Publication

Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness: results of a cluster randomized controlled trial (LION)

Looijmans, A., Jorg, F., Bruggeman, R., Schoevers, R. A. & Corpeleijn, E., 5-Nov-2019, In : BMC Psychiatry. 19, 1, 12 p., 339.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Looijmans, A., Jorg, F., Bruggeman, R., Schoevers, R. A., & Corpeleijn, E. (2019). Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness: results of a cluster randomized controlled trial (LION). BMC Psychiatry, 19(1), [339]. https://doi.org/10.1186/s12888-019-2310-5

Author

Looijmans, Anne ; Jorg, Frederike ; Bruggeman, Richard ; Schoevers, Robert A. ; Corpeleijn, Eva. / Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness : results of a cluster randomized controlled trial (LION). In: BMC Psychiatry. 2019 ; Vol. 19, No. 1.

Harvard

Looijmans, A, Jorg, F, Bruggeman, R, Schoevers, RA & Corpeleijn, E 2019, 'Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness: results of a cluster randomized controlled trial (LION)', BMC Psychiatry, vol. 19, no. 1, 339. https://doi.org/10.1186/s12888-019-2310-5

Standard

Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness : results of a cluster randomized controlled trial (LION). / Looijmans, Anne; Jorg, Frederike; Bruggeman, Richard; Schoevers, Robert A.; Corpeleijn, Eva.

In: BMC Psychiatry, Vol. 19, No. 1, 339, 05.11.2019.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Looijmans A, Jorg F, Bruggeman R, Schoevers RA, Corpeleijn E. Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness: results of a cluster randomized controlled trial (LION). BMC Psychiatry. 2019 Nov 5;19(1). 339. https://doi.org/10.1186/s12888-019-2310-5


BibTeX

@article{ccd07eafcb944260b48ddf75faaab037,
title = "Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness: results of a cluster randomized controlled trial (LION)",
abstract = "Background: Unhealthy lifestyle behaviours contribute to alarming cardiometabolic risk in patients with serious mental illness (SMI). Evidence-based practical lifestyle tools supporting patients and staff in improving patient lifestyle are lacking.Methods: This multi-site randomized controlled pragmatic trial determined the effectiveness of a twelve-month multimodal lifestyle approach, including a web-based tool to improve patients' cardiometabolic health, versus care-as-usual. Using the web tool, nurses (trained in motivational interviewing) assisted patients in assessing their lifestyle behaviours, creating a risk profile and constructing lifestyle goals, which were discussed during fortnightly regular care visits. Twenty-seven community-care and sheltered-living teams were randomized into intervention (N=17) or control (N=10) groups, including 244 patients (140 intervention/104 control, 49.2{\%} male, 46.1 +/- 10.8 years) with increased waist circumference (WC), BMI or fasting glucose. The primary outcomes concerned differences in WC after six and twelve months intervention, while BMI and metabolic syndrome Z-score were secondary outcome measures.Results: General multilevel linear mixed models adjusted for antipsychotic medication showed that differences in WC change between intervention and control were-0.15 cm (95{\%}CI: -2.49; 2.19) after six and -1.03 cm (95{\%}CI: -3.42; 1.35) after twelve months intervention; however, the differences were not statistically significant. No intervention effects were found for secondary outcome measures. The intervention increased patients' readiness to change dietary behaviour.Conclusion: A multimodal web-based intervention facilitating nurses to address lifestyle changes in SMI patients did not improve patient cardiometabolic health. Web-tool use was lower than expected and nurses need more lifestyle coaching knowledge and skills. The type of intervention and delivery mode need optimization to realize effective lifestyle care for SMI patients.",
keywords = "Serious mental illness, Metabolic syndrome, Healthy lifestyle, Motivational interviewing, Health behaviour change, E-health, Physical activity, WEIGHT-LOSS, METABOLIC SYNDROME, MAINTENANCE, ADULTS, SCHIZOPHRENIA, FEASIBILITY, INDIVIDUALS, TECHNOLOGY, PSYCHOSIS, OBESITY",
author = "Anne Looijmans and Frederike Jorg and Richard Bruggeman and Schoevers, {Robert A.} and Eva Corpeleijn",
year = "2019",
month = "11",
day = "5",
doi = "10.1186/s12888-019-2310-5",
language = "English",
volume = "19",
journal = "BMC Psychiatry",
issn = "1471-244X",
publisher = "BMC",
number = "1",

}

RIS

TY - JOUR

T1 - Multimodal lifestyle intervention using a web-based tool to improve cardiometabolic health in patients with serious mental illness

T2 - results of a cluster randomized controlled trial (LION)

AU - Looijmans, Anne

AU - Jorg, Frederike

AU - Bruggeman, Richard

AU - Schoevers, Robert A.

