Implementation Strategies for Reducing Cardiovascular Risk in Serious Mental Illness

This trial aims to test the IDEAL Goals program, designed to reduce heart disease risk in people with serious mental illness (SMI). Researchers are evaluating the program's effectiveness using various strategies, such as coaching or facilitation, in community mental health settings in Michigan and Maryland. Those working at a community mental health program and willing to participate in training and program delivery may be suitable candidates for this trial. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could significantly benefit individuals with SMI.

The trial information does not specify whether you need to stop taking your current medications.

Research has shown that programs like health coaching and extra support are generally safe for people with serious mental illnesses. These programs aim to improve heart health, which is crucial because this group faces a higher risk for heart disease.

Participants in similar programs have experienced positive results with few side effects. For instance, health coaching has helped individuals manage their heart health without major safety concerns. Similarly, support methods have not shown any major safety issues in other studies.

Researchers are excited about the IDEAL Goals program because it aims to reduce cardiovascular risk specifically for individuals with serious mental illness, a group often underserved by current heart health strategies. Traditional treatments for cardiovascular issues typically focus on lifestyle changes and medications, but this program introduces a tailored approach through the Replicating Effective Programs (REP) model. What's unique is the added layer of support: some participants receive additional coaching, facilitation, or both, which can enhance the effectiveness of standard interventions by providing personalized guidance and motivation. This holistic approach could lead to better health outcomes by addressing both the physical and mental health needs of patients.

Research has shown that people with serious mental illnesses (SMI) are more likely to develop heart disease. The IDEAL Goals program, tested in this trial, is a proven method to help reduce heart disease risk in this group. Participants in different trial arms will receive various interventions. Some will receive the Replicating Effective Programs (REP) alone, while others will receive REP plus coaching, facilitation, or both. Studies have shown that health and wellness coaching can improve health for people with long-term illnesses, including those with SMI. Additionally, strategies that include behavioral counseling have effectively reduced heart disease risk. The IDEAL Goals program employs these methods to improve heart health in people with SMI, aiming to lower their risk of heart disease.¹⁴⁶⁷⁸