Changing health workforce attitudes to promote improved physical health in mental health service users: Keeping our Staff in Mind (KoSiM).
health workforce wellness
lifestyle intervention
mental health staff
mental illness
physical health
staff
Journal
Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals
ISSN: 1036-1073
Titre abrégé: Health Promot J Austr
Pays: Australia
ID NLM: 9710936
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
15
08
2019
revised:
26
11
2019
accepted:
06
01
2020
pubmed:
12
1
2020
medline:
19
8
2021
entrez:
12
1
2020
Statut:
ppublish
Résumé
People living with mental illness die on average 15 years earlier than the general population, primarily due to preventable and premature cardiovascular disease. Lifestyle interventions can be effective in reducing cardiovascular risk, yet mental health services do not routinely provide targeted lifestyle interventions. Exposing mental health staff to lifestyle interventions prior to targeting patients may be critical to changing culture and improving patient outcomes. This study aimed to improve the physical health of mental health staff through a targeted lifestyle intervention. A pragmatic single-arm intervention study was conducted in a public mental health service, including inpatient and community settings, in Sydney, Australia. Participants in this study were n = 212 clinical and non-clinical staff. A five-session individualised lifestyle intervention (delivered over 5 weeks) incorporating physical activity and nutritional counselling was delivered by multidisciplinary teams. Participants were assessed at baseline, following the intervention, and at follow-up (mean = 16.7 weeks). The primary outcome was the barriers, attitudes, knowledge and confidence regarding screening, promoting and intervening to improve physical health outcomes of patients (M-BACK questionnaire). Secondary outcomes included anthropometric measures, cardiorespiratory fitness, sedentary time and nutritional intake. Repeated measures ANCOVAs were performed. A total of 212 staff (79% female) participated in this study. M-BACK total score significantly increased from baseline to follow-up (P < .001). Waist circumference, sedentary time and total energy intake all significantly decreased (all P's < .001) and cardiorespiratory fitness significantly increased (P < .001). A brief lifestyle intervention for staff of a public mental health service may increase the capability of the participants to improve their own physical health. SO WHAT?: Improving staff health may be an important strategy in improving the uptake and/or the effectiveness of lifestyle interventions targeting mental health service users.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
447-455Subventions
Organisme : District Mental Health program
Organisme : South Eastern Sydney Local Health District, Sydney
Informations de copyright
© 2020 Australian Health Promotion Association.
Références
Vancampfort D, Stubbs B, Mitchell AJ, De Hert M, Wampers M, Ward PB, et al. Risk of metabolic syndrome and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder: a systematic review and meta-analysis. World Psychiatry. 2015;14(3):339-47.
Correll CU, Solmi M, Veronese N, Bortolato B, Rosson S, Santonastaso P, et al. Prevalence, incidence and mortality from cardiovascular disease in patients with pooled and specific severe mental illness: a large-scale meta-analysis of 3,211,768 patients and 113,383,368 controls. World Psychiatry. 2017;16(2):163-80.
Olfson M, Gerhard T, Huang C, Crystal S, Stroup TS. Premature mortality among adults with schizophrenia in the United States. JAMA Psychiatry. 2015;72(12):1172-81.
Hjorthøj C, Stürup AE, McGrath JJ, Nordentoft M. Years of potential life lost and life expectancy in schizophrenia: a systematic review and meta-analysis. The Lancet Psychiatry. 2017;4(4):295-301.
Firth J, Siddiqi N, Koyanagi A, Siskind D, Rosenbaum S, Galletly C, et al. The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness. The Lancet Psychiatry. 2019;6:675-712.
Thornicroft G. Physical health disparities and mental illness: the scandal of premature mortality. Br J Psychiatry. [Editorial]. 2011;199(6):441-2.
Suetani S, Whiteford HA, McGrath JJ. An urgent call to address the deadly consequences of serious mental disorders. JAMA Psychiatry. 2015;72(12):1166-7.
Teasdale SB, Ward PB, Rosenbaum S, Samaras K, Stubbs B. Solving a weighty problem: systematic review and meta-analysis of nutrition interventions in severe mental illness. Br J Psychiatry. 2017;210(2):110-8.
Stubbs B, Vancampfort D, Hallgren M, Firth J, Veronese N, Solmi M, et al. EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH). European Psychiatry. 2018;54:124-44.
Bartels SJ. Can behavioral health organizations change health behaviors? The STRIDE study and lifestyle interventions for obesity in serious mental illness. Am J Psychiatry. 2015;172(1):9-11.
