ArticleBMC health services research2013
The delivery of preventive care to clients of community health services.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of interventions to increase the delivery of preventive care by primary care nurses and allied health clinicians.Implementation science : IS · 2016Pooled it
- Trial
- Effectiveness of digital health interventions for increasing preventive care for smoking, nutrition, alcohol consumption, physical activity and weight (SNAP-W) in outpatient settings: a systematic review protocol.Systematic reviews · 2026Article
- Successes and challenges of primary health care in Australia: A scoping review and comparative analysis.Journal of global health · 2023Article
- Clustering of chronic disease risks among people accessing community mental health services.Preventive medicine reports · 2022Article
- Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation.International journal of environmental research and public health · 2022Article
- Associations between Suboptimal Sleep and Smoking, Poor Nutrition, Harmful Alcohol Consumption and Inadequate Physical Activity ('SNAP Risks'): A Comparison of People with and without a Mental Health Condition in an Australian Community Survey.International journal of environmental research and public health · 2021Article
- Uptake of a preventive care consultation offered to clients of a community mental health service.Preventive medicine reports · 2020Article
- Preventive care for physical activity and fruit and vegetable consumption: a survey of family carer expectations of health service delivery for people with a mental health condition.BMC health services research · 2020Article
- A survey of the prevalence of modifiable health risk behaviours among carers of people with a mental illness.BMC public health · 2019Article
- Antenatal care for alcohol consumption during pregnancy: pregnant women's reported receipt of care and associated characteristics.BMC pregnancy and childbirth · 2019Article
- Obesity prevention and the role of hospital and community-based health services: a scoping review.BMC health services research · 2019Article
- Do mental health consumers want to improve their long-term disease risk behaviours? A survey of over 2000 psychiatric inpatients.International journal of mental health nursing · 2018Article
- Delivering clinical preventive services in the Islamic Republic of Iran: A model for screening and behavior consultation practices.Medical journal of the Islamic Republic of Iran · 2018Article
- Increasing the provision of preventive care by community healthcare services: a stepped wedge implementation trial.Implementation science : IS · 2017Article
- Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services.Drug and alcohol review · 2017Article
- Effectiveness of an intervention in increasing the provision of preventive care by community mental health services: a non-randomized, multiple baseline implementation trial.Implementation science : IS · 2016Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSmoking, poor nutrition, risky alcohol use, and physical inactivity are the primary behavioral risks for common causes of mortality and morbidity. Evidence and guidelines support routine clinician delivery of preventive care. Limited evidence describes the level delivered in community health settings. The objective was to determine the: prevalence of preventive care provided by community health clinicians; association between client and service characteristics and receipt of care; and acceptability of care. This will assist in informing interventions that facilitate adoption of opportunistic preventive care delivery to all clients.
methodsIn 2009 and 2010 a telephone survey was undertaken of 1284 clients across a network of 56 public community health facilities in one health district in New South Wales, Australia. The survey assessed receipt of preventive care (assessment, brief advice, and referral/follow-up) regarding smoking, inadequate fruit and vegetable consumption, alcohol overconsumption, and physical inactivity; and acceptability of care.
resultsCare was most frequently reported for smoking (assessment: 59.9%, brief advice: 61.7%, and offer of referral to a telephone service: 4.5%) and least frequently for inadequate fruit or vegetable consumption (27.0%, 20.0% and 0.9% respectively). Sixteen percent reported assessment for all risks, 16.2% received brief advice for all risks, and 0.6% were offered a specific referral for all risks. The following were associated with increased care: diabetes services, number of appointments, being male, Aboriginal, unemployed, and socio-economically disadvantaged. Acceptability of preventive care was high (76.0%-95.3%).
conclusionsDespite strong client support, preventive care was not provided opportunistically to all, and was preferentially provided to select groups. This suggests a need for practice change strategies to enhance preventive care provision to achieve adherence to clinical guidelines.
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