Leopoldo J Cabassa1, Ana Stefancic1, Roberto Lewis-Fernández1, José Luchsinger1, Lara Carson Weinstein1, Shenyang Guo1, Lawrence Palinkas1, Lauren Bochicchio1, Xiaoyan Wang1, Kathleen O'Hara1, Michael Blady1, Christine Simiriglia1, Monica Medina McCurdy1. 1. Brown School at Washington University in St. Louis, St. Louis (Cabassa, Guo, Wang); Department of Psychiatry, Columbia University, New York City (Stefancic, Lewis-Fernández); New York State Psychiatric Institute, New York City (Lewis-Fernández); Department of Medicine, Columbia University Medical Center, New York City (Luchsinger); Department of Family and Community Medicine, Jefferson Medical College, Philadelphia (Weinstein); Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles (Palinkas); School of Nursing, Columbia University, New York City (Bochicchio); School of Social Work, Columbia University, New York City (O'Hara); The Bridge, New York City (Blady); Pathways to Housing PA, Philadelphia (Simiriglia); Project Home, Stephen Klein Wellness Center, Philadelphia (McCurdy).
Abstract
OBJECTIVE: The effectiveness of the Peer-led Group Lifestyle Balance (PGLB) intervention, a 12-month manualized healthy lifestyle intervention delivered by peer specialists, was investigated in a sample of persons with serious mental illness who were overweight or obese and living in supportive housing. METHODS: The authors randomly assigned 314 participants from three supportive housing agencies to PGLB or usual care, with assessments at baseline and 6, 12, and 18 months. Outcomes were clinically significant changes from baseline in weight (≥5% weight loss), cardiorespiratory fitness (CRF; increase of ≥50 meters in the 6-minute walk test), and cardiovascular disease (CVD) risk reduction (clinically significant weight loss or CRF improvement). RESULTS: Most participants were from racial-ethnic minority groups (82%, N=255). The mean±SD baseline weight of this sample was 218.8±54.0 pounds, and the body mass index was 33.7±7.2. Compared with the usual care group, a larger proportion of the PGLB group achieved clinically significant changes in study outcomes at 12 and 18 months, but none of these changes was statistically significant. Outcomes differed by site: two sites reported no significant differences between the two groups, and one reported that PGLB significantly outperformed usual care on clinically significant weight loss at 18 months and CVD risk reduction at 6 and 12 months. CONCLUSIONS: The null findings indicate that PGLB was not superior to usual care in helping participants achieve clinically significant changes in weight, CRF, and CVD risk reduction at 12 and 18 months. Questions remain regarding how PGLB works, for whom, and in which settings.
OBJECTIVE: The effectiveness of the Peer-led Group Lifestyle Balance (PGLB) intervention, a 12-month manualized healthy lifestyle intervention delivered by peer specialists, was investigated in a sample of persons with serious mental illness who were overweight or obese and living in supportive housing. METHODS: The authors randomly assigned 314 participants from three supportive housing agencies to PGLB or usual care, with assessments at baseline and 6, 12, and 18 months. Outcomes were clinically significant changes from baseline in weight (≥5% weight loss), cardiorespiratory fitness (CRF; increase of ≥50 meters in the 6-minute walk test), and cardiovascular disease (CVD) risk reduction (clinically significant weight loss or CRF improvement). RESULTS: Most participants were from racial-ethnic minority groups (82%, N=255). The mean±SD baseline weight of this sample was 218.8±54.0 pounds, and the body mass index was 33.7±7.2. Compared with the usual care group, a larger proportion of the PGLB group achieved clinically significant changes in study outcomes at 12 and 18 months, but none of these changes was statistically significant. Outcomes differed by site: two sites reported no significant differences between the two groups, and one reported that PGLB significantly outperformed usual care on clinically significant weight loss at 18 months and CVD risk reduction at 6 and 12 months. CONCLUSIONS: The null findings indicate that PGLB was not superior to usual care in helping participants achieve clinically significant changes in weight, CRF, and CVD risk reduction at 12 and 18 months. Questions remain regarding how PGLB works, for whom, and in which settings.
Authors: Mary Dixon-Woods; Charles L Bosk; Emma Louise Aveling; Christine A Goeschel; Peter J Pronovost Journal: Milbank Q Date: 2011-06 Impact factor: 4.911
Authors: Joseph Firth; Najma Siddiqi; Ai Koyanagi; Dan Siskind; Simon Rosenbaum; Cherrie Galletly; Stephanie Allan; Constanza Caneo; Rebekah Carney; Andre F Carvalho; Mary Lou Chatterton; Christoph U Correll; Jackie Curtis; Fiona Gaughran; Adrian Heald; Erin Hoare; Sarah E Jackson; Steve Kisely; Karina Lovell; Mario Maj; Patrick D McGorry; Cathrine Mihalopoulos; Hannah Myles; Brian O'Donoghue; Toby Pillinger; Jerome Sarris; Felipe B Schuch; David Shiers; Lee Smith; Marco Solmi; Shuichi Suetani; Johanna Taylor; Scott B Teasdale; Graham Thornicroft; John Torous; Tim Usherwood; Davy Vancampfort; Nicola Veronese; Philip B Ward; Alison R Yung; Eoin Killackey; Brendon Stubbs Journal: Lancet Psychiatry Date: 2019-07-16 Impact factor: 27.083
Authors: Christina Mangurian; Simriti Chaudhry; Lucia Capitelli; Jonathan Amiel; Felicia Rosario; Carlos Jackson; John W Newcomer; Francine Cournos; Susan Essock; Diane Barrett; Michael Devlin Journal: Community Ment Health J Date: 2012-03-24
Authors: Bo Kim; Jennifer L Sullivan; Mona J Ritchie; Samantha L Connolly; Karen L Drummond; Christopher J Miller; M Alexis Greenan; Mark S Bauer Journal: Psychiatry Res Date: 2019-08-16 Impact factor: 3.222
Authors: Christina Mangurian; Walker Keenan; John W Newcomer; Eric Vittinghoff; Jennifer M Creasman; Dean Schillinger Journal: Psychiatr Serv Date: 2017-04-17 Impact factor: 3.084
Authors: Stephen J Bartels; Sarah I Pratt; Kelly A Aschbrenner; Laura K Barre; Kenneth Jue; Rosemarie S Wolfe; Haiyi Xie; Gregory McHugo; Meghan Santos; Gail E Williams; John A Naslund; Kim T Mueser Journal: Psychiatr Serv Date: 2013-08-01 Impact factor: 3.084
Authors: Benjamin F Henwood; Leopoldo J Cabassa; Catherine M Craig; Deborah K Padgett Journal: Am J Public Health Date: 2013-10-22 Impact factor: 9.308
Authors: Mark R Hawes; Madeline L Danforth; Nancy Jacquelyn Pérez-Flores; Lauren Bochicchio; Daniela Tuda; Ana Stefancic; Leopoldo J Cabassa Journal: Health Soc Care Community Date: 2022-02-03