TY  - JOUR
PY  - 2018//
TI  - Implementation of a lifestyle intervention for people with serious mental illness in state-funded mental health centers
JO  - Psychiatric services
A1  - Bartels, Stephen J.
A1  - Aschbrenner, Kelly A.
A1  - Pratt, Sarah I.
A1  - Naslund, John A.
A1  - Scherer, Emily A.
A1  - Zubkoff, Lisa
A1  - Cohen, Michael J.
A1  - Williams, Gail E.
A1  - Wolfe, Rosemarie S.
A1  - Jue, Kenneth
A1  - Brunette, Mary F.
SP  - 664
EP  - 670
VL  - 69
IS  - 6
N2  - OBJECTIVE: The purpose of this study was to evaluate health outcomes of a state-supported implementation in community mental health settings of an evidence-based lifestyle intervention for overweight and obese adults with serious mental illness. <br><br>METHODS: Weight and fitness outcomes were evaluated for 122 overweight or obese adults with serious mental illness in four community mental health centers (CMHCs) that were participating in a phased statewide implementation of the In SHAPE lifestyle intervention. Six- and 12-month outcomes were compared between two CMHCs that implemented In SHAPE in the first 12 months and two CMHCs with similar characteristics that implemented In SHAPE in a subsequent phase in the statewide implementation 12 months later. <br><br>RESULTS: Participants in the two In SHAPE sites (N=63 participants) lost significantly more weight (p=.003) and showed greater improvement in fitness (p=.011) compared with participants at the two usual care control sites (N=59 participants). At six months, nearly half (49%) of In SHAPE participants and at 12 months more than half (60%) of In SHAPE participants showed clinically significant cardiovascular risk reduction defined as ≥5% weight loss or improved fitness (>50 m [164 feet] increase on the six-minute walk test). The difference between the In SHAPE and control groups was not statistically significant. <br><br>CONCLUSIONS: This natural experiment demonstrated promising public health benefits of a practical implementation of health promotion programming for overweight and obese adults with serious mental illness and offers a potential model for reducing risk of early mortality among individuals served by state-funded mental health centers nationwide.<p />  <p>Language: en</p>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201700368
ID  - ref1
ER  -