Journal Article

A collaboration between service users and professionals for the development and evaluation of a new program for cardiovascular risk management in persons with a diagnosis of severe mental illness: French multicenter qualitative and feasibility studies

Baleige, Antoine, Ouezini, Amel, Roelandt, Jean-Luc, Demassiet, Vincent, Meunier-Beillard, Nicolas, Lambert, Olivier, Mazas, Olivier, Oberlin, Joël, Besnard, Jean-François, Monnier, Alain, Charrel, Claire, Denis, Frédéric

2019

Overview

Background Persons with a diagnosis of severe mental illness have a life expectancy that is 20 years lower than the general population, and they are disproportionately affected by cardiovascular disorders. Improving the management of cardiovascular risk is one of the main challenges for the public health system. In the care pathway of persons with a diagnosis of severe mental illness, a better understanding of limiting and facilitating factors is required. The objective was to include persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals in the creation and evaluation (feasibility) of a health promotion program designed to improve cardiovascular risk management through empowerment. Methods This study combines a mixed methodology with qualitative and quantitative components. A multicenter prospective qualitative study was conducted in seven mental health units in France and was coordinated by a steering committee composed of persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals. Results This health promotion program must enable persons with a diagnosis of severe mental illness to assert their right to self-determination and to exercise greater control over their lives, beyond their diagnosis and care. Following a preliminary feasibility study, the effectiveness of this new tool will be evaluated using a randomized controlled trial in a second study. Conclusions The findings can be used by health organizations as a starting point for developing new and improved services for persons with a diagnosis of severe mental illness. Trial registration Clinical Trials Gov NCT03689296. Date registered September 28, 2018

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Cardiology and cardiovascular system / Cardiovascular diseases / Cardiovascular disorders / Clinical Psychology / Clinical trials / Committees / Diabetes / Diagnosis / Disease management / Empowerment / Feasibility studies / Health / Health Administration / Health aspects / Health care policy / Health care reform / Health promotion / Human health and pathology / Interviews / Life expectancy / Life Sciences / Life span / Medical diagnosis / Medical personnel / Medicine / Medicine & Public Health / Mental disorders / Mental health / Mental health care / Organizations / Participation / People with disabilities / Physical fitness / Power / Primary care / Professionals / Psychiatrics and mental health / Psychiatry / Public health / Public health movements / Qualitative research / Risk factors / Risk management / Study Protocol / Wellness programs