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Outcome of a psycho...
Outcome of a psychosocial health promotion intervention aimed at improving physical health and reducing alcohol use in patients with schizophrenia and psychotic disorders (MINT)
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- Westman, Jeanette (author)
- Karolinska Institutet
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- Eberhard, Jonas (author)
- Lund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskningsenheten: svårbehandlade psykiatriska tillstånd,Forskargrupper vid Lunds universitet,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Severe Mental Illness research unit,Lund University Research Groups,King's College London
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- Gaughran, Fiona P. (author)
- King's College London
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- Lundin, Lennart (author)
- Sahlgrenska University Hospital
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- Stenmark, Richard (author)
- Lund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Edman, Gunnar (author)
- Karolinska Institutet,Danderyd Hospital
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- Eriksson, Sven V. (author)
- Enköping Hospital
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- Jedenius, Erik (author)
- Karolinska Institutet,Lund University
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- Rydell, Pia (author)
- Sahlgrenska University Hospital
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- Overgaard, Karin (author)
- Sahlgrenska University Hospital
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- Abrams, Daniel (author)
- Sahlgrenska University Hospital
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- Greenwood, Kathryn E. (author)
- University of Sussex,Great Ormond Street Hospital
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- Smith, Shubulade (author)
- South London and Maudsley NHS Foundation Trust,King's College London
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- Ismail, Khalida (author)
- King's College London
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- Murray, Robin (author)
- King's College London,South London and Maudsley NHS Foundation Trust
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- Ösby, Urban (author)
- Karolinska Institutet,Karolinska University Hospital
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(creator_code:org_t)
- Elsevier BV, 2019
- 2019
- English.
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In: Schizophrenia Research. - : Elsevier BV. - 0920-9964 .- 1573-2509. ; 208, s. 138-144
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http://sro.sussex.ac...
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Abstract
Subject headings
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- Background: Life expectancy is reduced by 19 years in men and 17 in women with psychosis in Sweden, largely due to cardiovascular disease. Aim: Assess whether a psychosocial health promotion intervention improves cardiometabolic risk factors, quality of life, and severity of illness in patients with psychotic disorders more than treatment as usual. Methods: A pragmatic intervention trial testing a manual-based multi-component health promotion intervention targeting patients with psychosis. The Swedish intervention was adapted from IMPaCT therapy, a health-promotion program based on motivational interviewing and cognitive behavioral therapy, designed to be incorporated into routine care. The intervention group consisted of 119 patients and the control group of 570 patients from specialized psychosis departments. Outcome variables were assessed 6 months before intervention during the run-in period, again at the start of intervention, and 12 months after the intervention began. The control group received treatment as usual. Results: The intervention had no significant effect on any of the outcome variables. However, BMI, waist circumference, systolic BP, heart rate, HbA1c, general health, and Clinical Global Impressions Scale score improved significantly during the run-in period before the start of the active intervention (observer effect). The multi-component design meant that treatment effects could only be calculated for the intervention as a whole. Conclusion: The results of the intervention are similar to those of the U.K. IMPaCT study, in which the modular health-promotion intervention had little effect on cardiovascular risk indicators. However, in the current study, the run-in period had a positive effect on cardiometabolic risk factors.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Cardiovascular risk factors
- Lifestyle intervention
- Mental health
- Psychiatric care
- Psychosis
- Run-in period
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Westman, Jeanett ...
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Eberhard, Jonas
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Gaughran, Fiona ...
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Lundin, Lennart
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Stenmark, Richar ...
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Edman, Gunnar
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show more...
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Eriksson, Sven V ...
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Jedenius, Erik
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Rydell, Pia
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Overgaard, Karin
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Abrams, Daniel
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Greenwood, Kathr ...
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Smith, Shubulade
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Ismail, Khalida
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Murray, Robin
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Ösby, Urban
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Psychiatry
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
- Articles in the publication
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Schizophrenia Re ...
- By the university
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Lund University
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Karolinska Institutet