Evidence map›Paper›PMID 30800079›Full record

ArticleFrontiers in psychiatry2018

Need for Cardiovascular Risk Reduction in Persons With Serious Mental Illness: Design of a Comprehensive Intervention.

Arlene T Dalcin, Gerald J Jerome, Lawrence J Appel, Faith B Dickerson, Nae-Yuh Wang, Edgar R Miller, Deborah R Young, Jeanne B Charleston, Joseph V Gennusa, Stacy Goldsholl and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. 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

16 authors at 5 institutions in 1 country.

Arlene T DalcinDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Gerald J JeromeDepartment of Kinesiology, Towson University, Baltimore, MD, United States.
Lawrence J AppelDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Faith B DickersonSheppard Pratt Health System, Baltimore, MD, United States.
Nae-Yuh WangDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Edgar R MillerDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Deborah R YoungDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Jeanne B CharlestonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Joseph V GennusaDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Stacy GoldshollDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Ann HellerDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
A Eden EvinsMassachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Corinne CatherMassachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Emma E McGintyDepartment of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Rosa M CrumDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Gail L DaumitDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Johns Hopkins Medicine · USJohns Hopkins University · USHarvard University · USSheppard Pratt Health System · USTowson University · US

Funding

Using an innovative quality improvement process to increase delivery of evidenced-based CVD risk factor care in community mental health organizationsP50MH115842 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Gail L. Daumit · 2018 to 2026
$16.2M
Comprehensive CVD Risk Reduction Trial in Persons with Serious Mental IllnessR01HL112299 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L. · 2012 to 2017
$5.5M
NHLBI NIH HHS R01 HL112299NIMH NIH HHS P50 MH115842
6 · The paper itself

Abstract

Persons with serious mental illness (SMI) comprise a high-risk group for cardiovascular disease (CVD)-related mortality with rates at least twice those of the overall US. Potentially modifiable CVD risk behaviors (tobacco smoking, obesity, physical inactivity, unhealthy diet) and risk factors (hypertension, diabetes, dyslipidemia) are all markedly elevated in persons with SMI. Evaluations of programs implementing integrated medical care into specialty mental health settings have not shown meaningful effects on CVD risk factor reduction. Rigorously tested, innovative interventions are needed to address the large burden of CVD risk in populations with SMI. In this article, we describe the design of a comprehensive 18-month intervention to decrease CVD risk that we are studying in a randomized clinical trial in a community mental health organization with psychiatric rehabilitation programs. The individual-level intervention incorporated health behavior coaching and care coordination/care management to address all seven CVD risk behaviors and risk factors, and is delivered by a health coach and nurse. If successful, the intervention could be adopted within current integrated care models and significantly improve the physical health of persons with SMI.

Indexed as

behavioral coachingcardiovascular riskcare coordinationinterventionserious mental disorder

Identifiers

PMID30800079
PMCPMC6375886
OpenAlexW2914749453

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.