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- Title
Moving from "let's fix them" to "actually listen": the development of a primary care intervention for mental-physical multimorbidity.
- Authors
McKenzie, Kylie J.; Fletcher, Susan L.; Pierce, David; Gunn, Jane M.
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>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.
- Subjects
AUSTRALIA; MOTIVATIONAL interviewing; COMORBIDITY; PRIMARY care; PLANNED behavior theory; MEDICAL personnel; THEMATIC analysis; HEALTH practitioners; MENTAL illness treatment; PSYCHIATRIC epidemiology; CLINICAL trials; PRIMARY health care; RESEARCH funding
- Publication
BMC Health Services Research, 2021, Vol 21, Issue 1, p1
- ISSN
1472-6963
- Publication type
journal article
- DOI
10.1186/s12913-021-06307-5