Home > Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services.

Bailey, Jacqueline M and Bartlem, Kate M and Wiggers, John H and Wye, Paula M and Stockings, Emily A L and Hodder, Rebecca K and Metse, Alexandra P and Regan, Tim W and Clancy, Richard and Dray, Julia A and Tremain, Danika L and Bradley, Tegan and Bowman, Jenny A . (2019) 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 (100969) doi: 10.1016/j.pmedr.2019

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC67189...

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.


Item Type:Evidence resource
Drug Type:Alcohol, Alcohol or other drugs in general, Tobacco
Intervention Type:AOD disorder, AOD prevention, AOD disorder harm reduction
Date:December 2019
Page Range:p. 100969
Volume:16
Number:100969
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Problem substance use
A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Alcohol
B Substances > Tobacco (cigarette smoking)
G Health and disease > State of health > Physical health
G Health and disease > State of health > Mental health
G Health and disease > Substance related disorder > Substance related mental disorder
J Health care, prevention and rehabilitation > Patient care management
J Health care, prevention and rehabilitation > Care by type of problem > Mental health care
T Demographic characteristics > Doctor

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