Evidence map›Paper›PMID 31500547›Full record

SynthesisPsychiatric services (Washington, D.C.)2020

Systematic Review of the Impact of Behavioral Health Homes on Cardiometabolic Risk Factors for Adults With Serious Mental Illness.

Karen L Fortuna, Peter R DiMilia, Matthew C Lohman, Brandi P Cotton, Janet R Cummings, Stephen J Bartels, John A Batsis, Sarah I Pratt

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Psychiatric services (Washington, D.C.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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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

8 authors.

Karen L FortunaCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).
Peter R DiMiliaCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).
Matthew C LohmanCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).
Brandi P CottonCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).
Janet R CummingsCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).
Stephen J BartelsCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).
John A BatsisCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).
Sarah I PrattCDC Health Promotion Research Center at Dartmouth (Fortuna, Pratt) and Department of Psychiatry, Geisel School of Medicine at Dartmouth (Fortuna, DiMilia, Pratt), Lebanon, New Hampshire; Arnold School of Public Health, University of South Carolina, Columbia (Lohman); College of Nursing, University of Rhode Island, Kingston (Cotton); Department of Health Policy and Management, Emory University, Atlanta (Cummings); Mongan Institute at Massachusetts General Hospital, Harvard University, Boston (Bartels); Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, and the Dartmouth Institute at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Batsis).

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Mobile Health Obesity Wellness Intervention in Rural Older Adults_Res1K23AG051681 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BATSIS, JOHN A. · 2016 to 2022
$1.1M
Peer-Delivered and Technology-Assisted Integrated Illness Management and RecoveryK01MH117496 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI FORTUNA, KAREN L. · 2019 to 2023
$615k
NCCDPHP CDC HHS U48 DP005018NIA NIH HHS K23 AG051681NIMH NIH HHS K01 MH117496NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectiveThis systematic review examined the impact of health homes on cardiometabolic risk among adults with serious mental illness.

methodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures were used to conduct the systematic review. Databases were searched for peer-reviewed articles published between 1946 and August 2018 that compared health homes with a control condition (e.g., usual care and secondary data analyses using matched samples). Participants, interventions, comparisons, outcomes, and study design criteria were used to assess study eligibility. Studies were assessed for methodological quality by using the Quality Assessment of Before and After Studies With No Control Group and the Quality Assessment of Controlled Intervention Studies.

resultsEighteen studies (i.e., 11 observational studies, four quasi-experimental studies, and three randomized controlled trials) reported on 17 health homes. Most studies reported increases in receipt of screening for cardiometabolic risk factors and service use. There was a modest reduction in selected cardiometabolic risk factors among people with serious mental illness, but clinical outcomes varied widely among studies.

conclusionsImprovement in cardiometabolic risk factors varied across the studies, and the clinical significance of these reductions was not clear. Peer support and self-management training may represent strategies to improve cardiometabolic risk factors. Colocation of services may not be enough to significantly affect cardiometabolic risk factors. Health homes that include standardized screening, peer support and self-management training, and intervention components that target interdependent risk factors may have a greater impact on clinical outcomes.

Indexed as

Residential FacilitiesAdultBehavioral MedicineCardiovascular DiseasesComorbidityDelivery of Health Care, IntegratedHumansMental DisordersQuality of LifeRisk Factorsbehavioral health homecardiometabolic outcomesCommunity psychiatryMedical morbidity and mortality in psychiatric patientspeer supportself-management and peer supportserious mental illness

Identifiers

PMID31500547
PMCPMC6939136

What OpenQuestion holds

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Registered trials

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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.