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Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision

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...

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Autores principales: Bartlem, Kate, Bowman, Jenny, Ross, Kate, Freund, Megan, Wye, Paula, McElwaine, Kathleen, Gillham, Karen, Doherty, Emma, Wolfenden, Luke, Wiggers, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776348/
https://www.ncbi.nlm.nih.gov/pubmed/26935328
http://dx.doi.org/10.1186/s12888-016-0763-3
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author Bartlem, Kate
Bowman, Jenny
Ross, Kate
Freund, Megan
Wye, Paula
McElwaine, Kathleen
Gillham, Karen
Doherty, Emma
Wolfenden, Luke
Wiggers, John
author_facet Bartlem, Kate
Bowman, Jenny
Ross, Kate
Freund, Megan
Wye, Paula
McElwaine, Kathleen
Gillham, Karen
Doherty, Emma
Wolfenden, Luke
Wiggers, John
author_sort Bartlem, Kate
collection PubMed
description 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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spelling pubmed-47763482016-03-04 Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision Bartlem, Kate Bowman, Jenny Ross, Kate Freund, Megan Wye, Paula McElwaine, Kathleen Gillham, Karen Doherty, Emma Wolfenden, Luke Wiggers, John BMC Psychiatry Research Article 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. BioMed Central 2016-03-02 /pmc/articles/PMC4776348/ /pubmed/26935328 http://dx.doi.org/10.1186/s12888-016-0763-3 Text en © Bartlem et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Bartlem, Kate
Bowman, Jenny
Ross, Kate
Freund, Megan
Wye, Paula
McElwaine, Kathleen
Gillham, Karen
Doherty, Emma
Wolfenden, Luke
Wiggers, John
Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
title Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
title_full Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
title_fullStr Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
title_full_unstemmed Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
title_short Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
title_sort mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776348/
https://www.ncbi.nlm.nih.gov/pubmed/26935328
http://dx.doi.org/10.1186/s12888-016-0763-3
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