Debra Srebnik1, Lydia A Chwastiak, Joan Russo, Laurie Sylla. 1. Dr. Srebnik and Ms. Sylla are with the Mental Health, Chemical Abuse and Dependency Services Division, King County Department of Community and Human Services, Seattle, Washington (e-mail: debra.srebnik@kingcounty.gov ). Dr. Chwastiak and Dr. Russo are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Chwastiak is also with the Harborview Medical Center, Seattle.
Abstract
OBJECTIVE: This study was a pilot evaluation of the Diabetes Prevention Program (DPP) implemented by community mental health center (CMHC) clinicians to reduce weight for individuals with serious mental illnesses. METHODS:Participants (N=60) received the 16-week DPP core curriculum at one of six CMHCs. A comparison group (N=77) received usual care at one of five other CMHCs. RESULTS: Compared with participants in usual care, DPP participants lost significantly more weight and were nearly three times more likely to lose at least 5% of body weight. Participants and staff found the program acceptable and feasible to implement. They also suggested incorporating exercise and cooking components, providing information about diabetes and the impact of medications on weight, simplifying intake and activity monitoring, providing at least twice monthly postcore sessions, monitoring lab values, and reinforcing group involvement between sessions. CONCLUSIONS: The evaluation demonstrated the feasibility, acceptability, and preliminary effectiveness of engaging CMHC clinicians in implementing the DPP for adults with serious mental illnesses.
RCT Entities:
OBJECTIVE: This study was a pilot evaluation of the Diabetes Prevention Program (DPP) implemented by community mental health center (CMHC) clinicians to reduce weight for individuals with serious mental illnesses. METHODS:Participants (N=60) received the 16-week DPP core curriculum at one of six CMHCs. A comparison group (N=77) received usual care at one of five other CMHCs. RESULTS: Compared with participants in usual care, DPPparticipants lost significantly more weight and were nearly three times more likely to lose at least 5% of body weight. Participants and staff found the program acceptable and feasible to implement. They also suggested incorporating exercise and cooking components, providing information about diabetes and the impact of medications on weight, simplifying intake and activity monitoring, providing at least twice monthly postcore sessions, monitoring lab values, and reinforcing group involvement between sessions. CONCLUSIONS: The evaluation demonstrated the feasibility, acceptability, and preliminary effectiveness of engaging CMHC clinicians in implementing the DPP for adults with serious mental illnesses.
Authors: Kelly A Aschbrenner; John A Naslund; Megan Shevenell; Elizabeth Kinney; Stephen J Bartels Journal: J Nerv Ment Dis Date: 2016-06 Impact factor: 2.254
Authors: Uma Mudaliar; Azadeh Zabetian; Michael Goodman; Justin B Echouffo-Tcheugui; Ann L Albright; Edward W Gregg; Mohammed K Ali Journal: PLoS Med Date: 2016-07-26 Impact factor: 11.069