None listed
Conditions
Brief summary
This study aims to evaluate the feasibility of a peer-delivered, telephone-based intervention targeting smoking, fruit and vegetable intake and sedentary behaviour (leisure screen time). Who is it for? You may be eligible to join this study if you are registered as a consumer of Neami services, are currently living with a severe mental illness (e.g. schizophrenia, bipolar disorder), are at least 18 years of age, and can identify a health related personal goal. Study details Participants randomised to the intervention will participate in telephone sessions delivered by peer workers. These sessions focus on reducing cardiovascular disease (CVD) risks by decreasing smoking, increasing fruit and vegetable intake and reducing sedentary behaviour. The intervention involves reinforcement of change, checking on current behaviours and simple behavioural strategies over 8 telephone sessions over up to 11 weeks. Results from this study will inform the development and implementation of interventions to reduce the risk of CVD and cancer in people living with severe mental illness. By tailoring the intervention to be delivered by peer workers via telephone, Better Health Choices may become a more accessible intervention for people within mental health services, with the potential to help reduce the risk of CVD and cancer in this population.
Interventions
The proposed project will be conducted as a randomised controlled pilot study. In addition to completing assessments, and receiving pamphlets and standard care, participants randomised to the intervention will be immediately engaged in the peer delivered Better Health Choices telephone intervention. Better Health Choices was developed to target the specific needs and barriers facing people with Schizophrenia and other severe mental illnesses and aims to help participants decrease their smoking,
The proposed project will be conducted as a randomised controlled pilot study. In addition to completing assessments, and receiving pamphlets and standard care, participants randomised to the intervention will be immediately engaged in the peer delivered Better Health Choices telephone intervention. Better Health Choices was developed to target the specific needs and barriers facing people with Schizophrenia and other severe mental illnesses and aims to help participants decrease their smoking, increase their intake of fruit and vegetables (F&V), and reduce their sedentary behaviour. It incorporates clear health messages, well-established behavioural strategies and can be tailored to the personal goals of each participant. Better Health Choices consists of 8 telephone sessions delivered by trained peer workers over a maximum of 11 weeks. Session 1 will be of 45-60 minutes duration, and consists of feedback from the baseline assessment regarding smoking, activity, screen time, F&V intake and alcohol use with motivational interviewing employed to assist clients in identifying goals for change. A box of F&V will be delivered between sessions 1 and 2 to assist initiation of behaviour change in F&V intake. Sessions 2-8 will be conducted over 15-30 minutes and consist of motivational interviewing, education, and goal setting focused on smoking, F&V consumption, and screen use. Adherence to the intervention will be monitored through a log of telephone sessions. Where clinically appropriate, smokers will be encouraged to access their general practitioner for nicotine replacement therapy (subsidised by the MBS).
Sponsors
Schizophrenia Fellowship NSW
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(i) registration as a consumer of Neami services; (ii) currently living with a severe mental illness (e.g. schizophrenia, bipolar disorder); (iii) age =18 years or older; (iv) identification of a health related goal.
Exclusion criteria
(i) currently enrolled in a Neami face-to-face healthy lifestyle peer support intervention; (ii) enrolled in a Neami service that would preclude participation (e.g. homelessness services); (iii) hearing impairment sufficient to prohibit a telephone interview; (iv) acute suicidality; (v) pregnancy; and (vi) acquired brain injury.
Outcome results
None listed