Effect of a Comprehensive Cardiovascular Risk Reduction Intervention in Persons With Serious Mental Illness: A Randomized Clinical Trial

Authors
Gail L. Daumit
Arlene T. Dalcin
Faith B. Dickerson
Edgar R. Miller
A. Eden Evins
Corinne Cather
Gerald J. Jerome
Deborah R. Young
Jeanne B. Charleston
Joseph V. Gennusa III
Stacy Goldsholl
Courtney Cook
Ann Heller
Emma E. McGinty
Rosa M. Crum
Lawrence J. Appel
Nae-Yuh Wang
Journal Article
June 2020
Effect of a Comprehensive Cardiovascular Risk Reduction Intervention in Persons With Serious Mental Illness: A Randomized Clinical Trial

Adults with serious mental illness (SMI) are at much greater risk than the general population for cardiovascular disease, and require tailored interventions to address co-occurring cardiovascular risk factors as well as other potential issues such as persistent psychiatric symptoms, social isolation, and substance use. This randomized clinical trial evaluated the impact of an intervention designed to improve cardiovascular health for individuals with SMI. The intervention included individual-level behavioral health counseling, care management, and care coordination, all based at community mental health programs and delivered by a health coach and nurse.

People with SMI and at least one cardiovascular risk factor who received this intervention over 18 months experienced a reduction of almost 13 percent in their risk of cardiovascular disease when compared to a control group receiving usual care. Notably, individuals who received the intervention were more likely to stop smoking tobacco. This study demonstrates the effectiveness of incorporating an intervention to address cardiovascular health into routine outpatient specialty mental health care settings, including behavioral health homes. Implementing tailored interventions may help improve health outcomes for individuals with SMI.

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Population Addressed
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • What are successful strategies for improving cardiovascular health among adults with serious mental illness receiving care at a community mental health center?
Level of Evidence
Strong
What does this mean?