Healthy Eating, Activity, Reinforcement, and Training (HEART): A Program for The Meeting Place Clubhouse Edit Title

This review includes an examination of intervention strategies (See Appendix A: Literature Review Matrix) to reduce risk factors for CVD in adults with SMI. Research reveals that 80% percent of CVD cases can be prevented through physical activity, healthier diet and cessation of smoking (Faulkner, Taylor, Munro, Selby & Gee, 2007; Oeland, Laessoe, Olesen &
Munk-Jorgensen, 2010). Health interventions, especially weight-loss interventions, aimed at persons with SMI can be more challenging than interventions designed for the general population. People with SMI face various challenges that often supersede the importance of trying to lose weight, including cognitive deficits, side effects of psychotropic medications and
other daily challenges posed by their illness (Daumit et al., 2011; Centorrino et al., 2006; Casagrande et al., 2010). Existing research demonstrates a need to consider these unique challenges and barriers to good physical health in this population. Most importantly, research shows that adults with SMI taking psychotropic medication are able to lose weight through
weight loss programs and can be motivated to maintain consistent participation (Centorrino et al., 2006).

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