'Better Health Choices' by telephone: A feasibility trial of improving diet and physical activity in people diagnosed with psychotic disorders

Amanda L. Baker*, Alyna Turner, Peter J. Kelly, Bonnie Spring, Robin Callister, Clare E. Collins, Kathryn L. Woodcock, Frances J. Kay-Lambkin, Holly Devir, Terry J. Lewin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)63-70
Number of pages8
JournalPsychiatry Research
Volume220
Issue number1-2
DOIs
StatePublished - Dec 15 2014

Keywords

  • Fruit
  • Motivational interviewing
  • Psychotic disorder
  • Sedentary lifestyle
  • Smoking
  • Vegetables

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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