A Multi-modal Approach to Addressing Cardiovascular Risk and Building Resilience in Youths With Psychosis

Not Applicable

Completed

Brief Summary: The purpose of this study is to determine the feasibility (≥ 50% completion rate) of a 6-week nutrition, movement, and mindfulness program for youth with recent diagnosis of psychosis.

Detailed Description: The purpose of this study is to determine the feasibility of a 6-week nutrition, movement, and mindfulness program (M³ Program) for youth with a recent diagnosis of psychosis. Program effects on metabolic and mental health outcomes compared to wait-list control will also be assessed. Participants will be 15-25 years of age, and have a recent diagnosis of psychosis. Twenty participants and their study partners (20 study partners) will be equally divided into two cohorts. Participants will sign up for one of the two series on a rolling enrollment basis until both of the program date frames are filled. Participants that signed up for the second series will serve as a wait-list control; outcomes from the participants in the first series will be compared to this group. M³ will be a combination of didactic and experiential training. The course will meet once-a-week for six weeks. Participants will learn how to prepare healthy snacks and meals, make healthy choices when eating out, and interpret food packaging and labels. They will also learn about different forms of mindfulness exercises and movement, such as yoga, martial arts, and a Japanese style of drumming. Feasibility will be assessed throughout the program.

Recruitment & Eligibility

Inclusion Criteria

First diagnosis of psychosis occurs within 3 years of enrollment into the study or are a graduate of the Early Assessment and Support Alliance Program (EASA).
Established mental health provider and primary care physician.
Age 15 to 25 years (inclusive)
Able to enroll with a study partner (study partner can be a healthy volunteer)
Able to read and write in English

Exclusion Criteria

Active suicidal or homicidal thoughts
Mental status exam which suggests high risk for disruptiveness to group process or danger to self and others.
If a graduate of EASA, the participant must have a primary care or mental health provider.

Arm && Interventions

Group	Intervention	Description
M3 Program	M3 Program	Non-randomized experimental group. The program is a six-week multi-modal intervention, including nutrition education and cooking classes, physical activity, and mindfulness. Outcomes will be compared to a non-randomized control group.
Control	Control	Non-randomized control group. Outcomes will be compared at same time points (baseline, 6 weeks, 12 weeks).

Primary Outcome Measures

Name	Time	Method
Feasibility assessed by 6-week program completion by 50% of participants attending at least 60% of the program	6 weeks

Secondary Outcome Measures

Name	Time	Method
Body Mass Index	6 and12 weeks	body mass index
Waist Circumference	6 and12 weeks	waist circumference measured in cm
Lipid Panel	6 and12 weeks	total cholesterol, triglycerides, HDL, LDL
Quick Scale for the Assessment of Negative Symptoms and Positive Symptoms	6 and12 weeks	A rating scale to measure positive symptoms of schizophrenia. The QSANS-QSAPS assessment is administered by a trained health professional and takes 30 to 45 minutes to complete.
Connor-Davidson Resilience Scale	6 and12 weeks	A measurement of 'hardiness', or one's ability to successfully cope with stress. The scale draws on a number of resilient characteristics, including patience, tolerance to negative affect, sense of humor, commitment, recognition of limits to control, engaging the support of others, and adaptability. The CD-RISC contains 25 items and asks subjects to rate how they felt over the past month on a Likert-type scale. Total score range is 0 - 100, with higher scores indicating higher levels of resiliency.
Quality of LIfe - SF12	6 and12 weeks	: The SF-12 is a 12-item validated shortened version of the SF-36 and was designed to provide a health related quality of life measure that was quick and easy to administer in large population studies. The SF-12 contains a subset of the 12 items from the SF-36 and information from this subset of questions is used to construct a physical and mental component summary score.

Locations (1): Oregon Health and Science University
🇺🇸
Portland, Oregon, United States