The Live Well intervention: Promoting healthy lifestyles during routine older people’s mental healthcare

Author:

Aquilina Carmelo12,Best Lachlan J.3ORCID,Mohsin Mohammed45,O’Callaghan Cathy6ORCID

Affiliation:

1. Service Director, Older People’s Mental Health (OPMH) Service, South Western Sydney Local Health District (SWSLHD), Liverpool, NSW, Australia

2. Conjoint Senior Lecturer, School of Medicine, University of Western Sydney, NSW, Australia

3. Live Well Project Worker, OPMH Service, SWSLHD, NSW Health, Liverpool, NSW, Australia

4. Mental Health Research and Teaching Unit, Liverpool Hospital, SWSLHD, NSW Health, Liverpool, NSW, Australia;

5. Conjoint Associate Professor, Faculty of Medicine & Health, School of Clinical Medicine, Discipline of Psychiatry, University of New South Wales, Sydney, NSW, Australia

6. Research Fellow, Centre for Primary Health Care and Equity, University of New South Wales(UNSW), Sydney, NSW, Australia

Abstract

Objective Lifestyle is an important determinant of health. The Live Well intervention allows mental health clinicians to address lifestyle during routine mental health encounters. Method Clinicians were taught how to encourage consumers to learn more about lifestyle and health; consider their own lifestyle and health using a self-rated health and wellness questionnaire (HAWQ) and helped them decide which out of six health domains (physical, mental and social activity, healthy eating, mental wellbeing and positive thinking) should be improved in small, sustainable steps using a SMART (specific, measurable, achievable, relevant and timed) goal-setting template. Results Out of 65 enrolled consumers, 52 completed pre-intervention, 6-week and 12-week post-assessment assessments. There were improvements in all self-rated health domains except for heathy eating. At 12-week, consumers also recorded significant satisfaction with the Live Well program, goal achievement and wellbeing. Clinicians’ feedback was positive about using this intervention with their consumers. Conclusions Live Well is a feasible and effective way to engage consumers on positive lifestyle changes in routine mental health care encounters.

Funder

South West Sydney Primary Health Network

Publisher

SAGE Publications

Reference23 articles.

1. Australian Institute of Health and Welfare. Deaths in Australia. https://www.aihw.gov.au/reports/life-expectancy-death/deaths-in-australia/contents/life-expectancy (2023, accessed 8 January 2023).

2. The Compression of Morbidity

3. Australian Institute of Health and Welfare. Physical health of people with mental illness. https://www.aihw.gov.au/reports/australias-health/physical-health-of-people-with-mental-illness (2023).

4. Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas

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