Evidence map›Paper›PMID 32403938›Full record

Trial reportThe Australian and New Zealand journal of psychiatry2020

Effectiveness of embedding a specialist preventive care clinician in a community mental health service in increasing preventive care provision: A randomised controlled trial.

Caitlin Mc Fehily, Kate M Bartlem, John H Wiggers, Paula M Wye, Richard V Clancy, David J Castle, Andrew Wilson, Chris E Rissel, Sonia Wutzke, Rebecca K Hodder and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Australian and New Zealand journal of psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Caitlin Mc FehilySchool of Psychology, Faculty of Science and Information Technology, The University of Newcastle, Callaghan, NSW, Australia.ORCID 0000-0003-1990-9831
Kate M BartlemSchool of Psychology, Faculty of Science and Information Technology, The University of Newcastle, Callaghan, NSW, Australia.
John H WiggersThe Australian Prevention Partnership Centre (TAPPC), Sax Institute, Ultimo, NSW, Australia.
Paula M WyeSchool of Psychology, Faculty of Science and Information Technology, The University of Newcastle, Callaghan, NSW, Australia.
Richard V ClancyHunter Medical Research Institute, New Lambton Heights, NSW, Australia.ORCID 0000-0002-1669-5498
David J CastleDepartment of Psychiatry, The University of Melbourne, Parkville, VIC, Australia.ORCID 0000-0002-3075-1580
Andrew WilsonThe Australian Prevention Partnership Centre (TAPPC), Sax Institute, Ultimo, NSW, Australia.
Chris E RisselSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Sonia WutzkeThe Australian Prevention Partnership Centre (TAPPC), Sax Institute, Ultimo, NSW, Australia.
Rebecca K HodderSchool of Psychology, Faculty of Science and Information Technology, The University of Newcastle, Callaghan, NSW, Australia.
Kim ColyvasSchool of Mathematical and Physical Sciences, Faculty of Science and Information Technology, The University of Newcastle, Callaghan, NSW, Australia.
Fionna MurphyHunter Medical Research Institute, New Lambton Heights, NSW, Australia.
Jenny A BowmanSchool of Psychology, Faculty of Science and Information Technology, The University of Newcastle, Callaghan, NSW, Australia.
Hunter Medical Research Institute · AUThe University of Sydney · AUSax Institute · AUUniversity of Newcastle Australia · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveClinical practice guidelines recommend that community mental health services provide preventive care for clients' chronic disease risk behaviours; however, such care is often not routinely provided. This study aimed to assess the effectiveness of offering clients an additional consultation with a specialist clinician embedded within a community mental health service, in increasing client-reported receipt of, and satisfaction with, preventive care.

methodA randomised controlled trial was undertaken in one Australian community mental health service. Participants (

resultsAnalyses indicated significantly greater increases in 12 of the 18 preventive care delivery outcomes in the intervention compared to the usual care condition from baseline to follow-up, including assessment for all risks combined (risk ratio = 4.00; 95% confidence interval = [1.57, 10.22]), advice for all applicable risks combined (risk ratio = 2.40; 95% confidence interval = [1.89, 6.47]) and offer of referral to applicable telephone services combined (risk ratio = 20.13; 95% confidence interval = [2.56, 158.04]). For each component of care, there was a significant intervention effect for at least one of the individual risk behaviours. Participants reported high levels of satisfaction with preventive care received, ranging from 77% (assessment) to 87% (referral), with no significant differences between conditions.

conclusionThe intervention had a significant effect on the provision of the majority of recommended elements of preventive care. Further research is needed to maximise its impact, including identifying strategies to increase client uptake.

Indexed as

AdolescentAdultAustraliaChronic DiseaseCommunity Mental Health ServicesFemaleHumansMaleMiddle AgedOdds RatioPreventive MedicineReferral and ConsultationYoung Adultchronic disease risk behavioursMental healthmental health servicesphysical healthpreventive care

Identifiers

PMID32403938
PMCPMC7285986
OpenAlexW3025950158

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.