A pilot evaluation of the In SHAPE individualized health promotion intervention for adults with mental illness
- PMID: 20012197
- PMCID: PMC3163497
- DOI: 10.1007/s10597-009-9272-x
A pilot evaluation of the In SHAPE individualized health promotion intervention for adults with mental illness
Abstract
This pilot study examined whether participation in the individualized, community-integrated In SHAPE health promotion program would result in improved physical activity and dietary behaviors, health indicators, and psychological functioning or symptoms in 76 adults with schizophrenia, bipolar disorder, major depression, or other mental disorders. Over a 9-month period, participation was associated with increased exercise, vigorous activity, and leisurely walking (P < .01), and a trend toward improved readiness to reduce caloric intake (P = .053). Participants demonstrated a reduction in waist circumference (P < .05), but no change in BMI. Satisfaction with fitness (P < .001) and mental health functioning (P < .05) improved, and severity of negative symptoms decreased (P < .01). This study demonstrated the feasibility and potential effectiveness of the In SHAPE program, which consisted of exercise and dietary modification. Based on these promising results, randomized controlled trials of the In SHAPE program are necessary to establish its effectiveness compared with usual care and alternative approaches to enhancing fitness.
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References
-
- Allison DB, Casey DE. Antipsychotic-induced weight gain: A review of the literature. Journal of Clinical Psychiatry. 2001;62(Suppl 7):22–31. - PubMed
-
- Allison DB, Mentore JL, Heo M, Chandler LP, Cappelleri JC, Infante MC, et al. Antipsychotic-induced weight gain: A comprehensive research synthesis. American Journal of Psychiatry. 1999;156(11):1686–1696. - PubMed
-
- Alvarez-Jimenez M, Hetrick SE, Gonzalez-Blanch C, Gleeson JF, McGorry PD. Non-pharmacological management of antipsychotic-induced weight gain: Systematic review and meta-analysis of randomised controlled trials. The British Journal of Psychiatry. 2008;193(2):101–107. - PubMed
-
- Andreasen NC. Scale for the assessment of negative symptoms (SANS) University of Iowa; Iowa City: 1981.
-
- Ball MP, Coons VB, Buchanan RW. A program for treating olanzapine-related weight gain. Psychiatric Services. 2001;52(7):967–969. - PubMed