Exploring the Economic Implications of a Group-Based Lifestyle Intervention for Middle-Aged Adults with Chronic Schizophrenia and Co-Morbid Type 2 Diabetes

Park, AL a

doi:10.4172/2155-6156.1000366

Cited by 5 publications

(16 citation statements)

References 23 publications

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“…Table 1 summarises the characteristics of the nine included studies. All included studies were conducted in high-income countries: the UK (4/9, 44.4%), 12,13,37,38 the USA (2/9, 22.2%), 39,40 The Netherlands (2/9, 22.2%) 41,42 and Belgium (1/9, 11.1%). 43 The settings of the interventions were community mental health services (5/9, 55.6%), [37][38][39][40][41] primary care (2/9, 22.2%), 12,13 a sheltered housing organisation (1/9, 11.1%) 43 and in-patient care (1/9, 11.1%).…”

Section: Study Descriptionmentioning

confidence: 99%

“…All included studies were conducted in high-income countries: the UK (4/9, 44.4%), 12,13,37,38 the USA (2/9, 22.2%), 39,40 The Netherlands (2/9, 22.2%) 41,42 and Belgium (1/9, 11.1%). 43 The settings of the interventions were community mental health services (5/9, 55.6%), [37][38][39][40][41] primary care (2/9, 22.2%), 12,13 a sheltered housing organisation (1/9, 11.1%) 43 and in-patient care (1/9, 11.1%). 42 Regarding the population, all included studies recruited people with a mixed diagnosis of mental disorders except Park, 12 which recruited only people with schizophrenia and comorbid type 2 diabetes mellitus.…”

Section: Study Descriptionmentioning

confidence: 99%

“…43 The settings of the interventions were community mental health services (5/9, 55.6%), [37][38][39][40][41] primary care (2/9, 22.2%), 12,13 a sheltered housing organisation (1/9, 11.1%) 43 and in-patient care (1/9, 11.1%). 42 Regarding the population, all included studies recruited people with a mixed diagnosis of mental disorders except Park, 12 which recruited only people with schizophrenia and comorbid type 2 diabetes mellitus. People with schizophrenia were included in all nine studies, whereas people with bipolar disorder were included in six studies.…”

Section: Study Descriptionmentioning

confidence: 99%

“…The PAI component within the multicomponent lifestyle intervention varied greatly, including group or individual aerobic exercises, low to medium intensity exercises, walking, running, yoga, biking and indoor team sport to achieve and maintain weight loss. Various time horizons were used by the included studies: 6 months (1/9, 11.1%), 12 12 months (3/9, 33.3%), 13,37,41 15 months (1/9, 11.1%), 38 18 months (2/9, 22.2%), 40,42 24 months (1/9, 11.1%) 39 and 20 years (1/9, 11.1%). 43 The types of economic evaluation adopted by included studies were cost-utility analysis (CUA) (8/9, 88.9%), and cost-effectiveness analysis (CEA) excluding CUA (1/9, 11.1%).…”

Section: Study Descriptionmentioning

confidence: 99%

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Cost-effectiveness analysis of physical activity interventions for people with schizophrenia or bipolar disorder: systematic review

2023

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BackgroundClinical guidelines recommend providing physical activity interventions (PAIs) to people with schizophrenia or bipolar disorder for weight management. However, the cost-effectiveness of PAIs is unknown.AimsTo evaluate the availability and methodological quality of economic evaluations of PAIs for people with schizophrenia or bipolar disorder.MethodFour databases (MEDLINE, Embase, PsycInfo and Scopus) were searched on 5 July 2022. Based on the retrieved studies, forward and backward citation searches were conducted. Two reviewers independently selected studies for inclusion. Study quality was assessed using the Drummond checklist. Review results were presented using narrative synthesis.ResultsFourteen articles reporting nine studies were included. All included studies assessed PAIs within a multicomponent lifestyle intervention. Mixed findings were reported on the cost-effectiveness of multicomponent lifestyle intervention: three studies reported it as cost-effective; four studies reported it as not cost-effective; and two studies did not conclude whether it was cost-effective or not. Very limited evidence suggests that certain patient subgroups might be more likely to benefit from multicomponent lifestyle interventions with a PAI component: men; individuals with comorbid type 2 diabetes; and individuals who have been psychiatric hospital in-patients for ≥1 year. The quality of included studies ranged from moderate to high.ConclusionsThe current economic evidence suggests that not all modalities of multicomponent lifestyle intervention including a PAI component are cost-effective for people with schizophrenia or bipolar disorder; and not all people with schizophrenia or bipolar disorder would benefit equally from the intervention. Future research is urgently needed to identify the cost-effective modality of PAI for different patient subgroups.

