Adapting SugarWatch to manage metabolic syndrome in a partial hospitalization program: a feasibility study.

A successful worksite diabetes prevention program, SugarWatch,was adapted for a seriously mentally ill patient population in a partial hospitalization program in Hawai'i. A feasibility study was implemented using an intervention with 3 components: SugarWatch curriculum, structured physical activity,and Create a Plate lunch. Twenty participants completed the three month intervention. Only systolic blood pressure showed statistically significant improvement. However, trends in improvement were also seen with diastolic blood pressure and total cholesterol. Despite minimal improvement in physiological measures, the project changed practice in the setting to align with the 2004 American Diabetes Association and American Psychiatric Association Guidelines for the prevention of metabolic syndrome and better management of patients taking second generation antipsychotic medications.