Improving diabetes care among patients with severe mental illness: A systematic review of the effect of interventions

Grøn, A.O.; Dalsgaard, Else-Marie; Ribe, Anette Riisgaard; Seidu, Samuel; Mora, Gustavo; Cebrián-Cuenca, Ana M; Charles, Morten

doi:10.1016/j.pcd.2018.03.008

Cited by 14 publications

(35 citation statements)

References 28 publications

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“…Meanwhile, inpatients who were widowed had higher prevalence for T2DM; this might be due to the lack of social support from a spouse. Previous studies have shown that adults with SMI have inadequate knowledge of diabetes and have poor self-care practices, which may be a result of cognitive challenges, poor communication and compliance difficulties 20 21. Our results indicated that mental health providers play an integral role in the care of adult psychiatric inpatients, particularly elderly inpatients and those with limited family support.…”

Section: Discussionmentioning

confidence: 65%

Prevalence and major risk factors of type 2 diabetes mellitus among adult psychiatric inpatients from 2005 to 2018 in Beijing, China: a longitudinal observational study

Yang

Liu

et al. 2020

BMJ Open Diab Res Care

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ObjectiveWe aim to investigate the prevalence, trends, and major risk factors of type 2 diabetes mellitus (T2DM) among adult psychiatric inpatients in Beijing, China.Research design and methodsWe did a longitudinal observational study using data from the Beijing Municipal Commission of Health and Family Planning Information Center, including 157 570 adult psychiatric inpatients in 19 specialized psychiatric hospitals from 2005 to 2018 in Beijing. Data on demographic characteristics and antipsychotic medication use were obtained from electronic health records. Schizophrenia, T2DM, and comorbidities were defined according to the International Classification of Diseases, 10th revision codes of discharge diagnosis. The overall prevalence of T2DM in adult psychiatric inpatients was calculated, and the annual prevalence of T2DM was calculated and adjusted to the overall participant population. Univariate and multivariate logistic regression analyses were performed to obtain crude ORs and adjusted ORs (aORs) on the risk of T2DM in patients with different demographic characteristics, schizophrenia, antipsychotic medication use, and different comorbidities. Age-specific prevalence of T2DM under a stratification of schizophrenia or other psychiatric disorders was calculated in the subgroup analysis.ResultsOut of 157 570 adult inpatients, 16 939 had T2DM, with a prevalence of 10.75% (95% CI 10.60% to 10.90%). The prevalence was 11.63% (95% CI 11.37% to 11.88%) among patients with schizophrenia and 10.17% (95% CI 9.98% to 10.37%) among patients with other psychiatric disorders. During 2005–2018, the prevalence of T2DM in adult patients increased over the years, from an adjusted prevalence of 5.20% in 2005, to 10.98% in 2010, 12.50% in 2015, and 12.71% in 2018. Results from the multivariate analysis showed that increasing age, diagnosis of schizophrenia (aOR=1.23, 95% CI 1.18 to 1.29), and comorbidities of hypertension (aOR=3.09, 95% CI 2.97 to 3.22), lipid disorders (aOR=1.95, 95% CI 1.88 to 2.04), and fatty liver (aOR=1.93, 95% CI 1.84 to 2.03) were major risk factors of T2DM in adult psychiatric inpatients.ConclusionsThe prevalence of T2DM was high among adult psychiatric inpatients in Beijing, China. Elderly patients, those with schizophrenia, and those with hypertension, lipid disorders, and fatty liver had higher prevalence of T2DM. Prevention and treatment of T2DM are of utmost relevance in hospitalized psychiatric patients.

