The development and evaluation of a complex health education intervention for adults with a diagnosis of schizophrenia

Journal of Psychiatric and Mental Health Nursing

Volumn 17, Issue 6, 2010, Pages 473-486

  Bradshaw, T ^a   Lovell, K ^a   Bee, P ^a   Campbell, M ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Acceptability; Effect; Feasibility; Health education; Schizophrenia

Indexed keywords

ADULT; DIET; EVALUATION; FEASIBILITY STUDY; FEMALE; FOLLOW UP; HEALTH BEHAVIOR; HEALTH CARE QUALITY; HEALTH EDUCATION; HEALTH PROMOTION; HUMAN; LIFESTYLE; MALE; METHODOLOGY; MOTOR ACTIVITY; PATIENT ATTITUDE; PATIENT EDUCATION; REVIEW; SCHIZOPHRENIA; SMOKING; TREATMENT OUTCOME; UNITED KINGDOM; EVALUATION STUDY; PROCEDURES; PROGRAM EVALUATION;

ADULT; DIET; ENGLAND; FEASIBILITY STUDIES; FEMALE; FOLLOW-UP STUDIES; HEALTH BEHAVIOR; HEALTH EDUCATION; HEALTH PROMOTION; HUMANS; LIFE STYLE; MALE; MOTOR ACTIVITY; PATIENT ACCEPTANCE OF HEALTH CARE; PATIENT EDUCATION AS TOPIC; PROGRAM EVALUATION; SCHIZOPHRENIA; SMOKING; TREATMENT OUTCOME;

EID: 77954529994     PISSN: 13510126     EISSN: 13652850     Source Type: Journal    
DOI: 10.1111/j.1365-2850.2009.01543.x     Document Type: Review

References (70)