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Section: Study Descriptionmentioning

confidence: 99%

Section: Study Descriptionmentioning

confidence: 99%

Section: Study Descriptionmentioning

confidence: 99%

Section: Study Descriptionmentioning

confidence: 99%

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Cost-effectiveness analysis of physical activity interventions for people with schizophrenia or bipolar disorder: systematic review

2023

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“…Reasons for lack of implementation include the lack of healthcare professionals who can provide one-to-one training and lack of financial support [15,16]. Group-based intervention is acknowledged as a useful tool in the field of health promotion, and it provides an economical and potentially scalable way to implement PFMT [17]. Additionally, this type of intervention is reported to increase individuals' adherence and motivation by gaining peer support from the other participants in the group, which may have a positive impact on encouraging active self-management in the long term [18].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of group-based pelvic floor muscle training in preventing and treating urinary incontinence for antenatal and postnatal women: a systematic review

et al. 2021

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Introduction and hypothesis Urinary incontinence (UI) is prevalent in antenatal and postnatal women. Pelvic floor muscle training (PFMT) is the first-line treatment for UI. Group-based PFMT provides a way for professionals to deliver this intervention to more women who need to prevent and/or treat UI. This review aims to (1) assess the effectiveness of group-based PFMT in preventing and treating UI in antenatal and postnatal women and (2) explore the characteristics of group-based intervention and factors which had an impact on the success of group-based PFMT. Methods Randomized controlled trials (RCTs) were included in this review. A comprehensive search was conducted in PubMed, Embase, Medline, PsycINFO, Maternity and Infant Care Database, CINAHL, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, VIP Database and Wanfang Database. The overall quality was assessed using Grading of Recommendations, Assessment, Development and Evaluations (GRADE). RCTs which included pregnant and/or postnatal women with or without UI investigating the effectiveness of group-based PFMT were included. Results Five RCTs were included in this review. The overall quality of the results of the included studies was low. Delivering group-based PFMT during pregnancy significantly reduced the prevalence of UI in both the pregnant period [risk ratio (RR) = 0.67, 95% confidence interval (CI) 0.57 to 0.80, P < 0.00001] and the postnatal period [RR = 0.66, 95% CI 0.52 to 0.84, P = 0.0008]. Only one RCT delivered group-based PFMT during the postnatal period. Conclusion Evidence of weak quality supports the effectiveness of undertaking group-based PFMT in pregnancy to prevent UI during pregnancy and the postnatal period. No evidence showed the effectiveness of undertaking group-based PFMT in the postnatal period.

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Brown

Thorsteinsson

2019

Comorbidity

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Exploring the Economic Implications of a Group-Based Lifestyle Intervention for Middle-Aged Adults with Chronic Schizophrenia and Co-Morbid Type 2 Diabetes

Cited by 5 publications

References 23 publications

Cost-effectiveness analysis of physical activity interventions for people with schizophrenia or bipolar disorder: systematic review

Cost-effectiveness analysis of physical activity interventions for people with schizophrenia or bipolar disorder: systematic review

The effectiveness of group-based pelvic floor muscle training in preventing and treating urinary incontinence for antenatal and postnatal women: a systematic review

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