# Implementing structured health dialogues in forensic psychiatry: an ongoing randomized feasibility study - URL: https://alisanburak.com/en/wcp-2026-posterler/so275 - Language: en - Last updated: not specified - Page title: Implementing structured health dialogues in forensic psychiatry: an ongoing randomized feasibility study | WCP 2026 Summary > Early findings suggest that structured health dialogues conducted in a forensic psychiatric inpatient unit are feasible within routine care, with recruitment r… This page was translated automatically from Turkish. [Read the original](https://alisanburak.com/wcp-2026-posterler/so275) This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it. SO275 Brief Oral Poster PresentationForensic PsychiatryRandomized feasibility trial (ongoing) # Implementing structured health dialogues in forensic psychiatry: an ongoing randomized feasibility study IMPLEMENTING STRUCTURED HEALTH DIALOGUES IN FORENSIC PSYCHIATRY: AN ONGOING RANDOMIZED FEASIBILITY TRIAL Presenter: Mikael Vestlund Country: Sweden Session: 3650 - PARALLEL SHORT ORAL POSTER SESSIONS: CONSULTATION LIAISON - Part II Date: Fri, 25.09.2026 Early findings suggest that structured health dialogues conducted in a forensic psychiatric inpatient unit are feasible within routine care, with recruitment reaching 22% of the target. The aim is to assess the feasibility and acceptability of Structured Health Dialogues (SHD) among forensic psychiatric inpatients with severe mental illness and a high cardiometabolic burden. A single-center, open-label, parallel-group randomized feasibility study is underway in Sweden; the target sample size, based on a power calculation, is 50 participants, allocated 1:1 using stratified block randomization, with 25 participants per arm. SHD is a nurse-led, manual-based, person-centered approach that integrates lifestyle behaviors, biological risk markers, and psychosocial factors into a visual cardiometabolic risk profile (the Health Curve) to support goal setting and behavior change. It comprises two sessions over 12 months, with assessments at baseline, 6 months, and 12 months. Primary outcomes are feasibility measures, including recruitment, retention, intervention appropriateness, data completeness, and participant engagement; exploratory outcomes include lifestyle behaviors, cardiometabolic risk factors, and quality of life. Measurements include body mass index, blood pressure, waist-to-hip ratio, fasting glucose and HbA1c, lipid profile, a lifestyle questionnaire, the EQ-5D-5L, and the Mental Fatigue Scale. According to the flow diagram in the poster, of the 128 individuals assessed for eligibility, 45 were ineligible or not invited; of the 83 eligible for invitation, 59 were not reached; of the 24 approached, 9 declined participation; and of the 15 who provided written informed consent, 4 withdrew before baseline, leaving 11 participants randomized (6 to SHD plus treatment as usual and 5 to treatment as usual alone). This represents 22% of the target sample, and the first session has been completed by 4 participants. Recruitment began in March 2026 and is scheduled to continue until December 2027 (ClinicalTrials.gov NCT07157813). Although effectiveness outcomes have not been reported at this stage, the intervention is reported to have been implemented within routine care without major barriers, suggesting that it may provide methodological and clinical guidance for integrating cardiometabolic prevention into secure psychiatric settings. [View the original poster](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/272) How to cite this study APA 7: Vestlund, M., et al. (2026, September 25). Implementing structured health dialogues in forensic psychiatry: an ongoing randomized feasibility trial [Poster presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/272 Vancouver: Vestlund M, et al. Implementing structured health dialogues in forensic psychiatry: an ongoing randomized feasibility trial [poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. 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