Moving from "let's fix them" to "actually listen": the development of a primary care intervention for mental-physical multimorbidity.
BMC Health Serv Res
; 21(1): 301, 2021 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-33794883
ABSTRACT
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.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Entrevista Motivacional
/
Transtornos Mentais
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article