Summary Objective Despite advances in care, many people with epilepsy have negative health events ( NHE s) such as accidents, emergency department visits, and poor quality of life. “ S elf‐ ma nagement fo r wi t h a history events” SMART ) is novel group format self‐management intervention. A community participatory approach informed the refinement , which was then tested 6‐month randomized controlled trial (n = 60) versus waitlist control WL n 60). Methods Participants were adults aged ≥18...

Diabetes and obesity among patients with serious mental illness are common. Use of second-generation antipsychotics compounds risk, widely prevalent unhealthy behaviors further contribute to negative outcomes. This column describes Targeted Training in Illness Management, a group-based psychosocial treatment that blends psychoeducation, problem identification, goal setting, behavioral modeling reinforcement. The intervention has been adapted the primary care setting is targeted at...

Article AbstractBackground: Treatment nonadherence in people with schizophrenia is associated relapse and homelessness. Building on the usefulness of long-acting medication our work psychosocial interventions to enhance adherence, we conducted a prospective uncontrolled trial customized adherence enhancement (CAE) plus injectable antipsychotic (LAI) using haloperidol decanoate 30 homeless or recently individuals DSM-IV-defined schizoaffective disorder.Method: Participants received monthly...

Diabetes and obesity among patients with serious mental illness are common. Use of second-generation antipsychotics compounds risk, widely prevalent unhealthy behaviors further contribute to negative outcomes. This column describes Targeted Training in Illness Management, a group-based psychosocial treatment that blends psychoeducation, problem identification, goal setting, behavioral modeling reinforcement. The intervention has been adapted the primary care setting is targeted at...

Sajatovic M, Levin J, Tatsuoka C, Micula‐Gondek W, Fuentes‐Casiano E, Bialko CS, Cassidy KA. Six‐month outcomes of customized adherence enhancement (CAE) therapy in bipolar disorder. Bipolar Disord 2012: 14: 291–300. © 2012 The Authors. Journal compilation John Wiley & Sons A/S. Background: There are few psychosocial interventions specifically focused on improved treatment people with disorder (BD). Customized is a needs‐based, manualized approach intended to improve medication...

In spite of growing numbers older people, there are few treatment studies on late-life bipolar disorder (BD). This was a 12-week prospective, open-label trial to assess efficacy and tolerability adjunct asenapine in non-demented adults (≥ 60 years) with sub-optimal previous response BD treatments.Asenapine initiated at 5 mg/day titrated as tolerated. Effects global psychopathology were measured Clinical Global Impression, version (CGI-BP), the Brief Psychiatric Rating Scale (BPRS). Mood...

Objective: This study evaluated the feasibility, acceptability, and preliminary efficacy of psychoeducation plus an automated text messaging intervention (Individualized Texting for Adherence Building–Cardiovascular [iTAB-CV]) to improve adherence antihypertensives bipolar disorder medication. Methods: After a program, iTAB-CV was administered 2 months. In month 1, participants received one educational-motivational mood rating daily. 2, medication reminders were added. Results: The sample...

Article Abstract Objective: Nonadherence in bipolar disorder (BD) ranges from 20% to 60%. Customized adherence enhancement (CAE) is a brief, BD-specific approach that targets individual barriers. This prospective, 6-month, randomized controlled trial conducted October 2012 July 2017 compared CAE versus rigorous educational program (EDU) on adherence, symptoms, and functional outcomes poorly adherent individuals. Methods: One hundred eighty-four participants with DSM-IV BD were (n = 92) or...

Patients with serious mental illness (SMI) and diabetes often seek care in primary settings have worse health outcomes than patients who either alone. Individual, provider, system-level barriers present challenges to addressing both psychiatric medical comorbidities. This article describes the feasibility, acceptability, implementation of Targeted Training Illness Management (TTIM), a self-management intervention delivered by trained nurse educators peer groups individuals SMI improve...

Long-acting injectable antipsychotics (LAI) can optimize adherence for high-risk serious mental illness (SMI). This customized adherence-enhancement approach delivered by social worker interventionists was combined with LAI (CAE-L) of paliperidone palmitate homeless, poorly adherent individuals SMI.This 6-month prospective, uncontrolled trial CAE-L in 30 recently homeless SMI assessed using the Tablets Routine Questionnaire, injection frequency, and symptoms measured Positive Negative...

ObjectiveManaging bipolar disorder (BD) is particularly challenging for adolescents and young adults (AYAs) ages 16 to 21. Few interventions exist that address self-management in AYAs with BD. Thus, this study aimed modify the customized adherence enhancement behavioral intervention through an iterative, patient-centered process.MethodThe Obesity-Related Behavioral Intervention Trials (ORBIT) model was used development. In phase 1a, barriers facilitators were identified refine content. Phase...

As poor medication adherence is common in bipolar disorder (BD), technology-assisted approaches may help to monitor and enhance adherence. This study evaluated preliminary feasibility, patient satisfaction effects on adherence, BD knowledge, symptoms associated with the use of a multicomponent enhancement system.This prospective tested system five patients over 15-day period. System components included: 1) an automated pill cap remote monitoring sensor; 2) multimedia program; 3) treatment...

We assessed characteristics that may predict outpatient appointment attendance in medical clinics among patients comorbid for serious mental illness (SMI) and type 2 diabetes (DM).Baseline covariate data from 200 individuals with SMI-DM enrolled a randomized controlled trial (RCT) were used to examine associated electronic health record-identified clinic using generalized estimating equations approach. The analyses evaluated the relationship between potentially modifiable factors including...

Objective: People with bipolar disorder (BD) often have difficulty medication adherence. This pilot trial combined a behavioral customized adherence enhancement (CAE) approach long-acting injectable (LAI) antipsychotic and assessed effects on adherence, BD symptoms, functional status.Methods: 6-month prospective, uncontrolled of the intervention (CAE LAI) in 30 poorly adherent individuals using Tablets Routine Questionnaire (TRQ) symptoms Brief Psychiatric Rating Scale (BPRS), Young Mania...

Objective: Care for people with serious mental illness and diabetes is complicated by clinical heterogeneity. This cross-sectional analysis of 200 individuals comorbid explored differentiation between patient subgroups that were characterized on the basis selected dimensions within a biopsychosocial framework. Methods: Relationships self-efficacy, treatment expectation, social support, depression first assessed via bivariate Spearman correlations among participating in randomized controlled...

Abstract Background Mood-stabilizing medications are a cornerstone of treatment for people with bipolar disorder, though approximately half these individuals poorly adherent their medication, leading to negative and even severe health consequences. While variety approaches can lead some improvement in medication adherence, there is no single approach that has superior adherence enhancement limited data on how be implemented clinical settings. Existing have shown an increasing need virtual...

Objective: To determine the relationship between demographic and clinical variables versus seizure-related complications among people with epilepsy. Background: In spite of advances in care, epilepsy experience negative health events (NHEs), such as seizures, emergency department visits hospitalizations. Being able to identify characteristics that are associated NHE risk can help inform care approaches reduce burden. Design/Methods: Data derived from a baseline sample larger prospective...

Abstract Racial and ethnic minorities are under-represented in dementia research. We tested a conceptually-driven health communication approach targeting evidence-based barriers facilitators to research participation vs. awareness training. Input from the minority advisory board (MAB) of Cleveland Alzheimer’s Disease Research Center (CADRC) informed development 2 brief videos which differentially focused on (POWER) versus an education control (EDU). A randomized controlled on-line survey...