Characteristics of participants utilising a telephone-based coaching service for chronic disease health risk behaviours: A retrospective examination comparing those with and without a mental health condition

Bradley, Tegan; Bartlem, Kate; Campbell, Elizabeth; Wye, Paula; Rissel, Chris; Reid, Kate; Regan, Timothy; Bailey, Jacqueline; Bowman, Jenny

doi:10.1016/j.pmedr.2020.101123

Cited by 8 publications

(14 citation statements)

References 41 publications

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“…22 With regard to the Get Healthy Service , 26% of callers between 2015 and 2017 were reported to have a mental health condition. 23 While such findings suggest people with a mental health condition represent a substantial proportion of callers to telephone services, the awareness and use of such services among people with a mental health condition is not known, nor are the factors associated with awareness and use.…”

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confidence: 99%

Awareness and use of telephone‐based behaviour change support services among clients of a community mental health service

Fehily

Latter

Bartlem

et al. 2020

Australian and New Zealand Journal of Public Health

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Objective: To determine the prevalence of, and factors associated with, awareness and use of telephone-based behaviour change support services among clients of a community mental health service. Methods: Adult clients (n=375) of one Australian community mental health service completed a telephone interview and self-reported not meeting Australian National Guidelines for smoking, nutrition, alcohol consumption and/or physical activity. Descriptive statistics summarised awareness and use of the New South Wales Quitline® and Get Healthy Service® for participants with lifestyle risk factors addressed by each service. Chi-squares and logistic regressions explored associations between client characteristics, and service awareness and use. Results: Awareness (16.1%) and use (1.9%) of the Get Healthy Service was lower than that of Quitline (89.1%; 18.1%). Television was the most common source of awareness (39.7% Get Healthy Service; 74.0% Quitline). In the regression models, persons in a relationship were more likely to have heard of the Get Healthy Service (OR:2.19, CI:1.15-4.18), and persons aged 36-50 were more likely to have used the Quitline (OR:5.22, CI:1.17-23.37). Conclusions: Opportunities exist for increasing awareness and use of both services, particularly the Get Healthy Service, among clients of community mental health services. Implications for public health: Strategies to optimise reach for this population group are recommended.

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confidence: 99%

Awareness and use of telephone‐based behaviour change support services among clients of a community mental health service

Fehily

Latter

Bartlem

et al. 2020

Australian and New Zealand Journal of Public Health

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“…Service data collected at enrolment to the GHS indicates that participants with a mental health condition represent a considerable proportion of those enrolling (26%) [ 19 ]. It is interesting that coaches estimates were somewhat higher, one possible explanation being that some mental health concerns were revealed as coaching progressed.…”

Section: Discussionmentioning

confidence: 99%

“…An additional strategy for increasing support for participants with a mental health condition may be collaboration with referring agencies. Currently, 45% of participants with a mental health condition engaging with this service are referred by a GP or other health professional [ 19 ]. Coaches indicated that greater communication between the service, participant and health professionals may also assist in providing consistent messages to the participant, which may impact management of biopsychosocial issues currently perceived as ‘lack of motivation’.…”

Section: Discussionmentioning

confidence: 99%

“…People with a mental health condition have been reported to be well-represented among the participants of population-level telephone coaching services. For example, approximately half of callers to three state Quitlines within the United States of America had an identified mental health condition [ 16 , 17 ], while a third of callers to an Australian state Quitline [ 18 ] and a quarter of service users accessing the GHS indicated having a mental health condition [ 19 ]. Telephone services may be particularly advantageous for this high risk population, where features such as flexibility in call schedules may assist in overcoming reported barriers to participating in face to face health interventions leading to an inability to attend sessions [ 20 – 22 ], conflicting appointments [ 23 – 25 ] and transport issues [ 22 , 26 , 27 ].…”

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confidence: 99%

“…Coaches who deliver programs provide a valuable and unique perspective on factors relating to engagement with, and outcomes achieved from health behaviour change support services by mental health participants. Research has identified factors that may represent particular barriers or challenges to health behaviour change for people with a mental health condition: medication side effects [ 32 ], lower confidence in health behaviour change [ 19 ] and a sense of powerlessness in improving physical health [ 33 ]. Greater understanding of how population-level telephone coaching services and coaches perceive and respond to such factors may improve service delivery and outcomes for this important participant group.…”

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Telephone-delivered health behaviour change support for people with a mental health condition: the coaches’ perspective

Bradley

Hansen

Wye

et al. 2021

BMC Health Serv Res

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Background People with a mental health condition experience a greater prevalence of chronic disease and reduced life expectancy compared to the general population. Modifiable health risk behaviours, such as physical inactivity and poor nutrition are major contributing factors. Population-level health coaching delivering behavioural change support via telephone for healthy eating, physical activity, and weight management is an opportunity utilised by this group to support improvement in healthy lifestyle behaviours. Health coaches offer a valuable perspective into the provision of services to this high-risk group. This study aims to qualitatively explore coaches’ experiences in providing support to these participants, consider factors which may contribute to engagement and outcomes; and potentially inform future service improvement. Method A qualitative study design was employed involving semi-structured telephone interviews with six coaches employed in a telephone-based behaviour change support service in New South Wales, Australia, between April and July 2019. Interview data was analysed using an inductive thematic analysis. Results Coaches believed that the service was of benefit to people with a mental health condition, however making changes to health risk behaviours was potentially more difficult for this group of service users. Coaches indicated that in supporting this group there was a greater focus on building confidence and readiness to change. They noted that improvement in mental health as a result of physical health changes was an additional ‘measure of success’ of particular relevance. Coaches expressed a desire to receive more mental health training to better deliver coaching to participants with a mental health condition. Program variables such as limited call length were posed as possible barriers to care. Conclusion Further training and additional support for coaches, in additon to considering variations to aspects of service delivery may assist in improving engagement and outcomes for participants with mental health conditions. Examining mental health consumers’ experiences when engaging with telephone coaching services would be an important area to address in further research.

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The Impact of Chronic Diseases on Mental Health: An Overview and Recommendations for Care Programs

Akif,

Qusar,

Islam

2024

Curr Psychiatry Rep

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Characteristics of participants utilising a telephone-based coaching service for chronic disease health risk behaviours: A retrospective examination comparing those with and without a mental health condition

Cited by 8 publications

References 41 publications

Awareness and use of telephone‐based behaviour change support services among clients of a community mental health service

Awareness and use of telephone‐based behaviour change support services among clients of a community mental health service

Telephone-delivered health behaviour change support for people with a mental health condition: the coaches’ perspective

The Impact of Chronic Diseases on Mental Health: An Overview and Recommendations for Care Programs

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