{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:04:43Z","timestamp":1777860283242,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Risk &amp; Safety in Medicine"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Patients in psychiatric inpatient settings are at increased risk of developing physical health complications due to the structure of inpatient wards, the metabolic side-effects of antipsychotic medications and socioeconomic factors. Robust physical health monitoring and interventions are paramount in reducing this health inequality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To improve the quality of physical health interventions in the ward environment and empower patients to follow healthy lifestyle guidance to reduce their risk of metabolic syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Patient weight and waist circumference data were collected at baseline and weekly throughout the 8-week intervention period. A questionnaire was recorded from baseline to week-5 to assess patient understanding. Two Plan-Do-Study-Act (PDSA) cycles were completed: (1) Series of weekly psychoeducation sessions and group exercise and (2) Implementation of healthy living diaries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Our data did not demonstrate any definitive impact upon the waist circumference and weight of participants. However, analysis of the questionnaires showed a consistent trend in knowledge improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Whilst our aim of reducing patient weight and waist circumference was not realised, there was a significant impact on participant\u2019s knowledge, demonstrating a subjective benefit of our interventions. Our project also highlighted inconsistencies in physical health measurements and data collection, providing vital information for further quality improvement measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jrs-227030","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T13:22:13Z","timestamp":1658841733000},"page":"S85-S90","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving physical health monitoring and interventions in a learning disabilities forensic psychiatric secure service"],"prefix":"10.1177","volume":"33","author":[{"given":"Madeleine","family":"Landin","sequence":"first","affiliation":[{"name":"School of Medicine, Faculty of Life Sciences and Medicine, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Palmer","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Life Sciences and Medicine, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadine","family":"Paul","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Life Sciences and Medicine, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puneh","family":"Shahrjerdi","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Life Sciences and Medicine, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,1]]},"reference":[{"key":"bibr1-JRS-227030","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1192\/apt.10.2.107","volume":"10","author":"Irene C","year":"2004","journal-title":"Advances in Psychiatric Treatment"},{"key":"bibr2-JRS-227030","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414533011"},{"key":"bibr3-JRS-227030","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2011.tb00014.x"},{"key":"bibr4-JRS-227030","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2016-000341"},{"key":"bibr5-JRS-227030","doi-asserted-by":"publisher","DOI":"10.2337\/diaclin.24.1.18"},{"key":"bibr6-JRS-227030","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-007-0753-5_1654"},{"issue":"10","key":"bibr7-JRS-227030","first-page":"468","volume":"36","author":"Berenholtz SM","year":"2010","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"bibr8-JRS-227030","first-page":"9","volume":"8","author":"Lemoncito MV","year":"2010","journal-title":"Risk"},{"key":"bibr9-JRS-227030","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2016.08.009"}],"container-title":["International Journal of Risk &amp; Safety in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/JRS-227030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3233\/JRS-227030","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/JRS-227030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:45:25Z","timestamp":1777509925000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3233\/JRS-227030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2]]},"references-count":9,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.3233\/JRS-227030"],"URL":"https:\/\/doi.org\/10.3233\/jrs-227030","relation":{},"ISSN":["0924-6479","1878-6847"],"issn-type":[{"value":"0924-6479","type":"print"},{"value":"1878-6847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2]]}}}