TY - JOUR
KW - Australia/epidemiology
KW - Humans
KW - Mental Disorders/epidemiology/therapy
KW - Motivational Interviewing
KW - multimorbidity
KW - Primary Health Care
KW - Depression
KW - Intervention development
KW - Patient-centred practice
KW - Theory of planned behavior
AU - K. J. McKenzie
AU - S. L. Fletcher
AU - D. Pierce
AU - J. M. Gunn
A1 - 
AB - BACKGROUND: Effective person-centred interventions are needed to support people living with mental-physical multimorbidity to achieve better health and wellbeing outcomes. Depression is identified as the most common mental health condition co-occurring with a physical health condition and is the focus of this intervention development study. The aim of this study is to identify the key components needed for an effective intervention based on a clear theoretical foundation, consideration of how motivational interviewing can inform the intervention, clinical guidelines to date, and the insights of primary care nurses. METHODS: A multimethod approach to intervention development involving review and integration of the theoretical principles of Theory of Planned Behavior and the patient-centred clinical skills of motivational interviewing, review of the expert consensus clinical guidelines for multimorbidity, and incorporation of a thematic analysis of group interviews with Australian nurses about their perspectives of what is needed in intervention to support people living with mental-physical multimorbidity. RESULTS: Three mechanisms emerged from the review of theory, guidelines and practitioner perspective; the intervention needs to actively 'engage' patients through the development of a collaborative and empathic relationship, 'focus' on the patient's priorities, and 'empower' people to make behaviour change. CONCLUSION: The outcome of the present study is a fully described primary care intervention for people living with mental-physical multimorbidity, with a particular focus on people living with depression and a physical health condition. It builds on theory, expert consensus guidelines and clinician perspective, and is to be tested in a clinical trial.
AD - Department of General Practice, University of Melbourne, Melbourne, Australia. kylie.mckenzie@unimelb.edu.au.; Department of General Practice, University of Melbourne, Melbourne, Australia.; Department of Rural Health, University of Melbourne, Ballarat, Australia.; Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.
BT - BMC health services research
C5 - Education & Workforce; Healthcare Disparities
CP - 1
DO - 10.1186/s12913-021-06307-5
IS - 1
JF - BMC health services research
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Effective person-centred interventions are needed to support people living with mental-physical multimorbidity to achieve better health and wellbeing outcomes. Depression is identified as the most common mental health condition co-occurring with a physical health condition and is the focus of this intervention development study. The aim of this study is to identify the key components needed for an effective intervention based on a clear theoretical foundation, consideration of how motivational interviewing can inform the intervention, clinical guidelines to date, and the insights of primary care nurses. METHODS: A multimethod approach to intervention development involving review and integration of the theoretical principles of Theory of Planned Behavior and the patient-centred clinical skills of motivational interviewing, review of the expert consensus clinical guidelines for multimorbidity, and incorporation of a thematic analysis of group interviews with Australian nurses about their perspectives of what is needed in intervention to support people living with mental-physical multimorbidity. RESULTS: Three mechanisms emerged from the review of theory, guidelines and practitioner perspective; the intervention needs to actively 'engage' patients through the development of a collaborative and empathic relationship, 'focus' on the patient's priorities, and 'empower' people to make behaviour change. CONCLUSION: The outcome of the present study is a fully described primary care intervention for people living with mental-physical multimorbidity, with a particular focus on people living with depression and a physical health condition. It builds on theory, expert consensus guidelines and clinician perspective, and is to be tested in a clinical trial.
PY - 2021
SN - 1472-6963; 1472-6963
SP - 301
T1 - Moving from "let's fix them" to "actually listen": The development of a primary care intervention for mental-physical multimorbidity
T2 - BMC health services research
TI - Moving from "let's fix them" to "actually listen": The development of a primary care intervention for mental-physical multimorbidity
U1 - Education & Workforce; Healthcare Disparities
U2 - 33794883
U3 - 10.1186/s12913-021-06307-5
VL - 21
VO - 1472-6963; 1472-6963
Y1 - 2021
Y2 - Apr 1
ER -