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

doi:10.1186/s13033-019-0331-6

. 2019 Dec 27:13:74.

doi: 10.1186/s13033-019-0331-6. eCollection 2019.

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

Antoine Baleige^{1

2}, Jean-François Besnard³, Nicolas Meunier-Beillard^{4

5}, Vincent Demassiet¹, Alain Monnier⁶, Amel Ouezini⁷, Olivier Lambert⁸, Claire Charrel², Olivier Mazas⁹, Joël Oberlin¹⁰, Jean-Luc Roelandt^{1

2

11}, Frédéric Denis^{1

12

13

14}

Affiliations

¹ EPSM Lille-Métropole, WHO Collaborating Centre for Research and Training in Mental Health, 211 Rue Salengro, 59260 Hellemmes, France.
² EPSM Lille-Métropole, 104 Rue Général Leclerc, 59280 Armentières, France.
³ CH Guillaume Régnier, Rue du Moulin du Joué, 35700 Rennes, France.
⁴ CHU F. Mitterrand, Délégation à la Recherche Clinique et à l'Innovation, 21000 Dijon, France.
⁵ INSERM CIC 1432 Module Epidémiologie Clinique, 21000 Dijon, France.
⁶ UNAFAM, 12 Villa Compoint, 75017 Paris, France.
⁷ CASH, Nanterre, 403, Avenue de la République, 92014 Nanterre, France.
⁸ CESAME, Angers, Ste Gemmes-Sur-Loire, 49137 Les Ponts De Ce, France.
⁹ MGEN, 234 Rue de Paris, 59000 Lille, France.
¹⁰ CH Rouffach, 27, Rue du 4ème RSM, 68250 Rouffach, France.
¹¹ 11INSERM, UMR 1123, ECEVE Faculté de Médecine Paris Diderot, Paris 7 Site Villemin, 10 Avenue de Verdun, 75010 Paris, France.
¹² Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033 Dijon, France.
¹³ 13EA 75-05 Education Ethique Santé, Faculté de Médecine, Université François-Rabelais Tours, 37032 Tours, France.
¹⁴ 14Faculté d'Odontologie, Université de Nantes, Nantes, France.

PMID: 31889999
PMCID: PMC6933686
DOI: 10.1186/s13033-019-0331-6

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

Antoine Baleige et al. Int J Ment Health Syst. 2019.

. 2019 Dec 27:13:74.

doi: 10.1186/s13033-019-0331-6. eCollection 2019.

Authors

Affiliations

¹ EPSM Lille-Métropole, WHO Collaborating Centre for Research and Training in Mental Health, 211 Rue Salengro, 59260 Hellemmes, France.
² EPSM Lille-Métropole, 104 Rue Général Leclerc, 59280 Armentières, France.
³ CH Guillaume Régnier, Rue du Moulin du Joué, 35700 Rennes, France.
⁴ CHU F. Mitterrand, Délégation à la Recherche Clinique et à l'Innovation, 21000 Dijon, France.
⁵ INSERM CIC 1432 Module Epidémiologie Clinique, 21000 Dijon, France.
⁶ UNAFAM, 12 Villa Compoint, 75017 Paris, France.
⁷ CASH, Nanterre, 403, Avenue de la République, 92014 Nanterre, France.
⁸ CESAME, Angers, Ste Gemmes-Sur-Loire, 49137 Les Ponts De Ce, France.
⁹ MGEN, 234 Rue de Paris, 59000 Lille, France.
¹⁰ CH Rouffach, 27, Rue du 4ème RSM, 68250 Rouffach, France.
¹¹ 11INSERM, UMR 1123, ECEVE Faculté de Médecine Paris Diderot, Paris 7 Site Villemin, 10 Avenue de Verdun, 75010 Paris, France.
¹² Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033 Dijon, France.
¹³ 13EA 75-05 Education Ethique Santé, Faculté de Médecine, Université François-Rabelais Tours, 37032 Tours, France.
¹⁴ 14Faculté d'Odontologie, Université de Nantes, Nantes, France.

PMID: 31889999
PMCID: PMC6933686
DOI: 10.1186/s13033-019-0331-6

Abstract

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.

Keywords: Cardiovascular disorders; Empowerment; Health promotion; Mental health; Public health.

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Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

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References

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[1] Direction de la recherche de l'Evaluation des Etudes et des Statistiques. L'etat de la santé de la popultion en France-Rapport 2015. 2015;268-9. https://drees.solidarites-sante.gouv.fr/IMG/pdf/rappeds_v11_16032015.pdf.

[2] Direction de la recherche de l'Evaluation des Etudes et des Statistiques. L'etat de la santé de la popultion en France-Rapport 2015. 2015;268-9. https://drees.solidarites-sante.gouv.fr/IMG/pdf/rappeds_v11_16032015.pdf.

[3] De Hert M, Correll CU, Bobes J, Cetkovich-Bakmas M, Cohen D, Asai I, et al. Physical illness in patients with severe mental disorders. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10(1):52–77. doi: 10.1002/j.2051-5545.2011.tb00014.x. - DOI - PMC - PubMed

[4] De Hert M, Correll CU, Bobes J, Cetkovich-Bakmas M, Cohen D, Asai I, et al. Physical illness in patients with severe mental disorders. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10(1):52–77. doi: 10.1002/j.2051-5545.2011.tb00014.x. - DOI - PMC - PubMed

[5] Newcomer JW, Hennekens CH. Severe mental illness and risk of cardiovascular disease. JAMA. 2007;298(15):1794. doi: 10.1001/jama.298.15.1794. - DOI - PubMed

[6] Newcomer JW, Hennekens CH. Severe mental illness and risk of cardiovascular disease. JAMA. 2007;298(15):1794. doi: 10.1001/jama.298.15.1794. - DOI - PubMed

[7] Joukamaa M, Heliövaara M, Knekt P, Aromaa A, Raitasalo R, Lehtinen V. Schizophrenia, neuroleptic medication and mortality. Br J Psychiatry. 2006;188(02):122–127. doi: 10.1192/bjp.188.2.122. - DOI - PubMed

[8] Joukamaa M, Heliövaara M, Knekt P, Aromaa A, Raitasalo R, Lehtinen V. Schizophrenia, neuroleptic medication and mortality. Br J Psychiatry. 2006;188(02):122–127. doi: 10.1192/bjp.188.2.122. - DOI - PubMed

[9] Druss BG, Rohrbaugh RM, Levinson CM, Rosenheck RA. Integrated medical care for patients with serious psychiatric illness: a randomized trial. Arch Gen Psychiatry. 2001;58(9):861–868. doi: 10.1001/archpsyc.58.9.861. - DOI - PubMed

[10] Druss BG, Rohrbaugh RM, Levinson CM, Rosenheck RA. Integrated medical care for patients with serious psychiatric illness: a randomized trial. Arch Gen Psychiatry. 2001;58(9):861–868. doi: 10.1001/archpsyc.58.9.861. - DOI - PubMed

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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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

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Abstract

Conflict of interest statement

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