title: Provision of Chronic Disease Preventive Care in Community Substance Use Services: Client and Clinician Report.
abstract: People with substance use problems have a higher prevalence of modifiable health risk behaviors. Routine clinician provision of preventive care may be effective in reducing such health behaviors. This study aimed to examine clinician provision of preventive care to clients of community substance use treatment services.
  
  
  
  A cross-sectional survey was undertaken with 386 clients and 54 clinicians of community substance use treatment services in one health district in New South Wales, Australia. Client- and clinician-reported provision of three elements of care (assessment, brief advice and referral) for three health risk behaviors (tobacco smoking, insufficient fruit and/or vegetable consumption and insufficient physical activity) was assessed, with associations with client characteristics examined.
  
  
  
  Provision was highest for tobacco smoking assessment (90% client reported, 87% clinician reported) and brief advice (79% client reported, 80% clinician reported) and lowest for fruit and vegetable consumption (assessment 23%, brief advice 25%). Few clients reported being offered a referral (<10%). Assessment of physical activity and brief advice for all behaviors was higher for clients residing in rural/remote areas.
  
  
  
  Assessment and brief advice were provided to the majority of clients for smoking, but sub-optimally for the other behaviors. Further investigation of barriers to the provision of preventive care within substance use treatment settings is required, particularly for referral to ongoing support.
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Faculty of Health, The University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia. Electronic address: danika.tremain@hnehealth.nsw.gov.au.
authors.forename: Danika
authors.initials: D
authors.lastname: Tremain
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Faculty of Health, The University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.
authors.forename: Megan
authors.initials: M
authors.lastname: Freund
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia; Faculty of Science and Information Technology, The University of Newcastle, Callaghan, Australia.
authors.forename: Paula
authors.initials: P
authors.lastname: Wye
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Faculty of Health, The University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.
authors.forename: Luke
authors.initials: L
authors.lastname: Wolfenden
authors.affiliation: Hunter Medical Research Institute, New Lambton Heights, Australia; Faculty of Science and Information Technology, The University of Newcastle, Callaghan, Australia.
authors.forename: Jenny
authors.initials: J
authors.lastname: Bowman
authors.affiliation: Faculty of Health, The University of Newcastle, Callaghan, Australia; Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, Australia; Centre for Translational Neuroscience and Mental Health, Waratah, Australia.
authors.forename: Adrian
authors.initials: A
authors.lastname: Dunlop
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.
authors.forename: Karen
authors.initials: K
authors.lastname: Gillham
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia; Faculty of Science and Information Technology, The University of Newcastle, Callaghan, Australia.
authors.forename: Kate
authors.initials: K
authors.lastname: Bartlem
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Faculty of Health, The University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.
authors.forename: Kathleen
authors.initials: K
authors.lastname: McElwaine
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.
authors.forename: Emma
authors.initials: E
authors.lastname: Doherty
authors.affiliation: Population Health, Hunter New England Local Health District, Wallsend, Australia; Faculty of Health, The University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Wiggers
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003156:Community Mental Health Services / Q000379:methods* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D015995:Prevalence; D011315:Preventive Medicine / Q000379:methods*; D012017:Referral and Consultation; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012907:Smoking / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Community healthcare; Nutritional status; Physical activity; Preventive medicine; Substance abuse treatment centers; Tobacco smoking