Influence of a lifestyle intervention among persons with a psychiatric disability: a cluster randomised controlled trail on symptoms, quality of life and sense of coherence

Authors

  • Karl A Forsberg,

    1. Authors:Karl A Forsberg, MSc, RN, Doctoral Student, The Department of Nursing, Umeå University, Umeå and The Vårdal Institute, the Swedish Institute for Health Sciences, Lund; Tommy Björkman, PhD, RN, Assistant Professor, Department of Health and Sciences, Lund University, Lund; Per O Sandman, RN, DMSci, Professor, Department of Nursing, Umeå University; Mikael Sandlund, PhD, MD, Assistant Professor, Department of Clinical Science/Psychiatry, Umeå University, Umeå, Sweden
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  • Tommy Björkman,

    1. Authors:Karl A Forsberg, MSc, RN, Doctoral Student, The Department of Nursing, Umeå University, Umeå and The Vårdal Institute, the Swedish Institute for Health Sciences, Lund; Tommy Björkman, PhD, RN, Assistant Professor, Department of Health and Sciences, Lund University, Lund; Per O Sandman, RN, DMSci, Professor, Department of Nursing, Umeå University; Mikael Sandlund, PhD, MD, Assistant Professor, Department of Clinical Science/Psychiatry, Umeå University, Umeå, Sweden
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  • Per O Sandman,

    1. Authors:Karl A Forsberg, MSc, RN, Doctoral Student, The Department of Nursing, Umeå University, Umeå and The Vårdal Institute, the Swedish Institute for Health Sciences, Lund; Tommy Björkman, PhD, RN, Assistant Professor, Department of Health and Sciences, Lund University, Lund; Per O Sandman, RN, DMSci, Professor, Department of Nursing, Umeå University; Mikael Sandlund, PhD, MD, Assistant Professor, Department of Clinical Science/Psychiatry, Umeå University, Umeå, Sweden
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  • Mikael Sandlund

    1. Authors:Karl A Forsberg, MSc, RN, Doctoral Student, The Department of Nursing, Umeå University, Umeå and The Vårdal Institute, the Swedish Institute for Health Sciences, Lund; Tommy Björkman, PhD, RN, Assistant Professor, Department of Health and Sciences, Lund University, Lund; Per O Sandman, RN, DMSci, Professor, Department of Nursing, Umeå University; Mikael Sandlund, PhD, MD, Assistant Professor, Department of Clinical Science/Psychiatry, Umeå University, Umeå, Sweden
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Errata

This article is corrected by:

  1. Errata: Erratum Volume 19, Issue 17-18, 2669, Article first published online: 15 August 2010

Karl A Forsberg, Doctoral Student, Psychiatric Clinic, Skellefteå Hospital, SE-931 86 Skellefteå, Sweden. Telephone: +46 910 771976.
E-mail:karlanton.forsberg@vll.se

Abstract

Aims and objectives.  The aim of this study was to investigate how a lifestyle intervention programme influences psychiatric and psychosocial factors among persons with psychiatric disabilities.

Background.  Persons with psychiatric disabilities often suffer from a simultaneous physical health problem, where circulatory disorder, hyperlipideamia, digestive disease, diabetes mellitus and obesity are prevalent. Studies have also shown a relationship between physical activity and mental health. But few randomised controlled trails have been aimed specifically at lifestyle interventions and their effect on psychiatric health and quality of life among persons with psychiatric disabilities.

Design.  A cluster randomised controlled trail.

Methods.  Forty-one persons with a DSM-IV diagnosis in eight supported housing facilities and two housing support programmes and their carers were on cluster level randomly assigned to a 12-month health intervention programme in the form of study circles with diet sessions and physical activities or a control programme. The changes in the mean of quality of life, level of functioning, psychiatric symptoms and sense of coherence was investigated and its relationship to physical health and attendance.

Results.  A significant increase in the sense of coherence was seen in both programmes but also significant improvements in the intervention group compared to controls at the follow-up.

Conclusions.  Structured activities in the form of lifestyle intervention programmes with a sufficient level of challenge that encourage persons with psychiatric disabilities to participate in activities in a social context may contribute to a significant increase in the sense of coherence.

Relevance to clinical practice.  Improving physical health with lifestyle programmes in the form of study circles and when involving their cares will in addition to increased physical health end in improved sense of coherence.

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