Pilot study of the efficacy of an educational programme to reduce weight, on overweight and obese patients with chronic stable schizophrenia.

Hospital Valle del Nalon Langreo, Asturias, Spain.
Journal of Psychiatric and Mental Health Nursing (Impact Factor: 0.98). 11/2010; 17(9):849-51. DOI: 10.1111/j.1365-2850.2010.01590.x
Source: PubMed
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Available from: Celso Iglesias-García, Aug 14, 2015
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    ABSTRACT: ACCESSIBLE SUMMARY: The poor physical health of people with serious mental illness presents a long-term public health issue that mental healthcare services, and their most representative group (nurses), can help address. For purposes of long-term planning in increasing the role of nurses in physical healthcare within mental healthcare services a systematic review was conducted of services and programmes where nurses conduct physical healthcare (such as physical health checks and health education). The most common types of physical healthcare represented in the literature were health education, screening, lifestyle programme delivery and co-ordination of care. Although evaluation of the programmes reviewed were all at a preliminary stage, they consistently demonstrated health benefits for consumers. ABSTRACT: People with serious mental illness have higher rates of physical illness and are more likely to experience premature death than the general population. Nurse-led strategies to improve physical healthcare in mental healthcare services could potentially reduce these inequalities. However the extent of nurse involvement in physical healthcare (such as physical risk screening, health education and care co-ordination) in mental health settings is not known. A systematic review was conducted on nurse-led physical healthcare reported for consumers with serious mental illness (SMI) in mental health services, and their benefits. Electronic literature bases (CINAHL, Proquest, PsychINFO and Web of Science) were systematically searched, in conjunction with a manual search of literature reviews on physical healthcare in mental health services. Articles were included if they: (a) were published in the last 10 years; (b) were English language; (c) involved physical healthcare of adult consumers receiving mental healthcare services; and (d) reported nurse involvement in physical healthcare. Forty articles were included in the review. The distribution of types of care were: health education (47%), screening and/or monitoring (33.3%), care co-ordination and management (33.3%), lifestyle programme delivery (30.5%), follow-up actions to screening results (25%) and registers and data administration (5.5%). Overall, the evaluation of nurse-based physical healthcare is in early stages. Thus far, they appear to have positive implications for consumers with SMI.
    Journal of Psychiatric and Mental Health Nursing 02/2013; DOI:10.1111/jpm.12041 · 0.98 Impact Factor
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    ABSTRACT: Objective To present a systematic review of the evaluation of randomized interventions directed toward improving somatic health for patients with severe mental illness (SMI). MethodA systematic search in PubMed, Embase, Cinahl, and PsycInfo was performed. The scope of the search was prospective studies for patients aged 18-70, published from January 2000 till June 2011. Randomized interventions directed toward improving somatic health for patients with SMI were selected. We excluded studies on elderly, children, and studies performed before 2000. Information on population, type of intervention, follow-up, outcome measures, and on authors' conclusions were drawn from the original articles. ResultsTwenty-two original studies were included, presenting four types of interventions: health education (n=9), exercise (n=6), smoking cessation (n=5), and changes in health care organization (n=2). To evaluate the effect of these studies 93 different outcome measures were used in 16 categories. Conclusion Many interventions directed toward improving somatic health for patients with SMI have been started. These studies did not apply similar evaluations, and did not use uniform outcome measures of the effect of their interventions. Valuable comparisons on effectiveness are therefore almost impossible.
    Acta Psychiatrica Scandinavica 02/2013; 128(4). DOI:10.1111/acps.12096 · 5.55 Impact Factor
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    ABSTRACT: OBJECTIVE The objective of this study was to evaluate the effectiveness of a fitness health mentor program (In SHAPE) in improving physical fitness and weight loss among overweight and obese adults with serious mental illness. METHODS A randomized controlled trial was conducted with 133 persons with serious mental illness and a body mass index (BMI) >25 who were assigned either to the In SHAPE program (one year of weekly sessions with a fitness trainer plus a fitness club membership) or to one year of fitness club membership and education. Assessments were conducted at baseline and three, six, nine, and 12 months later. RESULTS Participants had a mean baseline weight of 231.8±54.8 pounds and a mean BMI of 37.6±8.2. At 12-month follow-up, In SHAPE (N=67) compared with fitness club membership and education (N=66) was associated with three times greater fitness club attendance, twice as much participation in physical exercise, greater engagement in vigorous physical activity, and improvement in diet. Twice the proportion of participants (40% versus 20%) achieved clinically significant improvement in cardiorespiratory fitness (>50 m on the six-minute walk test). Weight loss and BMI did not differ between groups. Among In SHAPE participants, 49% achieved either clinically significant increased fitness or weight loss (5% or greater), and 24% achieved both clinically significant improved fitness and weight loss. CONCLUSIONS The In SHAPE program achieved clinically significant reduction in cardiovascular risk for almost one-half of participants at 12 months. Although the intervention showed promise in improving fitness, optimizing weight loss may require additional intensive, multicomponent dietary interventions.
    Psychiatric services (Washington, D.C.) 05/2013; 64(8). DOI:10.1176/ · 1.99 Impact Factor
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