Aschbrenner Kelly A, Naslund John A, Barre Laura K, Mueser Kim T, Kinney Allison, Bartels Stephen J
Dartmouth Centers for Health and Aging, Geisel School of Medicine at Dartmouth, Lebanon, NH USA ; Health Promotion Research Center at Dartmouth, Dartmouth College, Lebanon, NH USA ; The Dartmouth Instiute for Health Policy and Clinical Practice, Lebanon, NH USA.
Division of Nutritional Sciences, Cornell University, Ithaca, NY USA.
Transl Behav Med. 2015 Sep;5(3):277-84. doi: 10.1007/s13142-015-0313-4.
Effective and scalable interventions are needed to reach a greater proportion of individuals with serious mental illness (SMI) who experience alarmingly high rates of obesity. This pilot study evaluated the feasibility of translating an evidenced-based professional health coach model (In SHAPE) to peer health coaching for overweight and obese individuals with SMI. Key stakeholders collaborated to modify In SHAPE to include a transition from professional health coaching to individual and group-based peer health coaching enhanced by mobile health technology. Ten individuals with SMI were recruited from a public mental health agency to participate in a 6-month feasibility pilot study of the new model. There was no overall significant change in mean weight; however, over half (56 %) of participants lost weight by the end of the intervention with mean weight loss 2.7 ± 2.1 kg. Participants reported high satisfaction and perceived benefits from the program. Qualitative interviews with key stakeholders indicated that the intervention was implemented as planned. This formative research showed that peer health coaching for individuals with SMI is feasible. Further research is needed to evaluate its effectiveness.
需要有效的、可扩展的干预措施，以覆盖更大比例患有严重精神疾病（SMI）且肥胖率高得惊人的个体。这项试点研究评估了将基于证据的专业健康教练模式（In SHAPE）转化为针对患有SMI的超重和肥胖个体的同伴健康教练模式的可行性。关键利益相关者共同合作，对In SHAPE进行修改，使其包括从专业健康教练向通过移动健康技术强化的基于个体和小组的同伴健康教练的转变。从一家公共心理健康机构招募了10名患有SMI的个体，参与对新模式为期6个月的可行性试点研究。平均体重没有总体显著变化；然而，超过一半（56%）的参与者在干预结束时体重减轻，平均体重减轻2.7±2.1千克。参与者对该项目表示高度满意并认为从中受益。对关键利益相关者的定性访谈表明，干预按计划实施。这项形成性研究表明，针对患有SMI的个体进行同伴健康教练是可行的。需要进一步研究来评估其有效性。
