title: 'Better Health Choices' by telephone: a feasibility trial of improving diet and physical activity in people diagnosed with psychotic disorders.
abstract: The study objective was to evaluate the feasibility of a telephone delivered intervention consisting of motivational interviewing and cognitive behavioural strategies aimed at improving diet and physical activity in people diagnosed with psychotic disorders. Twenty participants diagnosed with a non-acute psychotic disorder were recruited. The intervention consisted of eight telephone delivered sessions targeting fruit and vegetable (F&V) consumption and leisure screen time, as well as smoking and alcohol use (as appropriate). F&V frequency and variety, and overall diet quality (measured by the Australian Recommended Food Score, ARFS), leisure screen time, overall sitting and walking time, smoking, alcohol consumption, mood, quality of life, and global functioning were examined before and 4-weeks post-treatment. Nineteen participants (95%) completed all intervention sessions, and 17 (85%) completed follow-up assessments. Significant increases from baseline to post-treatment were seen in ARFS fruit, vegetable and overall diet quality scores, quality of life and global functioning. Significant reductions in leisure screen time and overall sitting time were also seen. Results indicated that a telephone delivered intervention targeting key cardiovascular disease risk behaviours appears to be feasible and relatively effective in the short-term for people diagnosed with psychosis. A randomized controlled trial is warranted to replicate and extend these findings.
authors: School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia. Electronic address: Amanda.Baker@newcastle.edu.au.
authors: Amanda L
authors: AL
authors: Baker
authors: School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia; IMPACT SRC, School of Medicine, Deakin University, Geelong, VIC, Australia; Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia.
authors: Alyna
authors: A
authors: Turner
authors: School of Psychology, University of Wollongong, Wollongong, NSW, Australia.
authors: Peter J
authors: PJ
authors: Kelly
authors: Preventive Medicine, Northwestern University, Chicago, Illinois, USA.
authors: Bonnie
authors: B
authors: Spring
authors: Priority Research Centre for Physical Activity and Nutrition, the University of Newcastle, Callaghan, NSW, Australia.
authors: Robin
authors: R
authors: Callister
authors: Priority Research Centre for Physical Activity and Nutrition, the University of Newcastle, Callaghan, NSW, Australia.
authors: Clare E
authors: CE
authors: Collins
authors: School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia.
authors: Kathryn L
authors: KL
authors: Woodcock
authors: School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia.
authors: Frances J
authors: FJ
authors: Kay-Lambkin
authors: School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia.
authors: Holly
authors: H
authors: Devir
authors: School of Medicine and Public Health, and Centre for Translational Neuroscience and Mental Health, the University of Newcastle, University Drive, Callaghan, NSW, Australia; Hunter New England Mental Health, Newcastle, NSW, Australia.
authors: Terry J
authors: TJ
authors: Lewin
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004032:Diet; D005240:Feasibility Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D062405:Motivational Interviewing / Q000379:methods*; D009043:Motor Activity / Q000502:physiology*; D011618:Psychotic Disorders / Q000178:diet therapy / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Fruit; Motivational interviewing; Psychotic disorder; Sedentary lifestyle; Smoking; Vegetables