Primary care-based educational interventions to decrease risk factors for metabolic syndrome for adults with major...

Area of Science:

• Clinical Psychology
• Public Health
• Internal Medicine

Background:

• Individuals with major psychotic and/or affective disorders face higher risks of metabolic syndrome.
• Lifestyle and treatment factors contribute to increased metabolic syndrome risk in this population.
• Existing interventions are often in inpatient/outpatient mental health settings.

Purpose of the Study:

• To review primary care-based non-pharmacological interventions for metabolic syndrome risk factors.
• To assess educational or behavioral interventions in primary care for adults with major psychotic/affective disorders.

Main Methods:

• Comprehensive database searches (PsychINFO, MEDLINE, Cochrane).
• Included manual and gray literature searches.
• Focused on primary care-based studies.

Main Results:

• No studies met the inclusion criteria for primary care-based interventions.
• The review could not identify any relevant primary care research.

Conclusions:

• Effectiveness of primary care educational interventions for metabolic syndrome risk could not be demonstrated.
• Effective interventions exist in mental health and other outpatient settings.
• Mental illness prevalence in primary care necessitates similar interventions for improved patient outcomes.