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Need for Cardiovascular Risk Reduction in Persons With Serious Mental Illness: Design of a Comprehensive Intervention

Arlene T Dalcin1, Gerald J Jerome2, Lawrence J Appel1

  • 1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

Frontiers in Psychiatry
|February 26, 2019
PubMed

Insights

Individuals with serious mental illness (SMI) face double the risk of cardiovascular disease (CVD) mortality. This study tests a new intervention to reduce CVD risk factors in this high-risk population.

Area of Science:

  • Public Health
  • Cardiology
  • Psychiatry

Background:

  • Individuals with serious mental illness (SMI) have double the cardiovascular disease (CVD) mortality rate compared to the general population.
  • Elevated CVD risk behaviors and factors are prevalent in persons with SMI.
  • Current integrated care models show limited success in reducing CVD risk in this population.

Purpose of the Study:

  • To design and study a comprehensive 18-month intervention to decrease CVD risk in individuals with SMI.
  • To address the significant burden of CVD risk in populations with SMI through innovative approaches.

Main Methods:

  • A randomized clinical trial is being conducted within a community mental health organization.
  • The intervention involves health behavior coaching and care coordination/management delivered by a health coach and nurse.
  • The intervention targets all seven modifiable CVD risk behaviors and risk factors.

Main Results:

  • This section will report findings from the randomized clinical trial on CVD risk reduction.
  • Data analysis will determine the intervention's effectiveness in improving physical health outcomes for persons with SMI.

Conclusions:

  • Innovative, rigorously tested interventions are needed to mitigate CVD risk in persons with SMI.
  • If successful, this intervention could be integrated into existing care models to improve physical health outcomes.

Keywords:
behavioral coachingcardiovascular riskcare coordinationinterventionserious mental disorder

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