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The impact study - motivating a change in health behaviour

Published online by Cambridge University Press:  16 April 2020

S. Smith ,
K. Greenwood ,
Z. Atakan ,
P. Sood ,
R. Ohlsen ,
E. Papanastasiou ,
A. Featherman ,
G. Todd ,
J. Eberhard  and
K. Ismail
...Show all authors
S. Smith
Affiliation:
Forensic and Neurodevelopmental Science, Institute of Psychiatry, Kings College London, London, UK South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Beckenham, UK
K. Greenwood
Affiliation:
Department of Psychology, Institute of Psychiatry, Kings College London, London, UK Early Intervention Team, East Sussex Mental Health Partnership, Brighton, UK
Z. Atakan
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK
P. Sood
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK
R. Ohlsen
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK
E. Papanastasiou
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK
A. Featherman
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK
G. Todd
Affiliation:
South London and Maudsley NHS Foundation Trust, Maudsley Hospital, UK
J. Eberhard
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK
K. Ismail
Affiliation:
Department of Psychological Medicine, Kings College London, London, UK
R. Murray
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK
F. Gaughran
Affiliation:
South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Beckenham, UK

Abstract

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IMPaCT is a five-year project funded by the Department of Health, UK. Running in the UK and now Sweden, the IMPACT Project aims to target the poor physical health and excessive substance use seen in people with SMI. There is evidence that behavioural interventions may be associated with an improvement in physical health and substance use in this population.

IMPaCT is a randomised controlled trial of a health promotion intervention which consists of a manualised modular approach to working with people with severe mental illness to empower them to improve their physical health and substance use habits. It consists of The Manual, The Reference Guide and The Better Health Handbook which make up a therapy package to support clients to become healthier.

The therapy is provided by care coordinators (mental health practitioners) over a 6–9 month period and combines Cognitive Behavioural Therapy (CBT) with Motivational Interviewing (MI) principles. The aim is to work with clients to help them identify their own problem health behaviours, e.g. smoking, diet, exercise, drug and alcohol use. Realistic goals are set and revised with the client, and individual and group sessions are used to develop personal motivation to change. Information, workbooks and diaries are provided to record progress and give helpful hints, while meaningful alternative activities are introduced to replace problem health behaviours.

Type
S39-03
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 2151
Copyright
Copyright © European Psychiatric Association 2011
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