Evidence map›Paper›PMID 39543515›Full record

ArticleBMC psychiatry2024

(Cost-)effectiveness and implementation of a combined lifestyle intervention for outpatients with severe mental illness (GOAL!): a hybrid quasi-experimental study protocol.

C R Noortman-van Meteren, M M E van Schothorst, N M den Bleijker, B Braakhuis-Keuning, W M H Houwert-Zuidema, T A M J van Amelsvoort, J Deenik

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05600205 (Evaluation of the Implementation and Effectiveness of a Combined Support for the Ambulatory Lifestyle Intervention), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05600205 naunknown statusnot on this map

Evaluation of the Implementation and Effectiveness of a Combined Support for the Ambulatory Lifestyle Intervention (GOAL!)

TypeinterventionalSponsorGGZ CentraalRan2022 to 2025Enrolled100ConditionsSevere Mental Illness, LifestyleArmsGOAL!
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

C R Noortman-van MeterenScience Department, GGz Centraal, Amersfoort, the Netherlands. c.noortman-vanmeteren@ggzcentraal.nl.
M M E van SchothorstScience Department, GGz Centraal, Amersfoort, the Netherlands.
N M den BleijkerScience Department, GGz Centraal, Amersfoort, the Netherlands.
B Braakhuis-KeuningScience Department, GGz Centraal, Amersfoort, the Netherlands.
W M H Houwert-ZuidemaScience Department, GGz Centraal, Amersfoort, the Netherlands.
T A M J van AmelsvoortMental Health and Neuroscience Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
J DeenikScience Department, GGz Centraal, Amersfoort, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with severe mental illness (SMI) face not only impaired mental health, but also a greater risk of physical comorbidities and a shorter life expectancy compared to the general population. A poor lifestyle plays a substantial role in this disparity. Combined Lifestyle Interventions targeting multiple lifestyle behaviors can improve mental and physical health, and quality of life. However, there is currently no appropriate structural support for people with SMI in outpatient care in the Netherlands. The Combined Lifestyle Intervention for Outpatients with SMI (GOAL!) is developed to address this gap. This study examines the (cost-)effectiveness and implementation of GOAL!.

methodsIn a type 1 hybrid quasi-experimental study with a mixed-method matched design, GOAL! participants (N = 50) are compared to people receiving care as usual (N = 50). The GOAL! program includes group and individual sessions, given by allied health professionals, over a period of two years. The first year starts with a 3-month intensive course on physical activity and nutrition, followed by 9 months of aftercare covering various lifestyle topics tailored to the group's needs. There is close collaboration with local stakeholders to facilitate transfer to the community setting. The second year focuses on maintaining established activities in one's daily living environment. Our primary outcome will be the change in physical activity, comparing GOAL! participants to those receiving care as usual. Secondary outcomes are changes in other lifestyle behaviors, physical health, mental well-being, and healthcare and societal costs. Additionally, achieving lifestyle-related goals, adverse effects, and barriers and facilitators to implementation are examined. Measurements are obtained at start (T0), and after 3 (T1), 12 (T2) and 24 months (T3). DISCUSSION: This study investigates the effects of GOAL! on lifestyle behaviors, health outcomes, implementation factors and cost-effectiveness after two years, aiming to offer valuable insights into the effectiveness and implementation outcomes of lifestyle interventions for outpatients with SMI.

trial registrationClinicalTrials.gov (Identifier: NCT05600205). Prospectively registered on October 26, 2022.

Indexed as

Cost-Benefit AnalysisLife StyleMental DisordersAdultAmbulatory CareExerciseFemaleHumansMaleNetherlandsOutpatientsQuality of Lifeallied health professionalscombined lifestyle interventioncost-effectivenesseffectivenesshealth outcomesimplementationlifestyle behaviorsoutpatientspeer support workerssevere mental illness

Identifiers

PMID39543515
PMCPMC11566051

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.