Supporting Staff To Address the Physical Health of Consumers in Mental Healthcare Settings: A Modified Nominal Group Technique
Hu, Di, Stewart, Victoria, Wheeler, Amanda J., Lau, Geoffrey, Chatterton, Mary Lou, Johnston, Donni, Klotz, Paul G., Korman, Nicole, Lederman, Oscar, Manger, Sam, McCarthy, Irene, McKeon, Grace, Plever, Sally, Rebar, Amanda L., Roberts, Russell, Rosenbaum, Simon, Sherlock, Puspa, Somerville, Jennie, Suetani, Shuichi, Teasdale, Scott, Ward, Philip, Watkins, Andrew, and Chapman, Justin (2026) Supporting Staff To Address the Physical Health of Consumers in Mental Healthcare Settings: A Modified Nominal Group Technique. Community Mental Health Journal, 62. pp. 998-1009.
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Abstract
Mental health consumers experience challenges in accessing regular physical healthcare. Staff working in mental health settings are well-positioned to address the issue; however, they often face significant barriers in delivering physical healthcare. The primary aim of this study was to identify important factors that support mental health staff to address the physical health of consumers; the secondary aim was to evaluate the utility of using a modified nominal group technique (NGT). Four main methodological modifications to standard NGT methods were made: (i) theoretical models (COM-B and Theoretical Domains Framework) were used to frame the NGT process, (ii) idea generation and ranking steps were conducted outside NGT sessions, (iii) both in-person and online groups were offered, and (iv) participants contributed to interpretation and dissemination of the findings. Individuals with expertise in the mental health sector participated in one of two NGT sessions, either in-person (n=13) or online (n=8). Considering Australian public mental health services, participants responded to the question: “What is needed for staff to optimally address physical health within their role?”. Additionally, participant experiences and acceptability of this modified NGT process were evaluated through follow-up interviews (n=6). A total of 55 concepts were generated within COM-B components: capability (n=18), opportunity (n=26), and motivation (n=11). Highest-ranking key concepts were awareness (capability), leadership support (opportunity), and beliefs (motivation). Qualitative data indicated that the modified NGT method was effective, particularly when using a framework to guide ideas generation; however, the additional time commitment may reduce feasibility.
| Item ID: | 91829 |
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| Item Type: | Article (Refereed Research - C1) |
| ISSN: | 1573-2789 |
| Keywords: | Mental health, Nominal Group Technique (NGT), Physical healthcare, Quality Improvement (QI), Service improvement, Theoretical Domains Framework (TDF) |
| Copyright Information: | © The Author(s) 2026. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Date Deposited: | 27 Aug 2026 05:10 |
| FoR Codes: | 42 HEALTH SCIENCES > 4203 Health services and systems > 420313 Mental health services @ 100% |
| SEO Codes: | 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health @ 100% |
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