Open AccessEffect of a Comprehensive Cardiovascular Risk Reduction Intervention in Persons With Serious Mental Illness
Author(s) -
Gail L. Daumit,
Arlene Dalcin,
Faith Dickerson,
Edgar R. Miller,
A. Eden Evins,
Corinne Cather,
Gerald J. Jerome,
Deborah Rohm Young,
Jeanne Charleston,
Joseph V. Gennusa,
Stacy Goldsholl,
Courtney Cook,
Ann Heller,
Emma E. McGinty,
Rosa M. Crum,
Lawrence J. Appel,
NaeYuh Wang
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.7247
Subject(s) - medicine , population , psychological intervention , overweight , mental illness , randomized controlled trial , mental health , disease , physical therapy , obesity , psychiatry , environmental health
Key Points Question Does an 18-month intervention incorporating behavioral counseling, care coordination, and care management reduce cardiovascular risk in adults with serious mental illness, a population at extremely high risk of cardiovascular disease morbidity and mortality? Findings In this randomized clinical trial enrolling 269 participants with serious mental illness and at least 1 cardiovascular risk factor, the intervention group participants had a 12.7% relative reduction in the 10-year probability of a cardiovascular event, compared with the control group. Meaning These findings support the use of a behavioral counseling, care coordination, and care management intervention to substantially reduce cardiovascular health disparities in this high-risk population.
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