School of Psychological Sciences, The University of Newcastle, Callaghan, NSW, Australia.
Hunter Medical Research Institute, Clinical Research Centre, New Lambton Heights, NSW, Australia.
Aust N Z J Psychiatry. 2024 Aug;58(8):702-712. doi: 10.1177/00048674241257751. Epub 2024 Jun 6.
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.
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).
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).
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.
心理健康状况人群的慢性躯体疾病发病率较高，部分原因是生活方式风险因素。本研究调查了社区心理健康服务客户的风险流行率、他们改变的准备程度和信心，以及与参与者特征的关联。
对来自澳大利亚新南威尔士州 3 个地方卫生区 12 个社区心理健康服务机构的成年客户进行横断面调查，收集时间为 2021 年至 2022 年。参与者（ = 486）完成了一项电话访谈，确定了五个风险因素，以及改变这些因素的准备程度和信心。多个二元逻辑回归模型确定了准备程度和信心（对于每个风险）与参与者特征（人口统计学和诊断）之间的关联。
参与者最常见的诊断是精神分裂症（36.7%）或抑郁症（21.1%）。风险因素普遍存在：从 26%（有害饮酒）到 97%（营养不良）不等。对吸烟（68%）、体重（66%）和身体活动不足（63%）的准备程度最高，而对改变饮酒的信心最高（67%）。确定了两个有意义的关联；女性比男性更有可能对改变营养有高度准备（优势比 = 1.14，置信区间 = [1.13, 2.34]， = 0.0092），而男性更有可能对改变身体活动有高度信心（优势比 = 0.91，置信区间 = [0.45, 0.99]， = 0.0109）。
许多参与者有改变风险因素的准备和信心。性别影响改变营养和身体活动信心的准备程度。培训心理健康临床医生提供增强信心和准备程度的预防保健可能有助于支持积极的行为改变。