1. Abbott M, Arthur A, Walker L. The challenge of recruiting people with schizophrenia to a health promotion trial. British Journal of General Practice 2005, 55:634-636.
2. Addington J, el-Guelbaly N, Campbell W. Smoking cessation treatment for patients with schizophrenia. The American Journal of Psychiatry 1998, 155:974-976.
3. Ainsworth BE, Haskell WL, Whitt MC. Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise 2000, 32(9):S498-S504. Suppl.
4. Alvarez-Jimenez M, Hetrick SE, Gonzalez-Blanch C. Non-pharmacological management of antipsychotic-induced weight gain: systematic review and meta-analysis of randomised controlled trials. The British Journal of Psychiatry 2008, 193:101-107.
5. Andreasen N. Scale for the Assessment of Negative Symptoms (SANS). British Journal of Psychiatry 1989, 155(7):53-58. Suppl.
6. Archie S, Wilson JH, Osborne S. Pilot study: access to fitness facility and exercise levels in olanzapine-treated patients. Canadian Journal of Psychiatry 2003, 48:628-632.
7. Ashenden R, Silagy C, Weller D. A systematic review of the effectiveness of promoting lifestyle change in general practice. Family Practice 1997, 14:160-176.
8. Baker AH, Wardle J. Increasing fruit and vegetable intake among adults attending colorectal cancer screening: the efficacy of a brief tailored intervention. Cancer Epidemiology 2002, 11:203-206.
9. Ball MP, Coons VB, Buchanan RW. A program for treating Olanzapine-related weight gain. Psychiatric Services 2001, 52:967-969.
10. Bandoliers summary of advice on health living. 2004, http://www.medicine.ox.ac.uk/bandolier/booth/hliving/10steps.html, Bandolier, Available at: (accessed 27 March 2009
11. Baron RA. Social Psychology 2006, Pearson, London
12. Bogdan RB, Biklin SK. Qualitative Research for Education: An Introduction to Theory and Methods 1998, third, edn., Allyn and Bacon, Needham Heights, MA
13. Bradshaw T. An evaluation of health education groups for adults with a diagnosis of Schizophrenia. 2007, University of Manchester, PhD Thesis unpublished
14. Bradshaw T, Lovell K, Bee P. Why do adults with schizophrenia have poorer physical health than the rest of the population? Mental Health Practice 2005a, 9:28-30.
15. Bradshaw T, Lovell K, Harris N. A Systematic Review of the effectiveness of physical health education and healthy living interventions for people with Schizophrenia. Journal of Advanced Nursing 2005b, 49:634-654.
16. Brown S. Schizophrenia, weight gain and atypical antipsychotics. British Journal of Psychiatry 2006, 188:191-192.
17. Brown S, Birtwistle J, Roe L. The unhealthy lifestyle of people with schizophrenia. Psychological Medicine 1999, 29:697-701.
18. Cox B, Huppert FA, Whichelow M. The Health and Lifestyle Survey: Seven Years on 1993, Dartmouth Publishing Company Limited, Aldershot
19. Daumit GL, Goldberg RW, Anthony C. Physical activity patterns in adults with severe mental illness. Journal of Nervous and Mental Disease 2005, 193:641-646.
20. 5 a day message: examples of portion sizes of everyday fruit and vegetables. 2004a, http://www.5aday.nhs.uk/topTips/default.html, Department of Health, Available at: (accessed 25 September 2009
21. Mental Health Social Exclusion 2004b, Department of Health, Social Exclusion Unit, Department of Health publications, London
22. Choosing activity: a physical activity action plan. 2005, http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4105354, Department of Health, Available at: (accessed 25 September 2009
23. Dolan Mullen P, Simons-Morton DG, Ramirez G. A meta-analysis of trials evaluating patient education and counselling for three groups of preventative health behaviours. Patient Education and Counselling 1997, 32:157-173.
24. Elliot DL, Goldberg L, Duncan TE. The PHALME Firefighters' study: feasibility and findings. American Journal of Health Behaviour 2004, 28:13-23.
25. Evins E, Mays VK, Rigotti NA. A pilot study of bupropion added to cognitive behavioural therapy for smoking cessation in schizophrenia. Nicotine and Tobacco Research 2001, 3:397-403.
26. Field A. Discovering Statistics Using SPSS 2005, second, edn., Sage Publications, London
27. Filik R, Sipos A, Kehoe PG. The cardiovascular and respiratory health of people with schizophrenia. Acta Psychiatrica Scandinavica 2006, 113:298-305.
28. Fogarty JS, Youngs GA. Psychological reactance as a factor in patient noncompliance with medication taking: a field experiment. Journal of Applied Social Psychology 2000, 30:2365-2391.
29. George TP, Ziedonis DM, Feingold A. Nicotine transdermal patch and atypical antipsychotic medication for smoking cessation in schizophrenia. The American Journal of Psychiatry 2000, 157:1835-1842.
30. George TP, Vessicchio JC, Termine A. A placebo-controlled trial of bupropion for smoking cessation in schizophrenia. Biological Psychiatry 2002, 52:53-61.
31. Haffey VA, Soroko ML, McCormack JH. Use of modelling and of operant reinforcement procedures in a group weight reduction programme. Newsletter Research in Psychology 1972, 14:17-22.
32. Hennekens CH, Hennekens AR, Hollar D. Schizophrenia and increased risks of cardiovascular disease. American Heart Journal 2005, 150:1115-1121.
33. Hooper L, Bartlett C, Davey Smith G. Advice to reduce dietary salt for prevention of cardiovascular disease. The Cochrane Database of Systematic Reviews 2004 2004, Issue 1. Art. No.: CD003656. DOI: 10.1002/14651858. CD003656. This version first published online: 26 January 2004 in Issue 1, 2004
34. Huxley RR, Lean M, Crozier A. Effect of dietary advice to increase fruit and vegetable consumption on plasma flavonol concentrations: results from a randomised controlled intervention trial. Journal of Epidemiology and Community Health 2004, 58:288-289.
35. John JH, Ziebland S, Yudkin P. Effects of fruit and vegetable consumption on plasma antioxidant concentrations and blood pressure: a randomised controlled trial. Lancet 2002, 359:1969-1974.
36. Jones C, Cormac I, Silveira da Mota Neto JI. Cognitive behaviour therapy for schizophrenia. Cochrane Database of Systematic Reviews 2004, 2004, Issue 4. Art. No.: CD000524. DOI: 10.1002/14651858.CD000524.pub2. Accessed 27 March 2009
