Using motivational techniques to reduce cardiometabolic risk factors in long term psychiatric inpatients: a naturalistic interventional study
Open accessAbstract
BACKGROUND: People with severe mental illness have markedly reduced life expectancy; cardiometabolic disease is a major cause. Psychiatric hospital inpatients have elevated levels of cardiometabolic risk factors and are to a high degree dependent of the routines and facilities of the institutions. Studies of lifestyle interventions to reduce cardiometabolic risk in psychiatric inpatients are few. The current study aimed at assessing the feasibility and effects of a lifestyle intervention including Motivational Interviewing (MI) on physical activity levels, cardiometabolic risk status and mental health status in psychotic disorder inpatients. METHODS: Prospective naturalistic intervention study of 83 patients at long term inpatient psychosis treatment wards in South-Eastern Norway. Patients were assessed 3-6 months prior to, at start and 6 months after a life-style intervention program including training of staff in MI, simple changes in routines and improvements of facilities for physical exercise. Assessments were done by clinical staff and included level of physical activity, motivation, life satisfaction, symptom levels (MADRS, AES-C, PANSS, and GAF) as well as anthropometric and biochemical markers of cardiometabolic risk. A mixed model was applied to analyze change over time. RESULTS: A total of 88% of patients received MI interventions, with a mean of 2.5 MI interventions per week per patient. The physical activity level was not increased, but activity level was positively associated with motivation and negatively associated with positive symptoms. Triglyceride levels and number of smokers were significantly reduced and a significant decrease in symptom levels was observed. CONCLUSIONS: The current results suggest that a simple, low cost life-style intervention program focusing on motivational change is feasible and may reduce symptoms and improve lifestyle habits in psychosis patients in long term treatment facilities. Similar programs may easily be implemented in other psychiatric hospitals. TRIAL REGISTRATION: ClinicalTrials.gov . NCT03528278 , date of registration: 05/16/2018 (retrospectively registered).
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Similar results were found in recent published studies and a relationship was found between exercise interventions and healthy lifestyles acquisition.
“Similar results were found in recent published studies72–74 and additionally, was found a relationship between exercise interventions and healthy lifestyles acquisition74”
From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [73]
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Occupational therapy interventions for adults with severe mental illness: a scoping review
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- Authors
- Ringen, P. A., Falk, R. S., Antonsen, B., Faerden, A., Mamen, A., Rognli, E. B., Solberg, D. K., Martinsen, E. W., & Andreassen, O. A.
- Affiliations
- Oslo University Hospital (NO)
- Lovisenberg Diakonale Sykehus (NO)
- Høyskolen Kristiania (NO)
- Diakonhjemmet Hospital (NO)
- Corresponding author
- Ringen, Petter Andreas
- ORCID
- Venue
- BMC Psychiatry
- Published
- 2018-08-15
- Volume
- 18
- Issue
- 1
- Pages
- 255-255
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC6094458
- OpenAlex
- W2887028981
- Cited by
- 17
- References
- 52
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Norges Forskningsråd (223273)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- motivational interviewing, cardiometabolic risk factors, psychosis, long-term psychiatric inpatients, lifestyle intervention, physical activity, motivation, smoking, triglycerides, positive symptoms, life satisfaction, employee training, psychiatric hospitalization
- MeSH terms
- Adult, Mental Disorders, Cardiovascular Diseases, Female, Humans, Inpatients, Male, Metabolic Diseases, Middle Aged, Norway, Occupational Therapy, Prospective Studies, Retrospective Studies, Risk Factors, Time Factors, Exercise, Risk Reduction Behavior, Motivational Interviewing
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