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Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity
BACKGROUND: Effective person-centred interventions are needed to support people living with mental-physical multimorbidity to achieve better health and wellbeing outcomes. Depression is identified as the most common mental health condition co-occurring with a physical health condition and is the foc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017734/ https://www.ncbi.nlm.nih.gov/pubmed/33794883 http://dx.doi.org/10.1186/s12913-021-06307-5 |
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author | McKenzie, Kylie J. Fletcher, Susan L. Pierce, David Gunn, Jane M. |
author_facet | McKenzie, Kylie J. Fletcher, Susan L. Pierce, David Gunn, Jane M. |
author_sort | McKenzie, Kylie J. |
collection | PubMed |
description | BACKGROUND: Effective person-centred interventions are needed to support people living with mental-physical multimorbidity to achieve better health and wellbeing outcomes. Depression is identified as the most common mental health condition co-occurring with a physical health condition and is the focus of this intervention development study. The aim of this study is to identify the key components needed for an effective intervention based on a clear theoretical foundation, consideration of how motivational interviewing can inform the intervention, clinical guidelines to date, and the insights of primary care nurses. METHODS: A multimethod approach to intervention development involving review and integration of the theoretical principles of Theory of Planned Behavior and the patient-centred clinical skills of motivational interviewing, review of the expert consensus clinical guidelines for multimorbidity, and incorporation of a thematic analysis of group interviews with Australian nurses about their perspectives of what is needed in intervention to support people living with mental-physical multimorbidity. RESULTS: Three mechanisms emerged from the review of theory, guidelines and practitioner perspective; the intervention needs to actively ‘engage’ patients through the development of a collaborative and empathic relationship, ‘focus’ on the patient’s priorities, and ‘empower’ people to make behaviour change. CONCLUSION: The outcome of the present study is a fully described primary care intervention for people living with mental-physical multimorbidity, with a particular focus on people living with depression and a physical health condition. It builds on theory, expert consensus guidelines and clinician perspective, and is to be tested in a clinical trial. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06307-5. |
format | Online Article Text |
id | pubmed-8017734 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80177342021-04-02 Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity McKenzie, Kylie J. Fletcher, Susan L. Pierce, David Gunn, Jane M. BMC Health Serv Res Research Article BACKGROUND: Effective person-centred interventions are needed to support people living with mental-physical multimorbidity to achieve better health and wellbeing outcomes. Depression is identified as the most common mental health condition co-occurring with a physical health condition and is the focus of this intervention development study. The aim of this study is to identify the key components needed for an effective intervention based on a clear theoretical foundation, consideration of how motivational interviewing can inform the intervention, clinical guidelines to date, and the insights of primary care nurses. METHODS: A multimethod approach to intervention development involving review and integration of the theoretical principles of Theory of Planned Behavior and the patient-centred clinical skills of motivational interviewing, review of the expert consensus clinical guidelines for multimorbidity, and incorporation of a thematic analysis of group interviews with Australian nurses about their perspectives of what is needed in intervention to support people living with mental-physical multimorbidity. RESULTS: Three mechanisms emerged from the review of theory, guidelines and practitioner perspective; the intervention needs to actively ‘engage’ patients through the development of a collaborative and empathic relationship, ‘focus’ on the patient’s priorities, and ‘empower’ people to make behaviour change. CONCLUSION: The outcome of the present study is a fully described primary care intervention for people living with mental-physical multimorbidity, with a particular focus on people living with depression and a physical health condition. It builds on theory, expert consensus guidelines and clinician perspective, and is to be tested in a clinical trial. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06307-5. BioMed Central 2021-04-01 /pmc/articles/PMC8017734/ /pubmed/33794883 http://dx.doi.org/10.1186/s12913-021-06307-5 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data. |
spellingShingle | Research Article McKenzie, Kylie J. Fletcher, Susan L. Pierce, David Gunn, Jane M. Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity |
title | Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity |
title_full | Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity |
title_fullStr | Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity |
title_full_unstemmed | Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity |
title_short | Moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity |
title_sort | moving from “let’s fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017734/ https://www.ncbi.nlm.nih.gov/pubmed/33794883 http://dx.doi.org/10.1186/s12913-021-06307-5 |
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