Intervention to promote physical health in staff within mental health facilities and the impact on patients’ physical health
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Intervention to promote physical health in staff within mental health facilities and the impact on patients’ physical health. / Hjorth, Peter; Davidsen, Annette Sofie; Killian, Reinhold; O. W. Jensen, Signe; Munk-Jørgensen, Povl.
I: Nordic Journal of Psychiatry, Bind 70, Nr. 1, 2016, s. 62-71.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Intervention to promote physical health in staff within mental health facilities and the impact on patients’ physical health
AU - Hjorth, Peter
AU - Davidsen, Annette Sofie
AU - Killian, Reinhold
AU - O. W. Jensen, Signe
AU - Munk-Jørgensen, Povl
PY - 2016
Y1 - 2016
N2 - Background: Patients with severe mental illnesses have an increased physical morbidity andpremature mortality on account of somatic diseases. Patients with mental illness are nursed andcared for by the staff, who may acts as role models for the patients. Aims: The study tested theefficacy of an intervention programme for improving physical health in staff working in longtermpsychiatric treatment facilities. Furthermore, the paper measured the association betweenstaff’s changes in physical health and the patients’ changes in physical health. Methods: Thestudy was a cluster randomized controlled 12-month intervention study, and the interventionwas active awareness on physical health. Results: In the intervention group the staff reducedtheir waist circumference by 2.3 cm (95% CI: 0.3–4.4) when controlling for gender, age andcigarette consumption. In the control group, the staff changed their waist circumference by - 2.1 cm (95% CI: - 5.6–1.5). The staff in the intervention group experienced a significantreduction in diastolic blood pressure of - 5.9 mmHg (95% CI: - 9.5 to - 2.3, p=0.009). Thestudy indicated an association between the staff average change in each facility and theindividual patient’s changes in health parameters (body mass index, total body fat and qualityof life). Conclusion: The staff in the intervention group showed a significant reduction of waistcircumference, while staff in the control group showed a non-significant increase. Furthermore,a significant reduction in the diastolic blood pressure was seen. Indications that staff acted aspositive role models for the patients’ physical health were seen.
AB - Background: Patients with severe mental illnesses have an increased physical morbidity andpremature mortality on account of somatic diseases. Patients with mental illness are nursed andcared for by the staff, who may acts as role models for the patients. Aims: The study tested theefficacy of an intervention programme for improving physical health in staff working in longtermpsychiatric treatment facilities. Furthermore, the paper measured the association betweenstaff’s changes in physical health and the patients’ changes in physical health. Methods: Thestudy was a cluster randomized controlled 12-month intervention study, and the interventionwas active awareness on physical health. Results: In the intervention group the staff reducedtheir waist circumference by 2.3 cm (95% CI: 0.3–4.4) when controlling for gender, age andcigarette consumption. In the control group, the staff changed their waist circumference by - 2.1 cm (95% CI: - 5.6–1.5). The staff in the intervention group experienced a significantreduction in diastolic blood pressure of - 5.9 mmHg (95% CI: - 9.5 to - 2.3, p=0.009). Thestudy indicated an association between the staff average change in each facility and theindividual patient’s changes in health parameters (body mass index, total body fat and qualityof life). Conclusion: The staff in the intervention group showed a significant reduction of waistcircumference, while staff in the control group showed a non-significant increase. Furthermore,a significant reduction in the diastolic blood pressure was seen. Indications that staff acted aspositive role models for the patients’ physical health were seen.
U2 - 10.3109/08039488.2015.1050452
DO - 10.3109/08039488.2015.1050452
M3 - Journal article
C2 - 26086689
VL - 70
SP - 62
EP - 71
JO - Nordisk Psykiatrisk Tidsskrift
JF - Nordisk Psykiatrisk Tidsskrift
SN - 0803-9496
IS - 1
ER -
ID: 149037649