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Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey

Aims and method The STEPWISE trial (STructured lifestyle Education for People WIth SchizophrEnia, schizoaffective disorder and first episode psychosis) is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes ‘usual care’....

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Autores principales: Swaby, Lizzie, Hind, Daniel, Gossage-Worrall, Rebecca, Shiers, David, Mitchell, Jonathan, Holt, Richard I. G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of Psychiatrists 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5451646/
https://www.ncbi.nlm.nih.gov/pubmed/28584649
http://dx.doi.org/10.1192/pb.bp.116.054304
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author Swaby, Lizzie
Hind, Daniel
Gossage-Worrall, Rebecca
Shiers, David
Mitchell, Jonathan
Holt, Richard I. G.
author_facet Swaby, Lizzie
Hind, Daniel
Gossage-Worrall, Rebecca
Shiers, David
Mitchell, Jonathan
Holt, Richard I. G.
author_sort Swaby, Lizzie
collection PubMed
description Aims and method The STEPWISE trial (STructured lifestyle Education for People WIth SchizophrEnia, schizoaffective disorder and first episode psychosis) is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes ‘usual care’. We aimed to define ‘usual care’ for lifestyle management in people with schizophrenia, schizoaffective disorder and first-episode psychosis in STEPWISE study sites. Ten National Health Service (NHS) mental health trusts participated in a bespoke survey based on the National Institute for Health and Care Excellence (NICE) guidance. Results Eight trusts reported offering lifestyle education programmes and nine offered smoking cessation support. Reported recording of biomedical measures varied. Clinical implications Although recommended by NICE, lifestyle education programmes are not consistently offered across UK NHS mental health trusts. This highlights missed opportunities to improve the physical health of people with psychotic illness. Our survey benchmarks ‘usual care’ for the STEPWISE study, against which changes can be measured. Furthermore, future studies will be able to identify whether any progress in clinical practice has been made towards achieving the NICE recommendations.
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spelling pubmed-54516462017-06-05 Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey Swaby, Lizzie Hind, Daniel Gossage-Worrall, Rebecca Shiers, David Mitchell, Jonathan Holt, Richard I. G. BJPsych Bull Original Papers Aims and method The STEPWISE trial (STructured lifestyle Education for People WIth SchizophrEnia, schizoaffective disorder and first episode psychosis) is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes ‘usual care’. We aimed to define ‘usual care’ for lifestyle management in people with schizophrenia, schizoaffective disorder and first-episode psychosis in STEPWISE study sites. Ten National Health Service (NHS) mental health trusts participated in a bespoke survey based on the National Institute for Health and Care Excellence (NICE) guidance. Results Eight trusts reported offering lifestyle education programmes and nine offered smoking cessation support. Reported recording of biomedical measures varied. Clinical implications Although recommended by NICE, lifestyle education programmes are not consistently offered across UK NHS mental health trusts. This highlights missed opportunities to improve the physical health of people with psychotic illness. Our survey benchmarks ‘usual care’ for the STEPWISE study, against which changes can be measured. Furthermore, future studies will be able to identify whether any progress in clinical practice has been made towards achieving the NICE recommendations. Royal College of Psychiatrists 2017-06 /pmc/articles/PMC5451646/ /pubmed/28584649 http://dx.doi.org/10.1192/pb.bp.116.054304 Text en © 2017 The Authors http://creativecommons.org/licenses/by/4.0 This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Swaby, Lizzie
Hind, Daniel
Gossage-Worrall, Rebecca
Shiers, David
Mitchell, Jonathan
Holt, Richard I. G.
Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey
title Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey
title_full Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey
title_fullStr Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey
title_full_unstemmed Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey
title_short Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey
title_sort adherence to nice guidance on lifestyle advice for people with schizophrenia: a survey
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5451646/
https://www.ncbi.nlm.nih.gov/pubmed/28584649
http://dx.doi.org/10.1192/pb.bp.116.054304
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