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Dr David Shiers Archives - Page 3 of 3 - Psychosis Research Unit
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Dr David Shiers

Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey

Lizzie Swaby, Daniel Hind, Rebecca Gossage-Worrall, David Shiers, Jonathan Mitchell, Richard I. G. Holt Full Article Abstract Aims and method The STEPWISE trial (STructured lifestyle Education for People WIth SchizophrEnia, schizoaffective disorder and first episode psychosis) is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes ‘usual care’. We aimed to define ‘usual care’ for lifestyle management in people with schizophrenia, schizoaffective disorder and first-episode psychosis in STEPWISE study sites. Ten National Health Service (NHS) mental health trusts participated in a bespoke survey based on the National Institute for Health and Care Excellence (NICE) guidance. Results Eight trusts reported offering lifestyle education programmes and nine offered smoking cessation support. Reported recording of biomedical measures varied. Clinical implications Although recommended by...


Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas

Nancy H. Liu, 1 , 2 Gail L. Daumit, 3 Tarun Dua, 1 Ralph Aquila, 4 Fiona Charlson, 5 Pim Cuijpers, 6 Benjamin Druss, 7 Kenn Dudek, 4 Melvyn Freeman, 8 Chiyo Fujii, 9 Wolfgang Gaebel, 10 Ulrich Hegerl, 11 Itzhak Levav, 12 Thomas Munk Laursen, 13 Hong Ma, 14 Mario Maj, 15 Maria Elena Medina‐Mora, 16 Merete Nordentoft, 17 Dorairaj Prabhakaran, 18 Karen Pratt, 4 Martin Prince, 19 Thara Rangaswamy, 20 David Shiers, 21 Ezra Susser, 22 Graham Thornicroft, 19 Kristian Wahlbeck, 23 Abe Fekadu Wassie, 24 Harvey Whiteford, 5 and Shekhar Saxena 1 Full Article Abstract Excess mortality in persons with severe mental disorders (SMD) is a major public health challenge that warrants action. The number and scope of truly tested interventions in this area remain...


STEPWISE – Structured Lifestyle Education For People With Schizophrenia: A Study Protocol For A Randomised Controlled Trial.

Gossage-Worrall R, Holt RIG, Barnard K, Carey M, Davies M, Dickens C, Doherty Y, Edwardson C, French P, Gaughran F, Greenwood K, Kalidindi S, Hind D, Khunti K, McCrone P, Mitchell J, Pendlebury J, Rathod S, Shiers D, Siddiqi N, Swaby L & Wright S (2016) Trials, 17(1), [475].   Full Article Background People with schizophrenia are two to three times more likely to be overweight than the general population. The UK National Institute of Health and Care Excellence (NICE) recommends an annual physical health review with signposting to, or provision of, a lifestyle programme to address weight concerns and obesity. The purpose of this randomised controlled trial is to assess whether a group-based structured education programme can help people with schizophrenia to lose weight. Methods Design: a randomised controlled trial...