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Risk prevalence, readiness and confidence to change lifestyle risk factors among clients of community mental health services. | LitMetric

AI Article Synopsis

  • - The study investigated the prevalence of lifestyle risk factors among adults with mental health conditions and their willingness to change these behaviors, revealing that participants often grappled with chronic physical diseases linked to mental health issues.
  • - A diverse group of 486 clients from community mental health services participated in the survey, with significant findings showing high rates of unhealthy behaviors, particularly concerning poor nutrition and harmful alcohol use, with varying levels of readiness and confidence to change.
  • - Results indicated that gender plays a role, with females showing higher readiness to improve nutrition, while males displayed greater confidence in increasing physical activity; suggesting that training for mental health clinicians could enhance support for behavior change.

Article Abstract

Objective: People with mental health conditions have high rates of chronic physical diseases, partially attributable to lifestyle risks factors. This study examined risk prevalence among community mental health service clients, their readiness and confidence to change, and associations with participant characteristics.

Methods: Cross-sectional survey of adult clients from 12 community mental health services across 3 local health districts in New South Wales, Australia, collected from 2021 to 2022. Participants ( = 486) completed a telephone interview determining five risk factors, and readiness and confidence to change these. Multiple binary logistic regression models determined associations between readiness and confidence (for each risk), and participant characteristics (demographics and diagnosis).

Results: Participants most commonly reported a diagnosis of schizophrenia (36.7%) or depression (21.1%). Risk factors were prevalent: ranging from 26% (harmful alcohol use) to 97% (poor nutrition). High readiness was greatest for smoking (68%), weight (66%) and physical inactivity (63%), while confidence was highest for changing alcohol use (67%). Two significant associations were identified; females were more likely than males to have high readiness to change nutrition (odds ratio = 1.14, confidence interval = [1.13, 2.34],  = 0.0092), with males more likely to have high confidence to change physical activity (odds ratio = 0.91, confidence interval = [0.45, 0.99],  = 0.0109).

Conclusions: Many participants were ready and confident to change risk factors. Gender influenced readiness to change nutrition and physical activity confidence. Training to upskill mental health clinicians in provision of preventive care that builds confidence and readiness levels may aid in supporting positive behaviour change.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308284PMC
http://dx.doi.org/10.1177/00048674241257751DOI Listing

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