Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness

Dados Bibliográficos

ID15517532
AutoresChristina T Yuan (0000-0002-9307-9568, Johns Hopkins University, autor correspondente), Emma E Mcginty (0009-0003-5095-9308, Johns Hopkins University), Arlene Dalcin (0000-0001-9784-7854, Johns Hopkins University), Stacy Goldsholl (0000-0002-8944-6345, Johns Hopkins University), Faith Dickerson (0000-0003-3800-2864, Sheppard and Enoch Pratt Hospital), Kimberly A Gudzune (0000-0002-7782-1769, Johns Hopkins University), Gerald J Jerome (0000-0003-0612-2626, Towson University), D A Thompson (0000-0003-0901-2377, Johns Hopkins University), Karly A Murphy (0000-0001-5576-8859, Johns Hopkins University), Eva Minahan (0000-0002-7346-6958, Johns Hopkins University), Gail L Daumit (0000-0003-0717-0216, Johns Hopkins University)
Ano2022
Volume13
Páginas793146-793146
Data de publicação2022-02-04
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.793146
PMID35185650
OpenAlexW4210630417
IdiomaEN
Citações recebidas3
Referências citadas40

People with serious mental illnesses (SMIs) experience excess mortality, driven in large part by high rates of cardiovascular disease (CVD), with all cardiovascular disease risk factors elevated. Interventions designed to improve the cardiovascular health of people with SMI have been shown to lead to clinically significant improvements in clinical trials; however, the uptake of these interventions into real-life clinical settings remains limited. Implementation strategies, which constitute the "how to" component of changing healthcare practice, are critical to supporting the scale-up of evidence-based interventions that can improve the cardiovascular health of people with SMI. And yet, implementation strategies are often poorly described and rarely justified theoretically in the literature, limiting the ability of researchers and practitioners to tease apart why, what, how, and when implementation strategies lead to improvement. In this Perspective, we describe the implementation strategies that the Johns Hopkins ALACRITY Center for Health and Longevity in Mental Illness is using to scale-up three evidenced-based interventions related to: (1) weight loss; (2) tobacco smoking cessation treatment; and (3) hypertension, dyslipidemia, and diabetes care for people with SMI. Building on concepts from the literature on complex health interventions, we focus on considerations related to the core function of an intervention (i.e., or basic purposes of the change process that the health intervention seeks to facilitate) vs. the form (i.e., implementation strategies or specific activities taken to carry out core functions that are customized to local contexts). By clearly delineating how implementation strategies are operationalized to support the interventions' core functions across these three studies, we aim to build and improve the future evidence base of how to adapt, implement, and evaluate interventions to improve the cardiovascular health of people with SMI

Mental health · Mental illness · Psychiatry · Psychological intervention · Cardiac Health and Mental Health · Medicine · Mental Health Treatment and Access · Psychology · Schizophrenia research and treatment