The ACCT Healthy Hearts Study

Project Details

It is well established that people living with severe mental illnesses have elevated risk of cardiovascular disease (CVD) and are over-represented in all areas of CVD risk across all ages. Both CVD and CVD risk factors in people with SMI are under-diagnosed and under treated across all healthcare settings due to interconnected structural, individual and social reasons not limited to fragmentation between sectors, stigma associated with seeking help, unwelcoming environments and diagnostic over shadowing.

Many of the CVD risk factors are modifiable through both pharmacological (where appropriate) and non-pharmacological means (primarily diet, behavioural, lifestyle and physical activity interventions). Despite available interventions, delivery, uptake and ongoing adherence to interventions often remains low. An individualised and multifactorial intervention is urgently needed. Primary care provides a key avenue to work with patients to improve CVD outcomes in people with SMI as General Practitioners have the ability to maintain an ongoing relationship with patients allowing for a holistic, ongoing approach to health management.  Additionally, General Practitioners can initiate and coordinate care across primary, secondary and tertiary sectors leading to greater continuity of care and treatment adherence.

We have developed a co-produced, person-centred and evidence-based approach that brings together motivational interviewing techniques, and the principles of assertive community treatment to support intrinsic behaviour change and generate hopefulness and a positive outlook for activation that can lead to improved heart health.

Researchers

A/Prof Victoria Palmer, Lead Investigator
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences (University of Melbourne)

Dr Matthew Lewis, Trial Manager and Research Fellow
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences (University of Melbourne)

Maria Potiriadis, Trial Engagement & Coordination
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences (University of Melbourne)

Emily Knights, Research Nurse
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences (University of Melbourne)

Dr Patty Chondros, Biostatistician
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences.  The University of Melbourne

Konstancja Densley, Data Manager
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences (University of Melbourne)

David Ormiston-Smith, Web Developer
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences (University of Melbourne)

Collaborators

Prof Jane Gunn
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences (University of Melbourne)

Prof Carol Harvey
The Department of Psychiatry, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences. University of Melbourne

A/Prof John Furler
The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences.  University of Melbourne

Prof David Osborn
Division of Psychiatry, Faculty of Brain Sciences, University College London

Prof David Castle
The Department of Psychiatry, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences. University of Melbourne.

Dr Sandra Davidson
(Honorary Research Fellow) The Department of General Practice, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences.  University of Melbourne

Dr Mahesh Jayaram
The Department of Psychiatry, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences. University of Melbourne

Prof Amanda Kenny
La Trobe Rural Health School, Department of Rural Nursing and Midwifery.  La Trobe University.

Prof Cathy Mihalopoulos
Deakin Health Economics Unit, Faculty of Health, Deakin University.

Prof Mark Nelson
Menzies Institute for Medical Research; School of Medicine, University of Tasmania

Prof Vera Morgan
Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia

Prof Stephen Harrap
Department of Physiology, University of Melbourne

Funding

The ACCT Healthy Hearts Trial is funded by an NHMRC Project Grant (2018)
APP1141344

Research Publications

Palmer VJ, Lewis M, Stylianopolous V, Furler J. Primary care prevention of the cardiovascular health crisis for people with severe mental illnesses. Australian Journal of General Practice. 2018;47(12):846-50.

https://www1.racgp.org.au/ajgp/2018/december/primary-care-prevention-of-the-cardiovascular-heal

Research Group

Integrated Mental Health




Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

General Practice

MDHS Research library
Explore by researcher, school, project or topic.