Anderson Robert E, Graham Karen A
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA (RA).
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA (KG).
Am J Lifestyle Med. 2025 Apr 10:15598276251331854. doi: 10.1177/15598276251331854.
Cardiovascular disease presents a ten-fold higher risk of death than suicide in individuals with serious mental illness. Individuals experiencing first-episode psychosis already have high rates of modifiable risk factors contributing to cardiovascular disease. The initial 12 months are crucial for implementing behavioral interventions for effective risk factor modification and disease prevention. Coordinated Specialty Care (CSC) outpatient clinics provide multi-disciplinary team-based treatment for teens and young adults in the early stages of psychotic illness, significantly improving mental health outcomes and quality of life. However, these clinics lack support for addressing lifestyle behavior changes in their clients. The North Carolina Healthy Active Living (NC HeAL) program is an innovative clinical service offered to all CSC clients in this state. It offers personalized health and wellness coaching to help clients achieve meaningful health improvements. This paper provides a detailed description of the program's development, the target population and setting, the roles and skills of the NC HeAL team, program components and evidence-based program measures. Results of program measures, feasibility, acceptability, implementation, and fidelity will be published separately.
在患有严重精神疾病的个体中，心血管疾病导致的死亡风险比自杀高十倍。经历首次发作精神病的个体已经有很高比例的可改变风险因素，这些因素会导致心血管疾病。最初的12个月对于实施行为干预以有效改变风险因素和预防疾病至关重要。综合专科护理（CSC）门诊为处于精神病早期的青少年和年轻人提供基于多学科团队的治疗，显著改善心理健康结果和生活质量。然而，这些诊所缺乏支持来解决其客户的生活方式行为改变问题。北卡罗来纳州健康积极生活（NC HeAL）项目是该州为所有CSC客户提供的一项创新临床服务。它提供个性化的健康和保健指导，以帮助客户实现有意义的健康改善。本文详细描述了该项目的发展、目标人群和环境、NC HeAL团队的角色和技能、项目组成部分以及基于证据的项目措施。项目措施的结果、可行性、可接受性、实施情况和保真度将另行发表。
