention in increasing clinician provision of preventive care in a network of community-based mental health services: a study protocol of a non-randomized, multiple baseline trial', IMPLEMENTATION SCIENCE, 8 (2013) [C3]
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Nova |
2012 |
Bowman JA, Wiggers JH, Colyvas KJ, Wye PM, Walsh RA, Bartlem KM, 'Smoking cessation among Australian methadone clients: Prevalence, characteristics and a need for action', Drug and Alcohol Review, 31 507-513 (2012) [C1]
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Nova |