ArticleJournal of general internal medicine2002
Receipt of nutrition and exercise counseling among medical outpatients with psychiatric and substance use disorders.
Article in Journal of general internal medicine, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Prevalence of physical activity counseling in primary care: A systematic review and meta-analysis.Health promotion perspectives · 2023Pooled it
- PTSD symptom decrease and use of weight loss programs.Journal of psychosomatic research · 2019Article
- Build a better mouse: directly-observed issues in computer use for adults with SMI.The Psychiatric quarterly · 2013Article
- Are depressive symptoms associated with cancer screening and cancer stage at diagnosis among postmenopausal women? The Women's Health Initiative observational cohort.Journal of women's health (2002) · 2008Article
- The interdependence of behavioral and somatic health: implications for conceptualizing health and measuring treatment outcomes.International journal of integrated care · 2007Article
- Psychiatric disease and hypercholesterolemia in an urban academic primary care clinic.Primary care companion to the Journal of clinical psychiatry · 2006Article
- Prevalence of nutrition and exercise counseling for patients with hypertension. United States, 1999 to 2000.Journal of general internal medicine · 2004Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMentally ill persons represent a population that is potentially vulnerable to receiving a poorer quality of medical care. This study examines the relationship between mental disorders and the likelihood of receiving recommended nutrition and exercise counseling.
designCross-sectional study combining chart-review data and administrative database records.
settingOne hundred forty-seven Veterans Affairs (VA) medical centers nationwide. PATIENTS/
participantsThe sample included 90,240 patients with obesity and/or hypertension who had >/=3 medical outpatient visits in the previous year. MEASUREMENTS AND MAIN
resultsThe outcomes of interest were chart-documented receipt of nutrition counseling and receipt of exercise counseling in the past 2 years. This chart information was merged with VA inpatient and outpatient administrative databases, which were used to identify persons with diagnosed mental disorders. Most patients received nutrition counseling (90.4%), exercise counseling (88.5%), and counseling for both (85.7%) in the past 2 years. The rates of counseling differed significantly but modestly by mental health status. The lowest rates were found among patients dually diagnosed with comorbid psychiatric and substance use disorders; however, the magnitude of the disparities was small, ranging from 2% to 4% across outcomes. These results were unchanged after controlling for demographics, health status, and facility characteristics using multivariable generalized estimating equation modeling.
conclusionsAmong patients engaged in active medical treatment, rates of nutrition and exercise counseling were high at VA medical centers, and the diagnosis of mental illness was not a substantial barrier to such counseling. More work is needed to determine whether these findings generalize to non-VA settings and to understand the potential role that integrated systems such as the VA can play in reducing disparities for vulnerable populations.
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