Key result
A 6-month lifestyle intervention program including motivational interviewing in long-term psychiatric inpatients did not significantly increase physical activity, but significantly reduced triglyceride levels and depressive symptoms.
Why the study?
Does a lifestyle intervention including motivational interviewing improve physical activity and cardiometabolic risk factors in long-term psychiatric inpatients?
Observational (n=83)
Yes
Does a lifestyle intervention including motivational interviewing improve physical activity and cardiometabolic risk factors in long-term psychiatric inpatients?
Answers are grounded in this paper and cite their sources.
A low-cost lifestyle intervention including motivational interviewing in long-term psychiatric inpatients is feasible and may reduce cardiometabolic risk factors such as triglyceride levels and smoking, despite not significantly increasing mean physical activity levels.
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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Ringen et al. (2018) conducted an observational in Psychotic disorders (schizophrenia, schizoaffective disorder, bipolar disorder) (n=83). Lifestyle intervention program including Motivational Interviewing (MI) vs. Pre-intervention period (Baseline) was evaluated on Physical activity index. A 6-month lifestyle intervention program including motivational interviewing in long-term psychiatric inpatients did not significantly increase physical activity, but significantly reduced triglyceride levels and depressive symptoms.
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