Article Text
PDF
Statistics from Altmetric.com
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 …
Request Permissions
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.