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Section: Discussionmentioning

confidence: 65%

Prevalence and major risk factors of type 2 diabetes mellitus among adult psychiatric inpatients from 2005 to 2018 in Beijing, China: a longitudinal observational study

Yang

Liu

et al. 2020

BMJ Open Diab Res Care

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“…This study showed that glycaemic control impacted the severity of depression due to the increasing distress related to keeping diabetes under control [14]. c, fasting plasma glucose, body mass index and weight, was effective in preventing poor control and further deterioration [13].…”

Section: Review Findingsmentioning

confidence: 84%

“…Gron carried out a systematic review on improving diabetes care in patients with severe mental illness [13]. The authors stated that a non-pharmacological approach in patients with mental illness using exercise, nutrition, counseling, behavior modeling and increased disease awareness to reduce HbA c in diabetic patients with mental illness through managing mental illness as a modifiable risk factor.…”

Section: Review Findingsmentioning

confidence: 99%

A Service Improvement Opportunity for Pharmacist Independent Prescribers? A Literature Review Examining the Relationship Between Poor Diabetes Control and the Co-Existence of Mental Health Issues

Bibi

Morrissey

Ball

2019

Int J Curr Pharm Sci

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Diabetes and mental illness are clinically managed by diverse pathways. However, an association between the two has been observed and evidence is growing that when poorly addressed, therapy adherence is low and outcomes are poor. To date, no intervention has been shown to provide sustained improvements in adherence, outcome, quality of life or provider cost savings. This literature review was undertaken as a foundation to a research project to examine whether there is an opportunity for current independent prescriber pharmacists, with or without further training, could as part of a primary care team, contribute their expertise to achieving better and sustainable outcomes for these conditions, where current treatment models are heavily medication-dependent. It reinforces the idea that these conditions are interlinked but by poorly understood mechanisms and suggests that a new approach is required in order to improve outcomes for this complex patient group.

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“…However, there are various definitions of ways to involve service users' own treatment choice in healthcare planning (e.g. user participation as a cooperation to understand information, or the participant as partner) to improve healthcare outcomes and enhance quality in life, 22 also for people living with diabetes and severe mental illness 23 . Despite the call for collaboration between physical and mental healthcare sectors, many chronic care management interventions continue to focus on a single condition, even though service users' self‐management decreases as the number of conditions increases 24 .…”

Section: Introductionmentioning

confidence: 99%

Interventions involving own treatment choice for people living with coexisting severe mental illness and type 1 or 2 diabetes: A scoping review

et al. 2021

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Aim The objective of this scoping review was to summarize, understand and provide an overview of the empirical literature on interventions involving own treatment choice for people with coexisting diabetes (type 1 and 2) and severe mental illness (SMI). Methods This scoping review undertook a systematic literature assessment. Searches were performed in MEDLINE, Embase, PsycINFO, Web of Science, CINAHL, the Cochrane Library and grey literature (OpenGrey, Google Scholar and Danish Health and Medicine Authority databases). Publications from 2000 to July 2020 were of interest. Studies were included if they involved the users’ own choice of treatment. Included studies: RCT, intervention, cohort and case‐based studies. Results A total of 4320 articles were screened, of which nine were included. The review identified eight studies from the United States and one from Canada testing different interventions for people with SMI and diabetes (one diabetes education program, five randomized controlled trials, one retrospective cohort study, one naturalistic intervention program and one case vignette). The interventions described in the nine articles involved service users, the majority incorporated individualized healthcare plans, and all interventions were based on multidisciplinary teamwork. Conclusions Research in the area is limited. Care management interventions tend to focus on a single condition, paradoxically excluding SMI during enrolment. Interventions aimed at people with both conditions often prioritize one condition treatment leading to an unbalanced care.

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Improving diabetes care among patients with severe mental illness: A systematic review of the effect of interventions

Cited by 14 publications

References 28 publications

Prevalence and major risk factors of type 2 diabetes mellitus among adult psychiatric inpatients from 2005 to 2018 in Beijing, China: a longitudinal observational study

Prevalence and major risk factors of type 2 diabetes mellitus among adult psychiatric inpatients from 2005 to 2018 in Beijing, China: a longitudinal observational study

A Service Improvement Opportunity for Pharmacist Independent Prescribers? A Literature Review Examining the Relationship Between Poor Diabetes Control and the Co-Existence of Mental Health Issues

Interventions involving own treatment choice for people living with coexisting severe mental illness and type 1 or 2 diabetes: A scoping review

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