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促进伴侣对患有严重精神疾病的成年人生活方式改变的支持:一项可行性试点研究。

Facilitating Partner Support for Lifestyle Change Among Adults with Serious Mental Illness: A Feasibility Pilot Study.

作者信息

Aschbrenner Kelly A, Mueser Kim T, Naslund John A, Gorin Amy A, Zawacki Stacey A, Pratt Sarah I, Kinney Allison, Bartels Stephen

机构信息

Health Promotion Research Center at Dartmouth, Lebanon, NH, USA.

The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, USA.

出版信息

Community Ment Health J. 2017 May;53(4):394-404. doi: 10.1007/s10597-017-0100-4. Epub 2017 Feb 7.

Abstract

The purpose of this pilot study was to explore the feasibility of an intervention designed to facilitate partner support for lifestyle change among overweight and obese adults with serious mental illness (SMI). Fifteen adults with SMI enrolled in a lifestyle intervention at community mental health centers participated with a self-selected partner in an additional 12-week intervention component designed to facilitate social support for health behavior change. Participants reported that the program was useful, convenient, and helped them reach their goals. Approximately two-thirds (66%) of participants were below their baseline weight at follow-up, including 27% achieving clinically significant weight loss. Participants reported significant increases in partner support for exercise and use of persuasive social support strategies. Partner support interventions that promote exercising together and positive communication may be effective for helping individuals with SMI initiate and sustain health behavior change necessary to reduce cardiovascular risk.

摘要

这项初步研究的目的是探讨一种干预措施的可行性,该干预措施旨在促进伴侣对患有严重精神疾病(SMI)的超重和肥胖成年人改变生活方式的支持。15名患有SMI的成年人在社区心理健康中心参加了一项生活方式干预,并与自行选择的伴侣一起参与了一个为期12周的额外干预部分,该部分旨在促进对健康行为改变的社会支持。参与者报告称,该项目有用、方便,且有助于他们实现目标。在随访时,约三分之二(66%)的参与者体重低于基线水平,其中27%实现了具有临床意义的体重减轻。参与者报告称,伴侣对锻炼的支持以及说服性社会支持策略的使用显著增加。促进共同锻炼和积极沟通的伴侣支持干预措施,可能有助于患有SMI的个体启动并维持降低心血管风险所需的健康行为改变。

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