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Psychiatry Res. 2014 Dec 15;220(1-2):63-70. doi: 10.1016/j.psychres.2014.06.035. Epub 2014 Jun 27.

'Better Health Choices' by telephone: a feasibility trial of improving diet and physical activity in people diagnosed with psychotic disorders.

Author information

  • 1School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia. Electronic address: Amanda.Baker@newcastle.edu.au.
  • 2School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia; IMPACT SRC, School of Medicine, Deakin University, Geelong, VIC, Australia; Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia.
  • 3School of Psychology, University of Wollongong, Wollongong, NSW, Australia.
  • 4Preventive Medicine, Northwestern University, Chicago, Illinois, USA.
  • 5Priority Research Centre for Physical Activity and Nutrition, the University of Newcastle, Callaghan, NSW, Australia.
  • 6School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia.
  • 7School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia.
  • 8School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia; Hunter New England Mental Health, Newcastle, NSW, Australia.

Abstract

The study objective was to evaluate the feasibility of a telephone delivered intervention consisting of motivational interviewing and cognitive behavioural strategies aimed at improving diet and physical activity in people diagnosed with psychotic disorders. Twenty participants diagnosed with a non-acute psychotic disorder were recruited. The intervention consisted of eight telephone delivered sessions targeting fruit and vegetable (F&V) consumption and leisure screen time, as well as smoking and alcohol use (as appropriate). F&V frequency and variety, and overall diet quality (measured by the Australian Recommended Food Score, ARFS), leisure screen time, overall sitting and walking time, smoking, alcohol consumption, mood, quality of life, and global functioning were examined before and 4-weeks post-treatment. Nineteen participants (95%) completed all intervention sessions, and 17 (85%) completed follow-up assessments. Significant increases from baseline to post-treatment were seen in ARFS fruit, vegetable and overall diet quality scores, quality of life and global functioning. Significant reductions in leisure screen time and overall sitting time were also seen. Results indicated that a telephone delivered intervention targeting key cardiovascular disease risk behaviours appears to be feasible and relatively effective in the short-term for people diagnosed with psychosis. A randomized controlled trial is warranted to replicate and extend these findings.

Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

KEYWORDS:

Fruit; Motivational interviewing; Psychotic disorder; Sedentary lifestyle; Smoking; Vegetables

PMID:
25078563
[PubMed - in process]
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