The effectiveness of a clinical practice change intervention in increasing clinician provision of preventive care across a network of community based mental health services

Recruiting

• Conditions: Inadequate nutrition; Public Health - Health service research; Inadequate physical activity; Chronic disease; Chronic disease prevention; Public Health - Health promotion/education; Harmful alcohol consumption; Mental Health - Other mental health disorders; Smoking

• Registration Number: ACTRN12613000693729
• Lead Sponsor: niversity of Newcastle

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-06-25
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 3120

Inclusion Criteria

Inclusion criteria for community mental health services receiving the intervention:
-Community mental health service within the Local Health District
-Provide care to adults (18 years or older)

Inclusion criteria for community mental health service clients to partake in data collection:
-18 years or older
-Have attended at least one face to face, individual (not group) appointment with a community mental health clinician from an eligible service, within the previous two weeks
-Not previously been selected to participate
-Not identified by their clinician as inappropriate to contact
-English speaking
-Not participating in any other phone surveys regarding health behaviours or are received at community based health services
-Not living in aged care or gaol
-Physically and mentally capable of responding to the survey items

Inclusion criteria for community mental health service clinicians to partake in data collection:
-Minimum of 10 face to face, individual appointments with adults within the two months prior to the survey
-Have been employed for a minimum of three months
-Not contractors

Exclusion Criteria

The following service types are excluded from receiving the intervention:
-Inpatient services
-Intake triage services
-Services providing care solely to clients under the age of 18

Clients and clinicians from these services are excluded from participating in data collection.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Client reported receipt of preventive care (assessment, advice, referral) by community mental health clinicians for four health risk behaviours (smoking, inadequate fruit or vegetable consumption, harmful alcohol consumption, inadequate physical activity).<br>Self report data will be collected through undertaking computer assisted telephone interviews (CATIs) with clients receiving care from the community mental health services. <br>[Continuous data collection on a weekly basis for 36 months. Data collection will commence in both groups six months prior to the intervention implementation in the first group of services, and continue until six months post the intervention implementation in the second group of services.<br><br>]

Secondary Outcome Measures

Name	Time	Method
Community mental health clinician reported provision of preventive care (assessment, advice, referral) to their adult clients for four health risk behaviours (smoking, inadequate fruit or vegetable consumption, harmful alcohol consumption, inadequate physical activity).<br>Self report data will be collected through undertaking computer assisted telephone interviews (CATIs) with clinicians from the community mental health services.<br><br><br>[Baseline data collection will occur immediately prior the intervention implementation in the first group of services. Follow-up data collection for the first group of services will occur immediately post the implementation of the intervention in the first group of services, and will occur for the second group of services immediately post the implementation of the intervention in the second group of services.]