title: Life Goals Collaborative Care for patients with bipolar disorder and cardiovascular disease risk.
abstract: OBJECTIVE
  This pilot study compared Life Goals Collaborative Care (LGCC) with enhanced treatment as usual in reducing cardiometabolic risk factors and improving outcomes for persons with bipolar disorder.
  
  
  METHODS
  Participants were randomly assigned to LGCC (N=34) or enhanced treatment as usual (N=34). LGCC included four weekly self-management sessions and monthly telephone contacts for six months thereafter. Enhanced treatment as usual included wellness mailings. Outcomes were blood pressure, body mass index (BMI), quality of life, functioning, and symptoms.
  
  
  RESULTS
  Compared with enhanced treatment as usual, LGCC was not associated with reductions in cardiometabolic risk factors in 12-month repeated-measures analyses. Among patients with a BMI of ≥30 or systolic blood pressure of ≥140, LGCC was associated with improvements in functioning (beta=-2.2 and beta=-3.8, respectively, p=.04) and reduced depressive symptoms (beta=-2.0 and -3.5, respectively, p=.04).
  
  
  CONCLUSIONS
  Further research is needed to determine whether LGCC improves outcomes for patients with elevated cardiometabolic risk.
authors.affiliation: Health Services Research and Development Center for Clinical Management Research, Veterans Affairs Ann Arbor, 2215 Fuller Rd., Ann Arbor, MI 48105, USA. amykilbo@umich.edu
authors.forename: Amy M
authors.initials: AM
authors.lastname: Kilbourne
authors.forename: David E
authors.initials: DE
authors.lastname: Goodrich
authors.forename: Zongshan
authors.initials: Z
authors.lastname: Lai
authors.forename: Julia
authors.initials: J
authors.lastname: Clogston
authors.forename: Jeanette
authors.initials: J
authors.lastname: Waxmonsky
authors.forename: Mark S
authors.initials: MS
authors.lastname: Bauer
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D001714:Bipolar Disorder / Q000628:therapy*; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003156:Community Mental Health Services; D005260:Female; D006801:Humans; D006973:Hypertension / Q000517:prevention & control; D008297:Male; D008485:Medical Audit; D008824:Michigan; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects; D011788:Quality of Life; D012307:Risk Factors; D012648:Self Care