An Intervention with Physical Activity and Lifestyle Counseling Improves Health-Related Quality of Life and Shows Small Improvements in Metabolic Risks in Persons with Psychosis

Wärdig, Rikard; Foldemo, Anniqa; Hultsjö, Sally; Lindström, Torbjörn; Bachrach‐Lindström, Margareta

doi:10.3109/01612840.2015.1092187

Cited by 8 publications

(3 citation statements)

References 53 publications

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“…A recent study indicated that a lifestyle intervention based on group meetings improved the quality of life among patients with psychosis and effected small improvements in metabolic risk factors (Wardig et al . ). In the present study, the MANSA scale used to measure quality of life showed a significant postinterventional improvement of 4 points.…”

Section: Discussionmentioning

confidence: 97%

Educational nurse‐led lifestyle intervention for persons with mental illness

Rönngren

Björk

Audulv

et al. 2017

Int J Mental Health Nurs

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Although persons with severe mental illness face an increased risk of mortality and of developing negative health outcomes, research has shown that lifestyle interventions can sufficiently support their health. In response, this study examined a nurse-led lifestyle intervention developed in cooperation with members of municipal and county councils to gauge its impact on the quality of life, cognitive performance, walking capacity, and body composition of persons with severe mental illness. Lasting 26 weeks and involving 38 persons with severe mental illness, the intervention prioritised two components: the interpersonal relationships of persons with severe mental illness, staff, and group leaders and group education about physical and mental health. Pre-post intervention measurements of quality of life collected with the Manchester Short Assessment of Quality of Life, cognitive performance with the Frontal Systems Behaviour Scale, walking capacity with a 6-min walk test, and body composition in terms of waist circumference and body mass index were analysed using a nonparametric test Wilcoxon signed-rank test. Results suggest that the intervention afforded significant improvements in the health-related variables of quality of life, cognitive performance, walking capacity, and waist circumference for persons with severe mental illness. However, long-term studies with control groups and that examine parameters related to cardiovascular risk factors are essential to ensure the sustained impact of the intervention.

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Section: Discussionmentioning

confidence: 97%

Educational nurse‐led lifestyle intervention for persons with mental illness

Rönngren

Björk

Audulv

et al. 2017

Int J Mental Health Nurs

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“…, Wardig et al . ). However, much more integrated health care is needed to tackle the disparities in physical health between people with and without mental illness (Moore et al .…”

Section: Introductionmentioning

confidence: 97%

‘That red flag on your file’: misinterpreting physical symptoms as mental illness

Happell

Ewart

Bocking

et al. 2016

Journal of Clinical Nursing

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Aims and objectives To ascertain the views and experiences of mental health consumers regarding the availability and quality of care and treatment received for their physical health needs. Background People diagnosed with mental illness have higher occurrence of physical health problems. Responsive health care services are crucial for prevention and management of physical health problems, and for reducing disparities in health between people diagnosed with mental illness and those who are not. There is limited research giving voice to consumer perspectives on their experiences with health care providers. Design Exploratory qualitative. Methods Focus group interviews with mental health consumers accessed via a consumer network group in a region of Australia (n = 31). All interview audio recordings were transcribed professionally. Interviews were thematically analysed. Results The main themes were: symptomising; failure to act and alertness to prejudice. The first two themes were consumer perceptions of the actions and behaviours of health professionals, and the third describes consumer responses to these behaviours and actions. Consumers described increased risks of illness and death because of undiagnosed physical illness despite their physical health advice‐seeking as the reason for the health consultation. Conclusion Health care providers’ non‐recognition of physical health problems presents a clear example of a significant and potentially life threatening health inequity. The service provider responses described by participants suggest that mental health consumers’ physical health needs may not be taken seriously. Relevance to clinical practice Clinicians need to take seriously the physical health needs and concerns of people with mental illness. Nurses can play a crucial role in the prevention of diagnostic overshadowing as part of a broader direction of balancing biomedical perspectives with other approaches to health care.

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“…For example, programs of physical exercise have shown to reduce psychotic symptoms (Beebe et al, 2005;Rimes et al, 2015;Scheewe et al, 2013), depressive symptoms (Acil et al, 2008;Scheewe et al, 2013), anxiety (Wipfli et al, 2008) and stress (Hoffmann et al, 2005) and improved quality of life was found after a nutritional intervention (Evans et al, 2005) and a psycho-educational weight control program (Mauri et al, 2008). However, symptomatic stability or unchanged quality of life were also reported (Ball et al, 2001;Brar et al, 2005;Forsberg et al, 2010;Heggelund et al, 2011;Kwon et al, 2006;Poulin et al, 2007;Wärdig et al, 2016). Drawing firm conclusions about the effect of lifestyle interventions on mental health is complicated due to small sample sizes (Acil et al, 2008;Ball et al, 2001;Beebe et al, 2005;Evans et al, 2004;Forsberg et al, 2010;Heggelund et al, 2011;Kwon et al, 2006;Mauri et al, 2008) or the lack of a control group (Daumit et al, 2011;Hoffmann et al, 2005;Richardson et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Effects of a lifestyle intervention on psychosocial well-being of severe mentally ill residential patients: ELIPS, a cluster randomized controlled pragmatic trial

Stiekema

Looijmans

Meer

et al. 2018

Schizophrenia Research

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Large studies investigating the psychosocial effects of lifestyle interventions in patients with a severe mental illness (SMI) are scarce, especially in residential patients. This large, randomized controlled, multicentre pragmatic trial assessed the psychosocial effects of a combined diet-and-exercise lifestyle intervention targeting the obesogenic environment of SMI residential patients. Twenty-nine sheltered and clinical care teams were randomized into intervention (n=15) or control (n=14) arm. Team tailored diet-and-exercise lifestyle plans were set up to change the obesogenic environment into a healthier setting, and team members were trained in supporting patients to make healthier choices. The control group received care-as-usual. The Calgary Depression Scale for Schizophrenia (CDSS), Positive and Negative Syndrome Scale (PANSS), Health of the Nation Outcome Scales (HoNOS) and the Manchester Short Assessment of Quality of Life (MANSA) were assessed at baseline and after three and twelve months. Data were available for 384 intervention and 386 control patients (48.6±12.5years old, 62.7% males, 73.7% psychotic disorder). Linear mixed model analysis showed no psychosocial improvements in the intervention group compared to care-as-usual; the intervention group showed a slightly reduced quality of life (overall) and a small increase in depressive symptoms (clinical care facilities) and psychotic symptoms (sheltered facilities). This may be due to difficulties with implementation, the intervention not being specifically designed for improvements in mental well-being, or the small change approach, which may take longer to reach an effect. Further research might elucidate what type of lifestyle intervention under what circumstances positively affects psychosocial outcomes in this population.

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An Intervention with Physical Activity and Lifestyle Counseling Improves Health-Related Quality of Life and Shows Small Improvements in Metabolic Risks in Persons with Psychosis

Cited by 8 publications

References 53 publications

Educational nurse‐led lifestyle intervention for persons with mental illness

Educational nurse‐led lifestyle intervention for persons with mental illness

‘That red flag on your file’: misinterpreting physical symptoms as mental illness

Effects of a lifestyle intervention on psychosocial well-being of severe mentally ill residential patients: ELIPS, a cluster randomized controlled pragmatic trial

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