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Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness
People with serious mental illnesses (SMIs) experience excess mortality, driven in large part by high rates of cardiovascular disease (CVD), with all cardiovascular disease risk factors elevated. Interventions designed to improve the cardiovascular health of people with SMI have been shown to lead t...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855048/ https://www.ncbi.nlm.nih.gov/pubmed/35185650 http://dx.doi.org/10.3389/fpsyt.2022.793146 |
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author | Yuan, Christina T. McGinty, Emma E. Dalcin, Arlene Goldsholl, Stacy Dickerson, Faith Gudzune, Kimberly A. Jerome, Gerald J. Thompson, David A. Murphy, Karly A. Minahan, Eva Daumit, Gail L. |
author_facet | Yuan, Christina T. McGinty, Emma E. Dalcin, Arlene Goldsholl, Stacy Dickerson, Faith Gudzune, Kimberly A. Jerome, Gerald J. Thompson, David A. Murphy, Karly A. Minahan, Eva Daumit, Gail L. |
author_sort | Yuan, Christina T. |
collection | PubMed |
description | People with serious mental illnesses (SMIs) experience excess mortality, driven in large part by high rates of cardiovascular disease (CVD), with all cardiovascular disease risk factors elevated. Interventions designed to improve the cardiovascular health of people with SMI have been shown to lead to clinically significant improvements in clinical trials; however, the uptake of these interventions into real-life clinical settings remains limited. Implementation strategies, which constitute the “how to” component of changing healthcare practice, are critical to supporting the scale-up of evidence-based interventions that can improve the cardiovascular health of people with SMI. And yet, implementation strategies are often poorly described and rarely justified theoretically in the literature, limiting the ability of researchers and practitioners to tease apart why, what, how, and when implementation strategies lead to improvement. In this Perspective, we describe the implementation strategies that the Johns Hopkins ALACRITY Center for Health and Longevity in Mental Illness is using to scale-up three evidenced-based interventions related to: (1) weight loss; (2) tobacco smoking cessation treatment; and (3) hypertension, dyslipidemia, and diabetes care for people with SMI. Building on concepts from the literature on complex health interventions, we focus on considerations related to the core function of an intervention (i.e., or basic purposes of the change process that the health intervention seeks to facilitate) vs. the form (i.e., implementation strategies or specific activities taken to carry out core functions that are customized to local contexts). By clearly delineating how implementation strategies are operationalized to support the interventions' core functions across these three studies, we aim to build and improve the future evidence base of how to adapt, implement, and evaluate interventions to improve the cardiovascular health of people with SMI. |
format | Online Article Text |
id | pubmed-8855048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-88550482022-02-19 Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness Yuan, Christina T. McGinty, Emma E. Dalcin, Arlene Goldsholl, Stacy Dickerson, Faith Gudzune, Kimberly A. Jerome, Gerald J. Thompson, David A. Murphy, Karly A. Minahan, Eva Daumit, Gail L. Front Psychiatry Psychiatry People with serious mental illnesses (SMIs) experience excess mortality, driven in large part by high rates of cardiovascular disease (CVD), with all cardiovascular disease risk factors elevated. Interventions designed to improve the cardiovascular health of people with SMI have been shown to lead to clinically significant improvements in clinical trials; however, the uptake of these interventions into real-life clinical settings remains limited. Implementation strategies, which constitute the “how to” component of changing healthcare practice, are critical to supporting the scale-up of evidence-based interventions that can improve the cardiovascular health of people with SMI. And yet, implementation strategies are often poorly described and rarely justified theoretically in the literature, limiting the ability of researchers and practitioners to tease apart why, what, how, and when implementation strategies lead to improvement. In this Perspective, we describe the implementation strategies that the Johns Hopkins ALACRITY Center for Health and Longevity in Mental Illness is using to scale-up three evidenced-based interventions related to: (1) weight loss; (2) tobacco smoking cessation treatment; and (3) hypertension, dyslipidemia, and diabetes care for people with SMI. Building on concepts from the literature on complex health interventions, we focus on considerations related to the core function of an intervention (i.e., or basic purposes of the change process that the health intervention seeks to facilitate) vs. the form (i.e., implementation strategies or specific activities taken to carry out core functions that are customized to local contexts). By clearly delineating how implementation strategies are operationalized to support the interventions' core functions across these three studies, we aim to build and improve the future evidence base of how to adapt, implement, and evaluate interventions to improve the cardiovascular health of people with SMI. Frontiers Media S.A. 2022-02-04 /pmc/articles/PMC8855048/ /pubmed/35185650 http://dx.doi.org/10.3389/fpsyt.2022.793146 Text en Copyright © 2022 Yuan, McGinty, Dalcin, Goldsholl, Dickerson, Gudzune, Jerome, Thompson, Murphy, Minahan and Daumit. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Yuan, Christina T. McGinty, Emma E. Dalcin, Arlene Goldsholl, Stacy Dickerson, Faith Gudzune, Kimberly A. Jerome, Gerald J. Thompson, David A. Murphy, Karly A. Minahan, Eva Daumit, Gail L. Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness |
title | Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness |
title_full | Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness |
title_fullStr | Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness |
title_full_unstemmed | Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness |
title_short | Scaling Evidence-Based Interventions to Improve the Cardiovascular Health of People With Serious Mental Illness |
title_sort | scaling evidence-based interventions to improve the cardiovascular health of people with serious mental illness |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855048/ https://www.ncbi.nlm.nih.gov/pubmed/35185650 http://dx.doi.org/10.3389/fpsyt.2022.793146 |
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