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Adherence with NICE guidance on lifestyle advice for people with schizophrenia: a survey

Adherence with NICE guidance on lifestyle advice for people with schizophrenia: a survey
Adherence with NICE guidance on lifestyle advice for people with schizophrenia: a survey
Background: Substantial weight gain is common in people taking antipsychotics. NICE recommends these patients are offered physical health screening and intervention. The STEPWISE trial is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes “usual care”.

Aims: To define “usual care” for lifestyle management in people with schizophrenia, schizoaffective disorder and first episode psychosis in STEPWISE study sites.

Method: Ten NHS Mental Health Trusts participated in a bespoke survey based on NICE guidance.

Results: Eight trusts reported offering lifestyle education programmes. Nine Trusts reported offering smoking cessation support. Reported recording of biomedical measures varied.

Conclusions: No consistent lifestyle education programme is currently offered across UK NHS Mental Health Trusts. The survey benchmarks ‘usual care’ for the STEPWISE study on which changes can be measured.

Declarations of interest: DS is a topic expert for the current update of NICE guidance on psychosis and schizophrenia in children and young people: These are his personal views and not those of NICE. RIGH received fees for lecturing, consultancy work and attendance at conferences from the following: Boehringer Ingelheim, Eli Lilly, Janssen, Lundbeck, Novo Nordisk, Novartis, Otsuka, Sanofi, Sunovion, Takeda, MSD. All remaining named authors did not disclose any declarations of interest.
1-21
Swaby, L.
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Hind, D.
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Gossage-Worrall, R.
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Shiers, D.
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Mitchell, J.
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Holt, R.I.G.
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Swaby, L.
e3d515bc-4b02-47a9-8c9a-066ce3b3b02a
Hind, D.
11cd7da4-ba5b-4fd6-a59e-fb4326601f48
Gossage-Worrall, R.
37030df1-a294-4d43-917b-3d50a18028ac
Shiers, D.
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Mitchell, J.
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Holt, R.I.G.
d54202e1-fcf6-4a17-a320-9f32d7024393

Swaby, L., Hind, D., Gossage-Worrall, R., Shiers, D., Mitchell, J. and Holt, R.I.G. (2016) Adherence with NICE guidance on lifestyle advice for people with schizophrenia: a survey. BJPsych Bulletin, 1-21. (In Press)

Record type: Article

Abstract

Background: Substantial weight gain is common in people taking antipsychotics. NICE recommends these patients are offered physical health screening and intervention. The STEPWISE trial is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes “usual care”.

Aims: To define “usual care” for lifestyle management in people with schizophrenia, schizoaffective disorder and first episode psychosis in STEPWISE study sites.

Method: Ten NHS Mental Health Trusts participated in a bespoke survey based on NICE guidance.

Results: Eight trusts reported offering lifestyle education programmes. Nine Trusts reported offering smoking cessation support. Reported recording of biomedical measures varied.

Conclusions: No consistent lifestyle education programme is currently offered across UK NHS Mental Health Trusts. The survey benchmarks ‘usual care’ for the STEPWISE study on which changes can be measured.

Declarations of interest: DS is a topic expert for the current update of NICE guidance on psychosis and schizophrenia in children and young people: These are his personal views and not those of NICE. RIGH received fees for lecturing, consultancy work and attendance at conferences from the following: Boehringer Ingelheim, Eli Lilly, Janssen, Lundbeck, Novo Nordisk, Novartis, Otsuka, Sanofi, Sunovion, Takeda, MSD. All remaining named authors did not disclose any declarations of interest.

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Accepted/In Press date: 25 July 2016
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 398883
URI: http://eprints.soton.ac.uk/id/eprint/398883
PURE UUID: 074be8b3-9e44-4682-89b4-893aeca70862
ORCID for R.I.G. Holt: ORCID iD orcid.org/0000-0001-8911-6744

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Date deposited: 03 Aug 2016 11:00
Last modified: 18 Feb 2021 16:56

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Contributors

Author: L. Swaby
Author: D. Hind
Author: R. Gossage-Worrall
Author: D. Shiers
Author: J. Mitchell
Author: R.I.G. Holt ORCID iD

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