Evidence map›Paper›PMID 30111298›Full record

Trial reportBMC psychiatry2018

Using motivational techniques to reduce cardiometabolic risk factors in long term psychiatric inpatients: a naturalistic interventional study.

Petter Andreas Ringen, Ragnhild S Falk, Bjørnar Antonsen, Ann Faerden, Asgeir Mamen, Eline B Rognli, Dag K Solberg, Egil W Martinsen, Ole A Andreassen

Registry-linked trialOpen access · goldAbstract readPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03528278 (Using Motivational Techniques to Increase Levels of Physical Activity in Long Term Psychiatric Inpatient Wards), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03528278 completednot on this map

Using Motivational Techniques to Increase Levels of Physical Activity in Long Term Psychiatric Inpatient Wards

TypeobservationalSponsorOslo University HospitalRan2013 to 2015Enrolled83ConditionsSchizophrenia, Bipolar Disorder, Inpatient Facility Diagnoses, Cardiovascular Risk FactorArmsMotivational interviewing and environmental interventions
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Petter Andreas RingenDivision of Mental Health and Addiction, Oslo University Hospital and NORMENT, KG Jebsen Centre, University of Oslo, Ullevål Hospital, P.O.Box 4956, 0424, Nydalen, Oslo, Norway. p.a.ringen@medisin.uio.no.ORCID 0000-0002-8308-6713
Ragnhild S FalkOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, P.O.Box 4950, 0424, Nydalen, Oslo, Norway.
Bjørnar AntonsenDepartment of Psychiatry, Lovisenberg Diaconal Hospital, P.O.Box 4970, 0440, Nydalen, Oslo, Norway.
Ann FaerdenDivision of Mental Health and Addiction, Oslo University Hospital and NORMENT, KG Jebsen Centre, University of Oslo, Ullevål Hospital, P.O.Box 4956, 0424, Nydalen, Oslo, Norway.
Asgeir MamenKristiania University College, P.O.Box 1190, 0107, Sentrum, Oslo, Norway.
Eline B RognliDivision of Mental Health and Addiction, Oslo University Hospital, Ullevål Hospital, P.O.Box 4956, 0424, Nydalen, Oslo, Norway.
Dag K SolbergSkjelfoss Psychiatric Center, Lukas Foundation and Center for Psychopharmacology Diakonhjemmet Hospital, Postboks 23, 0319, Vinderen, Oslo, Norway.
Egil W MartinsenDivision of Mental Health and Addiction, Oslo University Hospital and University of Oslo, Ullevål Hospital, P.O.Box 4956, 0424, Nydalen, Oslo, Norway.
Ole A AndreassenNORMENT, KG Jebsen Centre, Oslo University Hospital, and University of Oslo, Ullevål Hospital, Building 49, P.O. Box 4956, 0424, Nydalen, Oslo, Norway.
Oslo University Hospital · NODiakonhjemmet Hospital · NOHøyskolen Kristiania · NOLovisenberg Diakonale Høgskole · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with severe mental illness have markedly reduced life expectancy; cardiometabolic disease is a major cause. Psychiatric hospital inpatients have elevated levels of cardiometabolic risk factors and are to a high degree dependent of the routines and facilities of the institutions. Studies of lifestyle interventions to reduce cardiometabolic risk in psychiatric inpatients are few. The current study aimed at assessing the feasibility and effects of a lifestyle intervention including Motivational Interviewing (MI) on physical activity levels, cardiometabolic risk status and mental health status in psychotic disorder inpatients.

methodsProspective naturalistic intervention study of 83 patients at long term inpatient psychosis treatment wards in South-Eastern Norway. Patients were assessed 3-6 months prior to, at start and 6 months after a life-style intervention program including training of staff in MI, simple changes in routines and improvements of facilities for physical exercise. Assessments were done by clinical staff and included level of physical activity, motivation, life satisfaction, symptom levels (MADRS, AES-C, PANSS, and GAF) as well as anthropometric and biochemical markers of cardiometabolic risk. A mixed model was applied to analyze change over time.

resultsA total of 88% of patients received MI interventions, with a mean of 2.5 MI interventions per week per patient. The physical activity level was not increased, but activity level was positively associated with motivation and negatively associated with positive symptoms. Triglyceride levels and number of smokers were significantly reduced and a significant decrease in symptom levels was observed.

conclusionsThe current results suggest that a simple, low cost life-style intervention program focusing on motivational change is feasible and may reduce symptoms and improve lifestyle habits in psychosis patients in long term treatment facilities. Similar programs may easily be implemented in other psychiatric hospitals.

trial registrationClinicalTrials.gov . NCT03528278 , date of registration: 05/16/2018 (retrospectively registered).

Indexed as

Risk Reduction BehaviorAdultCardiovascular DiseasesExerciseFemaleHumansInpatientsMaleMental DisordersMetabolic DiseasesMiddle AgedMotivational InterviewingNorwayOccupational TherapyProspective StudiesRetrospective StudiesCardiometabolicCardiovascularInpatientInterventionLifestyleMotivationPhysical activityPsychosisSchizophrenia

Identifiers

PMID30111298
PMCPMC6094458
OpenAlexW2887028981

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.