Patient education program with mental health component reduces risk of cardiovascular disease


Patient education program with mental health component reduces risk of cardiovascular disease

A mother and daughter participated in the patient education program at a clinic in Irbid, Jordan. Credit: Kathy Kukula, Americares

People who participated in a health education program that included both mental health and physical health information significantly reduced their risk of cardiovascular and other chronic illnesses by the end of the year. ’12-month intervention – and maintained most of those improvements six months later, the researchers said.

People who participated in the integrated mental and physical health program maintained significant improvements on seven of the nine health measures six months after the program ended. These included, on average, a 21% decrease in fasting blood sugar, a 17% decrease in low density lipoprotein cholesterol, and a 12% decrease in their body mass index.

However, patients in the group who focused only on physical health information maintained their improvements on just two risk factors: BMI and systolic blood pressure.

Data collected at the end of the 12-month intervention indicated that program patients with the mental health component improved on eight of the nine health measures, while their peers in the traditional program improved on only three.

“The gains made by patients in the integrated program were greater than those of their counterparts in the other group and had greater lasting effects,” said Tara M. Powell, professor of social work at the University of Illinois to Urbana-Champaign, first author of a study on the project, published in the journal Preventive medicine reports.

The study participants were 213 Syrian refugees and 382 Jordanians who were patients at three health clinics in Irbid, Jordan, a border community that has seen a large influx of people fleeing the civil war in Syria. Powell conducted the research in partnership with the nonprofit health-focused relief and development organization Americares and the Royal Health Awareness Society in Jordan.

Powell’s group explored the effectiveness of a health education intervention called the Healthy Community Clinic, delivered in clinics across Jordan to improve patient management of chronic conditions such as cardiovascular disease and diabetes. , and reduce their risk of complications. Trained health educators or nurses led 20 interactive educational sessions that patients attended twice a month for a year.

Patient outcomes in the traditional HCC program were compared to those of peers who received routine health care only and to a group that participated in an expanded HCC program that incorporated four additional sessions focused on mental health. .

The mental health sessions included discussions on topics such as bereavement and traumatic physical and emotional stress reactions. Participants also learned tangible coping skills to reduce emotional distress, such as deep breathing exercises and walking.

“This study is among the first to illustrate how an integrated educational intervention in physical and mental health can improve health outcomes and ultimately help reduce the risk of cardiovascular disease in refugees and low-income populations,” said the co – Principal investigator, Dr Shang-Ju Li, Principal Director of Monitoring and Evaluation of Americares. “We are excited to share this groundbreaking research and look forward to making even more progress as we continue to look for ways to improve the health outcomes of those affected by poverty or disaster.”

The other co-authors of the study were Michelle Thompson, associate director of emergency response, Americares; Yuan Hsiao, graduate student in sociology at the University of Washington; Aseel Farraj, program manager of the Royal Health Awareness Society; Mariam Abdoh, Senior Population and Health Advisor / Project Management Specialist, USAID; and Dr Rami Farraj, from King Hussein Medical Center.

Based on the results of this research, the Royal Health Awareness Society has since deployed the HCC with the mental health component to public health centers in Jordan, Powell said.

In an earlier study with the same participants that looked at the impact of social support on mental and physical health, Powell and his colleagues found that more than half of the participants had experienced at least one traumatic event. Among Syrians, the most commonly reported traumatic experience was living in a war zone (73%), while among Jordanians it was witness to a violent death (18%).

This study, published in PLOS ONE, was co-authored by Li, Hsiao and U. of I., graduate student Oe Jin Shin.

“Because mental health issues such as depression and anxiety often coincide with chronic physical problems and poverty, patient education programs that integrate mental and physical health information are essential for countries like Jordan, ”said Powell. “Making these integrated programs widely available can reduce the burden of noncommunicable diseases on marginalized populations and improve their access to care.”

A program led by health coaches in primary care clinics helped reduce heart risk

More information:
Tara M. Powell et al, An Integrated Physical and Mental Health Awareness Education Intervention to Reduce Noncommunicable Diseases Among Syrian Refugees and Jordanians in Host Communities: A Natural Experimentation Study, Preventive medicine reports (2021). DOI: 10.1016 / j.pmedr.2021.101310

Provided by the University of Illinois at Urbana-Champaign

Quote: Patient education program with mental health component reduces risk of cardiovascular disease (2021, February 11) retrieved February 12, 2021 from -component-cardiovascular.html

This document is subject to copyright. Other than fair use for private study or research purposes, no part may be reproduced without written permission. The content is provided for information only.


About health

Check Also

10 Easy Ways to a Healthy Diet for children’s

Creating a nutritionally wholesome home is one of the maximum important steps you can take …


  1. This is some nice stuff. It took me a while to find this web page but it was worth the time. I noticed this post was hidden in yahoo and not the number one spot. This web page has a ton of enjoyable stuff and it does not deserve to be burried in the search engines like that. By the way Im going to save this webpage to my list of favorites.

  2. Hi, Thanks for the chance to publish here as it is better than phoning! We’re incredibly impressed by the actual contribution some other people are making on the webpage and hope to make contributions in addition any time as i can. I concur along with the earlier poster and hope to return now and again.

  3. This is this kind of a fantastic useful resource that youre providing and you give it away free of charge. I adore seeing web websites that understand the worth of offering a top quality useful resource for free. It?s the old what goes about arrives around routine.

  4. I am going to go ahead and bookmark this post for my sis for the research project for school. This is a pretty web page by the way. Where did you pick up the theme for this webpage?

  5. If you are in the search engine business stay search engine neutral, or create multiple sites for different search engines. Have you considered promoting your blog? add it to SEO Directory right now 🙂

  6. Hello 🙂 to locate issues to boost my website!I suppose its alright to make utilization of a number of of one’s ideas!!…

  7. Very efficiently written article. It will be beneficial to everyone who utilizes it, including yours truly . Keep up the good work i will definitely read more posts.

  8. I came to your site last week and I have been checking it out on a regular basis. You have a lots of good informative stuff on the site and i also love the particular style of your website as well. Keep up the good work!

  9. I used to be questioning if you could be all for becoming a guest poster on my blog? and in alternate you would put a hyperlink the put up? Please let me know whenever you get a chance and I will ship you my contact particulars thanks. Anyway, in my language, there arent much good supply like this. Have you considered promoting your blog? add it to SEO Directory right now 🙂

  10. My friend and I were just arguing about the topic you referred to in your blog post and apparently, I win the discussion! Thank you for clearing it out.

Leave a Reply

Your email address will not be published. Required fields are marked *

Open chat
Can we help you?