Feasibility of Behavioral Weight Loss Treatment Enhanced with Peer Support and Mobile Health Technology for Individuals with Serious Mental Illness

Details

• Alternative Title:
  Psychiatr Q
• Personal Author:
  Aschbrenner, Kelly A. ; Naslund, John A. ; Shevenell, Megan ; Mueser, Kim T. ; Bartels, Stephen J.
• Description:
  Objective ; Effective and scalable lifestyle interventions are needed to address high rates of obesity in people with serious mental illness (SMI). This pilot study evaluated the feasibility of a behavioral weight loss intervention enhanced with peer support and mobile health (mHealth) technology for obese individuals with SMI. ; Methods ; The Diabetes Prevention Program Group Lifestyle Balance intervention enhanced with peer support and mHealth technology was implemented in a public mental health setting. Thirteen obese individuals with SMI participated in a pre-post pilot study of the 24-week intervention. Feasibility was assessed by program attendance, and participant satisfaction and suggestions for improving the model. Descriptive changes in weight and fitness were also explored. ; Results ; Overall attendance amounted to approximately half (56%) of weekly sessions. At 6-month follow-up, 45% of participants had lost weight, and 45% showed improved fitness by increasing their walking distance. Participants suggested a number of modifications to increase the relevance of the intervention for people with SMI, including less didactic instruction and more active learning, a simplified dietary component, more in depth technology training, and greater attention to mental health. ; Conclusions ; The principles of standard behavioral weight loss treatment provide a useful starting point for promoting weight loss in people with SMI. However, adaptions to standard weight loss curricula are needed to enhance engagement, participation, and outcomes to respond to the unique challenges of individuals with SMI.
• Keywords:
  • serious mental illness
  • behavioral weight loss treatment
  • obesity
  • Adult
  • Behavior Therapy
  • Biomedical Technology
  • Community Mental Health Services
  • Feasibility Studies
  • Female
  • Humans
  More +
• Source:
  Psychiatr Q. 87(3):401-415
• Pubmed ID:
  26462674
• Pubmed Central ID:
  PMC4929042
• Document Type:
  Journal Article
• Funding:
  K12 HS021695/HS/AHRQ HHSUnited States/ ; R01 MH089811/MH/NIMH NIH HHSUnited States/ ; U48 DP005018/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005018/ACL HHSUnited States/
• Volume:
  87
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/40161/cdc_40161_DS1.pdf
• File Type:
  [PDF - 93.28 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:752f20e09d8b83148afb5dbe5923f4d304ccc1378341f5997b6bf287e55aeada