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Health promotion coaching for obese individuals with serious mental illnesses produces clinically significant reductions in cardiovascular risks up to 18 months
  1. Bobbi Jo Yarborough
  1. Kaiser Permanente Northwest Center for Health Research, Portland, Oregon, USA; bobbijo.h.yarborough@kpchr.org

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ABSTRACT FROM: Bartels SJ, Pratt SI, Aschbrenner KA, et al. Pragmatic replication trial of health promotion coaching for obesity in serious mental illness and maintenance of outcomes. Am J Psychiatry 2015;172:344–52.

What is already known on this topic

Individuals with serious mental illnesses (SMI) experience premature morbidity and mortality, largely as a consequence of increased cardiovascular risk resulting from illness, treatment and lifestyle. A growing body of research demonstrates lifestyle changes can improve fitness and reduce weight and cardiovascular risks among this disproportionately vulnerable group. For example, a trial of health promotion coaching effectively improved fitness and/or reduced weight in nearly half of those who received the intervention1. Additionally, lifestyle change programmes offered in community psychiatric rehabilitation programs2 and community mental health clinics3 have demonstrated clinically significant reductions in weight among intervention participants. However only one of these trials measured maintenance of outcomes4 and none have been replicated.

Methods of the study

Bartels and colleagues tested the effectiveness of In SHAPE, delivered in a pragmatic clinical trial, in three diverse urban community mental health clinics. In SHAPE consists …

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