Primary care-based educational interventions to decrease risk factors for metabolic syndrome for adults with major psychotic and/or affective disorders: a systematic review

Nover, Cynthia H; Jackson, Sarah

doi:10.1186/2046-4053-2-116

Cited by 16 publications

(10 citation statements)

References 70 publications

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“…Future studies should therefore consider including quality assurance checklists to enable effectiveness claims (Nover and Jackson, 2013). However, other designs such as single case experimental designs are an option as well at this stage (Kazdin, 2011) Another limitation of the current studies is the absence of questionnaires that reliably assess dietary habits and physical activity possibly due to the lack of availably validated and standardized batteries collecting such measures (Janney et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review

Bauer

Gálvez

Hamilton

et al. 2016

Journal of Psychiatric Research

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Background Bipolar disorder (BD) is a serious mental illness associated with a high risk of medical comorbidities, long-term disability and premature death. This systematic review examined the current literature on therapeutic interventions targeting nutrition and physical activity in BD and collecting health-related measures such as mood and course of illness. Methods Scopus (all databases), Pubmed and Ovid Medline were systematically searched with no language or year restrictions, up to June 2015, for studies focusing on lifestyle interventions in BD. Search terms were related to bipolar disorder, nutrition, physical activity, wellbeing, psychosocial interventions and course of illness. We hand searched content pages of Bipolar Disorders and Journal of Affective Disorders and checked references of relevant reviews and dissertations to identify additional papers. Results After applying inclusion and exclusion criteria to identified hits, this literature search retrieved six papers. Overall findings point towards a beneficial role of lifestyle interventions on mood, weight, blood pressure, lipid profile, physical activity and overall wellbeing. Methodological limitations include small sample size, gender ratio imbalance, inconsistencies in terms of laboratory measures, and lack of randomized control trials and absence of follow-up and longitudinal studies to determine the benefits of these factors on clinical and functional outcomes over time Conclusions Lifestyle interventions in BD targeting nutrition, exercise, wellbeing alongside beliefs, coping strategies and attitudes towards health show promise in reducing the risk of comorbid ailments in BD. There is still a strong need for studies a) developing interventions which are informed by the patient’s input and b) examining the effectiveness of such interventions targeting general wellness using well-controlled trials.

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Section: Discussionmentioning

confidence: 99%

Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review

Bauer

Gálvez

Hamilton

et al. 2016

Journal of Psychiatric Research

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“…Unfortunately, other studies have also shown that simple educational interventions may not be sufficient to modify adherence behavior. [49][50][51] Lastly, we examined adherence to antiplatelet therapy at 12 months, since that is standard recommendation after a DES. However, expert opinion and guidelines, as well as the appropriate length of use of such medications continue to evolve.…”

Section: Discussionmentioning

confidence: 99%

Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial

et al. 2014

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BACKGROUND:Minorities have lower adherence to cardiovascular medications and have worst cardiovascular outcomes post coronary stent placement OBJECTIVE: The aim of this study is to compare the efficacy of phone-delivered Motivational Interviewing (MINT) to an educational video at improving adherence to antiplatelet medications among insured minorities. DESIGN: This was a randomized study. PARTICIPANTS: We identified minorities with a recently placed coronary stent from an administrative data set by using a previously validated algorithm. INTERVENTIONS: MINT subjects received quarterly phone calls and the DVD group received a one-time mailed video. MAIN MEASURES: Outcome variables were collected at baseline and at 12-month post-stent, using surveys and administrative data. The primary outcome was antiplatelet (clopidogrel and prasugrel) adherence measured by Medication Possession Ratio (MPR) and self-reported adherence (Morisky score). We also measured appropriate adherence defined as an MPR ≥ 0.80. KEY RESULTS: We recruited 452 minority subjects with a new coronary stent (44 % Hispanics and 56 % Black). The patients had a mean age of 69.5±8.8, 58 % were males, 78 % had an income lower than $30,000 per year and only 22 % had achieved high school education or higher. The MPR for antiplatelet medications was 0.77 for the MINT group compared to 0.70 for the DVD group (p<0.05). The percentage of subjects with adequate adherence to their antiplatelet medication was 64 % in the MINT group and 50 % in the DVD group (p<0.01). Self-reported adherence at 12 months was higher in the MINT group compared to the DVD group (p<0.01). Results were similar among drug-eluting stent (DES) recipients. CONCLUSIONS: Among racial minorities, a phone-based motivational interview is effective at improving adherence to antiplatelet medications post coronary stent placement. Phone-based MINT seems to be a promising and cost-effective strategy to modify risk behaviors among minority populations at high cardiovascular risk. BACKGROUNDThe safe use of coronary stents requires the daily use of thienopyridines for 3 to 12 months after percutaneous coronary intervention (PCI). 1 The premature discontinuation of these medications 1 is associated with an increased risk of instent thrombosis, cardiovascular events and death. 2-6 Unfortunately, lack of medication adherence is common and is associated with significant health care costs and mortality. 7,8 Vulnerable groups such as racial minorities and the elderly have a higher risk of poor adherence. 5,6,9,10 In the case of antiplateletet medications, blacks are more likely to not receive a clopidogrel prescription 11 or to not fill it after PCI. Further, our prior analyses of insurer claims data showed that minority populations were less adherent to antiplatelet medications post drug-eluting stent (DES) placement. 12 The lack of appropriate use of evidence-based therapies after PCI may partially contribute to the excess morbidity and mortality reported among minorities. 13,14,6 The improvement of med...

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“…Less is known about impacts of leptin on other psychiatric disorders, although metabolic dysfunction is not uncommon in many psychiatric disorders [151][152][153]. Several studies have identified a role for leptin in antipsychotic-related weight gain [154][155][156][157][158][159][160][161][162][163][164].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Leptin and the brain: Influences on brain development, cognitive functioning and psychiatric disorders

2015

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Primary care-based educational interventions to decrease risk factors for metabolic syndrome for adults with major psychotic and/or affective disorders: a systematic review

Cited by 16 publications

References 70 publications

Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review

Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review

Can Phone-Based Motivational Interviewing Improve Medication Adherence to Antiplatelet Medications After a Coronary Stent Among Racial Minorities? A Randomized Trial

Leptin and the brain: Influences on brain development, cognitive functioning and psychiatric disorders

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