Abstract / Description: 

Question  Does an 18-month intervention incorporating behavioral counseling, care coordination, and care management reduce cardiovascular risk in adults with serious mental illness, a population at extremely high risk of cardiovascular disease morbidity and mortality?

Findings  In this randomized clinical trial enrolling 269 participants with serious mental illness and at least 1 cardiovascular risk factor, the intervention group participants had a 12.7% relative reduction in the 10-year probability of a cardiovascular event, compared with the control group.

Meaning  These findings support the use of a behavioral counseling, care coordination, and care management intervention to substantially reduce cardiovascular health disparities in this high-risk population.

eCardio Hub Collection
General CV
Gail L. Daumit, MD, MHS; Arlene T. Dalcin, MS, RD; Faith B. Dickerson, PhD, MPH; Edgar R. Miller, MD, PhD; A. Eden Evins, MD, MPH; Corinne Cather, PhD; Gerald J. Jerome, PhD; Deborah R. Young, PhD; Jeanne B. Charleston, RN; Joseph V. Gennusa III, PhD, RD, LDN; Stacy Goldsholl, MS; Courtney Cook; Ann Heller, RN; Emma E. McGinty, PhD; Rosa M. Crum, MD, MHS; Lawrence J. Appel, MD, MPH; Nae-Yuh Wang, PhD