AU - Corpeleijn, Eva

PY - 2019/11/5

Y1 - 2019/11/5

N2 - Background: Unhealthy lifestyle behaviours contribute to alarming cardiometabolic risk in patients with serious mental illness (SMI). Evidence-based practical lifestyle tools supporting patients and staff in improving patient lifestyle are lacking.Methods: This multi-site randomized controlled pragmatic trial determined the effectiveness of a twelve-month multimodal lifestyle approach, including a web-based tool to improve patients' cardiometabolic health, versus care-as-usual. Using the web tool, nurses (trained in motivational interviewing) assisted patients in assessing their lifestyle behaviours, creating a risk profile and constructing lifestyle goals, which were discussed during fortnightly regular care visits. Twenty-seven community-care and sheltered-living teams were randomized into intervention (N=17) or control (N=10) groups, including 244 patients (140 intervention/104 control, 49.2% male, 46.1 +/- 10.8 years) with increased waist circumference (WC), BMI or fasting glucose. The primary outcomes concerned differences in WC after six and twelve months intervention, while BMI and metabolic syndrome Z-score were secondary outcome measures.Results: General multilevel linear mixed models adjusted for antipsychotic medication showed that differences in WC change between intervention and control were-0.15 cm (95%CI: -2.49; 2.19) after six and -1.03 cm (95%CI: -3.42; 1.35) after twelve months intervention; however, the differences were not statistically significant. No intervention effects were found for secondary outcome measures. The intervention increased patients' readiness to change dietary behaviour.Conclusion: A multimodal web-based intervention facilitating nurses to address lifestyle changes in SMI patients did not improve patient cardiometabolic health. Web-tool use was lower than expected and nurses need more lifestyle coaching knowledge and skills. The type of intervention and delivery mode need optimization to realize effective lifestyle care for SMI patients.

AB - Background: Unhealthy lifestyle behaviours contribute to alarming cardiometabolic risk in patients with serious mental illness (SMI). Evidence-based practical lifestyle tools supporting patients and staff in improving patient lifestyle are lacking.Methods: This multi-site randomized controlled pragmatic trial determined the effectiveness of a twelve-month multimodal lifestyle approach, including a web-based tool to improve patients' cardiometabolic health, versus care-as-usual. Using the web tool, nurses (trained in motivational interviewing) assisted patients in assessing their lifestyle behaviours, creating a risk profile and constructing lifestyle goals, which were discussed during fortnightly regular care visits. Twenty-seven community-care and sheltered-living teams were randomized into intervention (N=17) or control (N=10) groups, including 244 patients (140 intervention/104 control, 49.2% male, 46.1 +/- 10.8 years) with increased waist circumference (WC), BMI or fasting glucose. The primary outcomes concerned differences in WC after six and twelve months intervention, while BMI and metabolic syndrome Z-score were secondary outcome measures.Results: General multilevel linear mixed models adjusted for antipsychotic medication showed that differences in WC change between intervention and control were-0.15 cm (95%CI: -2.49; 2.19) after six and -1.03 cm (95%CI: -3.42; 1.35) after twelve months intervention; however, the differences were not statistically significant. No intervention effects were found for secondary outcome measures. The intervention increased patients' readiness to change dietary behaviour.Conclusion: A multimodal web-based intervention facilitating nurses to address lifestyle changes in SMI patients did not improve patient cardiometabolic health. Web-tool use was lower than expected and nurses need more lifestyle coaching knowledge and skills. The type of intervention and delivery mode need optimization to realize effective lifestyle care for SMI patients.

KW - Serious mental illness

KW - Metabolic syndrome

KW - Healthy lifestyle

KW - Motivational interviewing

KW - Health behaviour change

KW - E-health

KW - Physical activity

KW - WEIGHT-LOSS

KW - METABOLIC SYNDROME

KW - MAINTENANCE

KW - ADULTS

KW - SCHIZOPHRENIA

KW - FEASIBILITY

KW - INDIVIDUALS

KW - TECHNOLOGY

KW - PSYCHOSIS

KW - OBESITY

U2 - 10.1186/s12888-019-2310-5

DO - 10.1186/s12888-019-2310-5

M3 - Article

VL - 19

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

IS - 1

M1 - 339

ER -

ID: 102144233