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Stigma had an impact on quality of life at the personal and family levels, and this was associated with overall burden. Increased awareness among service providers may decrease the impact of stigma on relatives, but associations need to be examined in larger studies in diverse cultures and treatment settings.

Aim: To test an intervention to improve physical health in patients with psychosis at risk for metabolic syndrome. Method: Three groups of 4-10 patients took part in 14 educational gatherings led by a psychiatric nurse and a physical therapist at an outpatient clinic. Using an experimental action approach, participants identified individual goals and group sessions were designed to help attain their goals. The intervention was based on cognitive and behavioral change methodology and included also components of the Integrated Psychiatry treatment program. BMI, waist measurement and blood pressure were measured at baseline and at 6 and 18 month follow-up. Results: Patients identified improved diet, weight loss, and increased physical activity as prioritized goals. 14 patients completed the entire program and 8 of these (67%) had a lower BMI. A further reduction was seen in 5 persons at the 18 month follow-up but 6 others (43%) had increased BMI. In response to the open-ended evaluation questions, patients reported increased social contact and improved health awareness. Conclusion: An intervention with focus on behavioral change can lead to increased social interaction and greater knowledge of the importance of physical well-being. This can provide a foundation for continued motivational tutoring.