Increasing the capacity of community managed organisations to provide chronic disease preventive care to people with a mental health condition: protocol for a cluster-randomised controlled trial.

Sophie Love, Caitlin Fehily, Ama Ampofo, Jade Ryall, Fadzi Marasha, Joanna Latter, Simone Lodge, Belinda Jackson, Elizabeth Campbell, Christopher Oldmeadow, Olivia Wynne, Mark Orr, Sumathi Govindasamy, Jenny Bowman

Journal: BMC public health 2025;25(1):4258

PMID: 41408205

Free Full Text on BioMed Central View on PubMed

Abstract

BACKGROUND

Comprehensive and routine provision of preventive care for modifiable risk factors within mental health community managed organisations (CMOs) is variable.

METHODS

This protocol describes a planned cluster-randomised controlled trial to support the delivery of such care within a large Australian CMO. A model of care and implementation support strategies will be co-designed and delivered across six months, with 12 CMO sites randomised to intervention or control groups. The model of care referred to as 'The Live Well and Flourish Framework' will guide staff in intervention sites through support conversations about modifiable risk factors (stopping or reducing smoking/vaping, healthy eating, limiting alcohol, and being physically active), supported through implementation strategies delivered throughout the intervention. The primary outcome is the proportion of people accessing CMO services who report being connected to health behaviour change support and resources for 'Living Well Activities'. The resources required to develop and implement the model of care and implementation strategies will inform a cost-effectiveness evaluation of the intervention.

DISCUSSION

Findings from this trial will inform future care delivery and initiatives within CMOs to provide support for modifiable chronic disease risk factors.

TRIAL REGISTRATION

Prospectively registered with the Australian and New Zealand Clinical Trials Registry (ACTRN12625000322437) on 17/04/2025.

Address: School of Psychological Sciences, College of Engineering, Science and Environment, The University of Newcastle, Callaghan, NSW, Australia. [email protected].; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia. [email protected].; School of Psychological Sciences, College of Engineering, Science and Environment, The University of Newcastle, Callaghan, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; School of Psychological Sciences, College of Engineering, Science and Environment, The University of Newcastle, Callaghan, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; School of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW, 2308, Australia.; Flourish Australia, Sydney, NSW, Australia.; Population Health, Hunter New England Local Health District, Wallsend, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; School of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW, 2308, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; School of Medicine and Public Health, College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW, 2308, Australia.; Flourish Australia, Sydney, NSW, Australia.; International Centre for Future Health Systems, UNSW Medicine & Health, University of New South Wales, Sydney, NSW, 2052, Australia.; Flourish Australia, Sydney, NSW, Australia.; Monash University Malaysia, Subang Jaya, Malaysia.

DOI: 10.1186/s12889-025-25089-7

Link outs

Free resources

Full Text Sources:

https://bmcpublichealth.biomedcentral.com/articles...

Medical:

https://medlineplus.gov/mentaldisorders.html

MeSH Terms: Humans, Australia, Chronic Disease, Mental Disorders, Preventive Health Services, Community Mental Health Services, Randomized Controlled Trials as Topic, Capacity Building