Integrated Care

The study findings support calls for integrated care rather than fragmented, single-condition services, as physical and mental symptoms reinforced each other and accessing multiple services added burdens. Intervention preference is particularly important for people with MLTCs because their choices are shaped by physical capability and perceived manageability of the modality. Researchers should collect comprehensive data on both mental and physical diagnoses in mental health studies, and trial procedures should account for mobility, fatigue, pain, transport, and venue accessibility. Future research should develop co-produced guidelines with service users to improve accessibility and engagement in community interventions for people with MLTCs.