Anjana Muralidharan1, Noosha Niv1, Clayton H Brown1, Tanya T Olmos-Ochoa1, Li Juan Fang1, Amy N Cohen1, Julie Kreyenbuhl1, Rebecca S Oberman1, Richard W Goldberg1, Alexander S Young1. 1. Dr. Muralidharan, Dr. Brown, Dr. Kreyenbuhl, and Dr. Goldberg are with the Mental Illness Research, Education and Clinical Center (MIRECC),U.S. Department of Veterans Affairs (VA) Capitol Health Care Network (VISN 5), Baltimore. They are also with the University of Maryland School of Medicine, Baltimore, where Ms. Fang is affiliated. Dr. Muralidharan, Ms. Fang, Dr. Kreyenbuhl, and Dr. Goldberg are with the Division of Psychiatric Services Research, Department of Psychiatry, and Dr. Brown is with the Department of Epidemiology and Public Health. Dr. Niv and Dr. Olmos-Ochoa are with the MIRECC, VA Desert Pacific Healthcare Network, Long Beach, California. Dr. Niv is also with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, where Dr. Cohen and Dr. Young are affiliated. Dr. Cohen and Dr. Young are also with the MIRECC, VISN 22, Los Angeles. Ms. Oberman is with the VA Greater Los Angeles Healthcare System, Los Angeles.
Abstract
OBJECTIVE:Many adults with serious mental illness are sedentary and experience significant medical illness burden. This study examined the effectiveness of online weight management with peer coaching (WebMOVE) for increasing general physical activity among adults with serious mental illness. METHODS: Using quantitative and qualitative data from a randomized controlled trial (N=276), this study compared WebMOVE, in-person weight management for adults with serious mental illness (MOVE SMI), and usual care. Participants completed assessments of general physical activity (baseline, three months, and six months) and a qualitative assessment (six months). Mixed-effects models examined group × time interactions on general physical activity. RESULTS: There were significant differences between MOVE SMI and usual care for total physical activity at three (t=3.06, p=.002) and six (t=3.12, p=.002) months, walking at six months (t=1.99, p=.048), and moderate (t=2.12, p=.035) and vigorous (t=2.34, p=.020) physical activity at six months. There was a significant difference between WebMOVE and usual care for total physical activity at six months (t=2.02, p=.044) and a trend for a group difference in walking at six months (t=1.78, p=.076). These findings reflected a decline in physical activity among participants in usual care and an increase in physical activity among participants in MOVE SMI or WebMOVE. CONCLUSIONS: In-person weight management counseling increased total physical activity and led to initiation of moderate and vigorous physical activity among adults with serious mental illness. Computerized weight management counseling with peer support led to more gradual increases in total physical activity.
RCT Entities:
OBJECTIVE: Many adults with serious mental illness are sedentary and experience significant medical illness burden. This study examined the effectiveness of online weight management with peer coaching (WebMOVE) for increasing general physical activity among adults with serious mental illness. METHODS: Using quantitative and qualitative data from a randomized controlled trial (N=276), this study compared WebMOVE, in-person weight management for adults with serious mental illness (MOVE SMI), and usual care. Participants completed assessments of general physical activity (baseline, three months, and six months) and a qualitative assessment (six months). Mixed-effects models examined group × time interactions on general physical activity. RESULTS: There were significant differences between MOVE SMI and usual care for total physical activity at three (t=3.06, p=.002) and six (t=3.12, p=.002) months, walking at six months (t=1.99, p=.048), and moderate (t=2.12, p=.035) and vigorous (t=2.34, p=.020) physical activity at six months. There was a significant difference between WebMOVE and usual care for total physical activity at six months (t=2.02, p=.044) and a trend for a group difference in walking at six months (t=1.78, p=.076). These findings reflected a decline in physical activity among participants in usual care and an increase in physical activity among participants in MOVE SMI or WebMOVE. CONCLUSIONS: In-person weight management counseling increased total physical activity and led to initiation of moderate and vigorous physical activity among adults with serious mental illness. Computerized weight management counseling with peer support led to more gradual increases in total physical activity.
Entities:
Keywords:
Medical morbidity and mortality in psychiatric patients; Outcome studies; Peer support; Physical activity; Rehabilitation/psychosocial; Research/service delivery
Authors: Anjana Muralidharan; Clayton H Brown; Yilin Zhang; Noosha Niv; Amy N Cohen; Julie Kreyenbuhl; Rebecca S Oberman; Richard W Goldberg; Alexander S Young Journal: J Behav Med Date: 2019-11-18
Authors: Jessica Y Breland; Susan M Frayne; Christine Timko; Donna L Washington; Shira Maguen Journal: Psychiatr Serv Date: 2020-01-30 Impact factor: 3.084