ArticleAmerican journal of health promotion : AJHP2018
Perspectives on Providing And Receiving Preventive Health Care From Primary Care Providers and Their Patients With Mental Illnesses.
Article in American journal of health promotion : AJHP, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05181254 (HEAlth Dialogues for Patients With Mental Illness in Primary Care), which is not on this map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
HEAlth Dialogues for Patients With Mental Illness in Primary Care
Who cites it
15 citing papers in PubMed.
- Structured assessment of modifiable lifestyle habits among patients with mental illnesses in primary care.Scientific reports · 2022Trial
- Using normalization process theory to evaluate the implementation of a hybrid psychosocial prevention intervention in mental health care - a qualitative interview study.BMC health services research · 2026Article
- Cardiovascular risk assessment with SCORE2 and targeted health dialogues in primary care patients with mental illness.PloS one · 2026Article
- "Although I'm mentally ill, that doesn't mean that I'm not also physically ill" - barriers, facilitators and diagnostic overshadowing in healthcare for individuals with lived experience of mental ill-health.Frontiers in public health · 2026Article
- Primary health care reforms: a scoping review.Primary health care research & development · 2025Article
- Using a systems thinking approach to explore the complex relationships between schizophrenia and premature mortality.The International journal of social psychiatry · 2024Article
- Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms.Preventive medicine reports · 2024Article
- HEAD-MIP-(HEAlth Dialogues for patients with Mental Illness in Primary care)-a feasibility study.Pilot and feasibility studies · 2023Article
- The Role of Bias in Clinical Decision-Making of People with Serious Mental Illness and Medical Co-morbidities: a Scoping Review.The journal of behavioral health services & research · 2023Article
- Somatic health care professionals' stigmatization of patients with mental disorder: a scoping review.BMC psychiatry · 2021Article
- Uptake of Preventive Services Among Patients With and Without Multimorbidity.American journal of preventive medicine · 2020Article
- Patient perspectives on how living with a mental illness affects making and maintaining healthy lifestyle changes.Patient education and counseling · 2019Article
- The medical home functions of primary care practices that care for adults with psychological distress: a cross-sectional study.BMC health services research · 2019Article
- Mental and Addictive Disorders and Medical Comorbidities.Current psychiatry reports · 2018Review
- Experiences of Hospitalization of Patients With Psychotic Disorders on Medical-Surgical Units: A Thematic Analysis.Journal of the American Psychiatric Nurses AssociationArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
purposeIndividuals with mental illnesses have higher morbidity rates and reduced life expectancy compared to the general population. Understanding how patients and providers perceive the need for prevention, as well as the barriers and beliefs that may contribute to insufficient care, are important for improving service delivery tailored to this population.
designCross-sectional; mixed methods.
settingAn integrated health system and a network of federally qualified health centers and safety net clinics.
participantsInterviews (n = 30) and surveys (n = 249) with primary care providers. Interviews (n = 158) and surveys (n = 160) with patients diagnosed with schizophrenia, bipolar, anxiety, or major depressive disorders. MEASURES: Semi-structured interviews and surveys. ANALYSIS: Thematic analysis for qualitative data; frequencies for quantitative data.
resultsMore than half (n = 131, 53%) of clinicians believed patients with mental illnesses care less about preventive care than the general population, yet 88% (n = 139) of patients reported interest in improving health. Most providers (n = 216, 88%) lacked confidence that patients with mental illnesses would follow preventive recommendations; 82% (n = 129) of patients reported they would try to change lifestyles if their doctor recommended. Clinicians explained that their perception of patients' chaotic lives and lack of interest in preventive care contributed to their fatalistic attitudes on care delivery to this population. Clinicians and patients agreed on substantial need for additional support for behavior changes. Clinicians reported providing informational support by keeping messages simple; patients reported a desire for more detailed information on reasons to complete preventive care. Patients also detailed the need for assistive and tangible support to manage behavioral health changes.
conclusionsOur results suggest a few clinical changes could help patients complete preventive care recommendations and improve health behaviors: improving clinician-patient collaboration on realistic goal setting, increasing visit time or utilizing behavioral health consultants that bridge primary and specialty mental health care, and increasing educational and tangible patient support services.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.