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Factors influencing cardiometabolic monitoring practices in an adult community mental health service
Author(s) -
Millar Freyja,
Sands Natisha,
Elsom Stephen
Publication year - 2014
Publication title -
international journal of mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.911
H-Index - 54
eISSN - 1447-0349
pISSN - 1445-8330
DOI - 10.1111/inm.12085
Subject(s) - audit , medicine , socioeconomic status , mental health , population , environmental health , mental illness , gerontology , family medicine , psychiatry , business , accounting
People with serious mental illness are reported to live up to 25 years less than the general population. Cardiovascular disease and diabetes risk factors, as well as mental health, treatment, lifestyle, service provision, and socioeconomic factors, all contribute to this health inequity. Cardiometabolic monitoring ( CMM ) is one strategy used to attend to some cardiometabolic risk factors. The present study aimed to explore factors that influence decisions to undertake CMM in an A ustralian adult community mental health service. A CMM audit tool was designed to capture demographic, clinical, and care‐provision factors. A 6‐month retrospective file audit from the total population of consumers of an adult community mental health service was undertaken, where no existing CMM guidelines or practices were in place. The study findings confirmed a higher prevalence of cardiometabolic disorders in the study population compared to the general population. Complete CMM occurred in 24% of the study population ( n = 94). No consumer demographic, socioeconomic, or clinical characteristics, or care‐provision factors, were found to be predictors of complete CMM . The random manner in which CMM was observed to occur in the study highlights the need for standardized CMM guidelines and capacity‐building strategies to improve current CMM practices.