Bartels S, Brunette M, Aschbrenner K, Daumit G. Implementation of a system-wide health promotion intervention to reduce early mortality in high risk adults with serious mental illness and obesity. Implement Sci. 2015;10(Suppl 1):A15.
Fie S, Norman IJ, While AE. The relationship between physicians’ and nurses’ personal physical activity habits and their health-promotion practice: a systematic review Health Education Journal. 2013;72:102-19.
Fibbins H, Ward PB, Watkins A, Curtis J, Rosenbaum S. Improving the health of mental health staff through exercise interventions: a systematic review. J Ment Health. 2018;27(2):184-91.
Forsberg KA, Bjorkman T, Sandman PO, Sandlund M. Physical health - A cluster randomized controlled lifestyle intervention among persons with a psychiatric disability and their staff. Nord J Psychiatry. 2008;62(6):486-95.
Hjorth P, Davidsen AS, Kilian R, Jensen SOW, Munk-Jørgensen P. Intervention to promote physical health in staff within mental health facilities and the impact on patients' physical health. Nord J Psychiatry. 2016;70:62-71.
Curtis J, Watkins A, Rosenbaum S, Teasdale S, Kalucy M, Samaras K, et al. Evaluating an individualized lifestyle and life skills intervention to prevent antipsychotic-induced weight gain in first-episode psychosis. Early Interv Psychiatry. 2016;10(3):267-76.
Rosenbaum S, Watkins A, Ward PB, Pearce D, Fitzpatrick K, Curtis J, et al. Psychiatry HeAL thyself!. Aust N Z J Psychiatry. 2016;50(6):600.
Ward MC, White DT, Druss BG. A meta-review of lifestyle interventions for cardiovascular risk factors in the general medical population: lessons for individuals with serious mental illness. J Clin Psychiatry. 2015;76(4):e477-e486.
Vancampfort D, Firth J, Correll CU, Solmi M, Siskind D, De Hert M, et al. The impact of pharmacological and non-pharmacological interventions to improve physical health outcomes in people with schizophrenia: a meta-review of meta-analyses of randomized controlled trials. World Psychiatry. 2019;18(1):53-66.
Diabetes Prevention Program Research Group. The Diabetes Prevention Program (DPP) description of lifestyle intervention. Diabetes Care. 2002;25(12):2165-71.
Watkins A, Rosenbaum S, Ward PB, Patching J, Denney-Wilson E, Stein-Parbury J. The validity and reliability characteristics of the M-BACK questionnaire to assess the barriers, attitudes, confidence, and knowledge of mental health staff regarding metabolic health of mental health service users. Front Public Health. 2017;5:321.
Giles G, Ireland P. Dietary questionnaire for epidemiological studies (version 2). Melbourne: The Cancer Council Victoria, 1996.
Burrows TL, Martin RJ, Collins CE. A systematic review of the validity of dietary assessment methods in children when compared with the method of doubly labeled water. J Am Diet Assoc. 2010;110(10):1501-10.
Thompson FE, Subar AF. Dietary assessment methodology. Nutrition in the Prevention and Treatment of Disease. 2008;2:3-39.
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95.
Astrand PO, Ryhming I. A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during submaximal work. J Appl Physiol. 1954;7(2):218-21.
National Health and Medical Research Council. Australian Dietary Guidelines. Canberra: National Health and Medical Research Council (Australia), 2013.
Cook C, Heath F, Thompson RL. A meta-analysis of response rates in web-or internet-based surveys. Educ Psychol Measur. 2000;60(6):821-36.
Zhu DQ, Norman IJ, While AE. The relationship between doctors' and nurses' own weight status and their weight management practices: a systematic review. Obes Rev. 2011;12(6):459-69.
Osborn D, Burton A, Hunter R, Marston L, Atkins L, Barnes T, et al. Clinical and cost-effectiveness of an intervention for reducing cholesterol and cardiovascular risk for people with severe mental illness in English primary care: a cluster randomised controlled trial. Lancet. Psychiatry. 2018;5:145-54.
Gaughran F, Stahl D, Ismail K, Greenwood K, Atakan Z, Gardner-Sood P, et al. Randomised control trial of the effectiveness of an integrated psychosocial health promotion intervention aimed at improving health and reducing substance use in established psychosis (IMPaCT). BMC Psychiatry. 2017;17(1):413.