37. Jones K, Gould MI, Duncan C. Death and deprivation: an exploratory analysis of deaths in the health and lifestyle survey. Social Science and Medicine 2000, 50:1059-1079.
38. Lancaster GA, Dodd S, Williamson PR. Design and analysis of pilot studies: recommendations for good practice. Journal of Evaluation in Clinical Practice 2004, 10:307-312.
39. Luckoff D, Wallace C, Liberman RP. A holistic program for chronic schizophrenic patients. Schizophrenia Bulletin 1986, 12:274-282.
40. McCreadie R. Diet, smoking and cardiovascular risk in people with schizophrenia. British Journal of Psychiatry 2003, 183:534-539.
41. McCreadie R, Macdonald E, Blacklock C. Dietary intake of schizophrenic patients in Nithsdale, Scotland: case-control study. British Medical Journal 1998, 317:784-785.
42. McDougall S. The effect of nutritional education on the shopping and eating habits of a small group of chronic schizophrenic patients living in the community. British Journal of Occupational Therapy 1992, 55:62-68.
43. McGrath RE, Meyer GJ. When effect sizes disagree: The case of r and d. Psychological Methods 2006, 11:386-401.
44. A Framework for development and evaluation of RCTs for complex interventions to improve health. 2000, http://www.mrc.ac.uk/pdf-mrc_cpr.pdf, Medical Research Council (MRC), Available at: (accessed 25 January 2005)
45. Developing and evaluating complex interventions: new guidance. 2008, http://www.mrc.ac.uk/complexinterventionsguidance, Medical Research Council (MRC), Available at: (accessed 25 September 2009
46. Mohamed S, Paulsen JS, O'Leary D. Generalized cognitive deficits in schizophrenia: a study of first-episode patients. Archives of General Psychiatry 1999, 56:749-754.
47. Moore CH, Crum BC. Weight reduction in a chronic schizophrenic by means of operant conditioning procedures: a case study. Behavioural Research and Therapy 1969, 7:129-131.
48. O'Brien M, Singleton N, Sparks J. Adults with a psychotic disorder living in private households: The Office of National Statistics. 2000, http://www.statistics.gov.uk/downloads/theme_health/PMA_Psycho_v2.pdf, Available at: (accessed 25 September 2009
49. 2001, http://www.ons.gov.uk/census, Office of National Statistics, Available at: (accessed 20 April 2009
50. Osborn DPJ, Nazareth I, King MB. Physical activity, dietary habits and Coronary Heart Disease risk factor knowledge amongst people with severe mental illness: a cross sectional comparative study in primary care. Social Psychiatry and Psychiatric Epidemiology 2007, 42:787-793.
51. Pelham TW, Campagna PD. Benefits of exercise rehabilitation of persons with schizophrenia. Canadian Journal of Rehabilitation 1991, 4:159-168.
52. Polit D, Beck CT, Hungler BP. Essentials of Nursing Research: Methods, Appraisal, and Utilization with Online Articles 2001, Lippincott Williams and Wilkins, Philadelphia, PA
53. Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an intergrative model of change. Journal of Consulting and Clinical Psychology 1983, 51:390-395.
54. Rector NA, Beck AT, Stolar N. The negative symptoms of schizophrenia: a cognitive perspective. Canadian Journal of Psychiatry 2005, 50:247-257.
55. Roll JM, Higgins ST, Steingard S. Use of monetary reinforcement to reduce the cigarette smoking of persons with schizophrenia: a feasibility study. Experimental and Clinical Psychopharmacology 1998, 6:157-161.
56. Samele C, Patel M, Boydell J. Physical illness and lifestyle risk factors in people with their first presentation of psychosis. Social Psychiatry and Psychiatric Epidemiology 2007, 42:117-124.
57. Silagy C, Mant D, Fowler G. Meta-analysis of efficacy of nicotine replacement therapies in smoking cessation. Lancet 1994, 343:139-142.
58. Startup M, Jackson M, Bendix S. North Wales randomized controlled trial of cognitive behaviour therapy for acute schizophrenia spectrum disorders: outcomes at 6 and 12 months. Psychological Medicine 2004, 34:413-422.
59. Stead LF, Lancaster T. Group behaviour therapy programmes for smoking cessation. Cochrane Database of Systematic Reviews 2002, Issue 2. Art. No.: CD001007. DOI: 10.1002/14651858. CD001007. This version first published online: 22 April 2002 in Issue 2, 2002
60. Steptoe A, Perkins-Porras L, McKay C. Behavioural counselling to increase consumption of fruit and vegetables in low income adults: randomised trial. British Medical Journal 2003, 326:855-860.
61. Strassnig M, Miewald J, Keshavan M. Weight gain in newly diagnosed first-episode psychosis patients and healthy comparisons: one-year analysis. Schizophrenia Research 2007, 93:90-98.
62. Streiner D, Geddes J. Intention to treat analysis in clinical trials when there are missing data. Evidence Based Mental Health 2001, 4:70-71.
63. Tham MSP, Jones SJ, Chamberlain JA. The impact of psychotropic weight gain on people with psychosis - patient perspectives and attitudes. Journal of Mental Health 2007, 16:771-779.
64. Thyer BA, Irvine S. Contingency management of exercise by chronic schizophrenic patients. Perceptual and Motor Skills 1984, 58:419-425.
65. Umbricht D, Flury H, Brindler R. Cognitive behaviour therapy for weight gain. American Journal of Psychiatry 2001, 158:971.
66. Upper D, Newton JG. A weight reduction program for schizophrenic patients on a token economy unit: two case studies. Journal of Behavioural Therapy and Experimental Psychiatry 1971, 2:113-115.
67. Usher K, Foster K, Park T. The metabolic syndrome and schizophrenia: the latest evidence and nursing guidelines for management. Journal of Psychiatric and Mental Health Nursing 2006, 13:730-724.
68. Walker Z, Townsend J, Oakley L. Health promotion for adolescents in primary care: randomised controlled trial. British Medical Journal 2002, 325:524-530.
69. Weiner E, Ball P, Summerfelt BA. Effects of sustained-release bupropion and Supportive group therapy on cigarette consumption in patients with schizophrenia. American Journal of Psychiatry 2001, 158:635-637.
70. Ziedonis DM, George TP. Schizophrenia and nicotine use: report of a pilot smoking cessation program and review of neurobiological and clinical issues. Schizophrenia Bulletin 1997, 23:247-254.