Lifestyle Health and Wellbeing Cohort

The Lifestyle Health and Wellbeing Survey for people with severe
mental ill health (SMI) is part of the NIHR CLAHRC Yorkshire and
Humber comorbidities theme which explores the interface between
mental and physical ill-health.
People with SMI experience significantly poorer physical health
and higher mortality compared to the general population, dying
on average 15-20 years earlier than people without SMI. The main
cause of these deaths is due to chronic physical conditions such
as diabetes, cardiovascular, respiratory and infectious disease and
Preventable risk factors such as smoking, physical inactivity, poor
diet, obesity, tobacco use and the side effects of psychiatric
medication all contribute to this health inequality.
Using a brief and simple survey method we are assembling a large
group of people with SMI and measuring a number of health
related behaviours and risk factors. We will also be able to judge
the willingness of people with SMI to modify these risk factors.

Method: The aim of the survey is to provide information about the health and wellbeing of people with severe mental ill health (SMI). Data is being collected on socio-demographic characteristics, health status, diet, exercise, alcohol and smoking. Resulting information from the survey will be used in two ways. Firstly to compare lifestyle
factors of people with SMI with those in the general population, and secondly to inform future studies aiming to improve the physical health of people with SMI.

Findings: The survey was piloted from March to September 2016 during which time 500 participants were recruited from both primary and secondary care. After piloting, the study was opened to additional sites in both primary and secondary care and has currently recruited about 1900 participants from 13 secondary care trusts and five CCGs across England. The current recruitment phase is ongoing and we plan to extend the study to further sites in both primary and secondary care.

Next steps: The cohort has the potential to be used to recruit to other studies for people with severe mental ill health and has recently been used to recruit to the SCIMITAR+ study, a study of a smoking cessation intervention for people with severe mental ill health and the DAWN-SMI study a study for people with severe mental ill health and diabetes.