Weight management interventions in adults with a serious mental illness: A meta-analytic review

Olker, Stephen; Parrott, J. Scott; Swarbrick, Margaret; Spagnolo, Amy B.

doi:10.1080/15487768.2016.1231643

Cited by 13 publications

(15 citation statements)

References 51 publications

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“…This was more weight loss when compared with prior studies. Multiple studies that used weight management and lifestyle interventions for obesity found an effect in favor of the intervention groups, with a reduction in mean absolute weight of −2.01 kg or 4.43 lbs, compared with control groups and a mean change of −1.71 kg/m 2 in the intervention group compared with controls over 3- to 12-month period (Olker et al, 2016). A1C was used as a measure for diabetic control, and our results showed a mean change of −0.61 mmol/mol ( p < .002).…”

Section: Discussionmentioning

confidence: 99%

A 12-Week Evidence-Based Education Project to Reduce Cardiovascular and Metabolic Risk in Adults With Serious Mental Illness in the Integrated Care Setting

Fenton

Sharps

Kverno

et al. 2020

J Am Psychiatr Nurses Assoc

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BACKGROUND: Individuals with serious mental illness (SMI) such as schizophrenia spectrum disorders, severe bipolar disorder, or severe recurrent major depressive disorder have a shorter life expectancy compared with those in the general population. This is largely due to the higher rates of diabetes, hyperlipidemia, and hypertension. Treatment adherence, diet, exercise, and weight management are modifiable risk factors for these cardiometabolic conditions, yet the use of educational lifestyle interventions is not common practice in the clinical setting. OBJECTIVE: The purpose of this project was to evaluate a 12-week evidence-based diabetes prevention education program integrated into a primary care behavioral health setting for adults with SMI, diabetes, or prediabetes, and who were overweight or obese. STUDY DESIGN: Outcomes for this project included diabetes knowledge, self-care, and health indicators (blood pressure, hemoglobin A1C, weight, body mass index, and medication adherence). The project also addressed feasibility and acceptability of the program in this setting. RESULTS: Project outcomes showed a reduction in weight, waist circumference, hemoglobin A1C, and blood pressure. Outcomes also indicated an improvement in participants’ self-knowledge and self-care. CONCLUSIONS: There was a high attendance rate and overall acceptability and feasibility described by participants. This project highlights the important role that primary care providers can play in providing health education to patients with SMI.

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Section: Discussionmentioning

confidence: 99%

A 12-Week Evidence-Based Education Project to Reduce Cardiovascular and Metabolic Risk in Adults With Serious Mental Illness in the Integrated Care Setting

Fenton

Sharps

Kverno

et al. 2020

J Am Psychiatr Nurses Assoc

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show abstract

“…The interventions described in this review reflect best available evidence for lifestyle interventions. Multi modal interventions addressing both physical activity and diet are identified as showing some efficacy in achieving weight loss among people with SMI (Naslund et al ., ; Olker, Parrott, Swarbrick & Spagnolo, ). However, changing health behaviours can be difficult and increased knowledge does not always translate to behavioural change.…”

Section: Discussionmentioning

confidence: 99%

“…Caemmerer, Correll and Maayan () found that interventions utilising behavioural strategies, including self‐monitoring of behaviour, demonstrated the greatest effectiveness in promoting weight loss in individuals diagnosed with SMI regardless of treatment duration and intervention design. Furthermore, interventions that use a combination of group and individual delivery are associated with better outcomes, ahead of those that were provided only on an individual basis, which in turn were better than those provided only in a group setting (Olker et al .). These components align with clinical practice guidelines by the National Health and Medical Research Council (), which outline that components of lifestyle interventions should include nutrition and physical activity education, strategies to support behavioural change and adoption of an individualised approach.…”

Section: Discussionmentioning

confidence: 99%

Occupational therapy intervention addressing weight gain and obesity in people with severe mental illness: A scoping review

Conn

Bourke²,

James

et al. 2019

Aus Occup Therapy J

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Background: Individuals diagnosed with severe mental illness have higher rates of obesity than the general population due to a range of factors, including: medication side effects, poor nutrition and reduced physical activity. Obesity is associated with increased mortality and reduced quality of life. Evidence suggests that lifestyle interventions can be effective in addressing this issue. While such interventions would appear to fit within the scope of practice of occupational therapy, there is no publication synthesising the existing literature regarding occupational therapy interventions addressing lifestyle factors associated with obesity. Aim: To determine what is known from the existing literature about occupational therapy interventions addressing weight gain and obesity in adults diagnosed with severe mental illness. Methods: A scoping review was conducted. Searches were performed in online databases, occupational therapy journals and grey literature databases. Thematic analysis occurred across all articles included in the review. Results: A total of 14 articles were included in the review. Analysis revealed a central theme of supporting occupational performance and participation in health promoting occupations. This central theme consisted of four categories; facilitating client-centred practice, addressing personal performance issues, addressing environmental barriers and providing the 'just right' challenge. Conclusion/Significance: These findings suggest occupational therapists are providing occupation focused interventions that are aligned with current clinical guidelines. However, more research is required to strengthen evidence-based occupational therapy practice in this important area.KEY WORDS obesity, occupational therapy, severe mental illness, weight gain.

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“…In contrast to the paucity of trials in patients with PD, we have identified 10 systematic reviews investigating interventions to improve the cardiovascular health or cardiovascular risk profile of people with SMI [38][39][40][41][42][43][44][45][46][47]. Moreover, most of these reviews did not include people with PD.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of interventions aimed at improving the cardiovascular health of people diagnosed with personality disorders

Hall

Barnicot

Crawford

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Purpose People with personality disorders have significantly reduced life expectancy and increased rates of cardiovascular disease compared to members of the general population. Given that more people die annually of cardiovascular disease across the globe than from any other cause, it is important to identify the evidence for interventions aimed at improving cardiovascular health among people with personality disorders. Methods Systematic literature review. PsycINFO, MEDLINE and EMBASE were searched using NICE Healthcare Databases, as well as CENTRAL and trial registries. We sought to identify randomised controlled trials of interventions pertaining to adults with a primary diagnosis of personality disorder, where the primary outcome measure was cardiovascular health before and after the intervention. Results A total of 1740 records were identified and screened by two independent reviewers. No papers meeting the inclusion criteria were identified. Conclusions This systematic review did not identify any randomised controlled trials testing interventions aimed at improving the cardiovascular health of people with personality disorders. Research in this area could have important public health implications, spanning the fields of psychiatry and general medicine.

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Weight management interventions in adults with a serious mental illness: A meta-analytic review

Cited by 13 publications

References 51 publications

A 12-Week Evidence-Based Education Project to Reduce Cardiovascular and Metabolic Risk in Adults With Serious Mental Illness in the Integrated Care Setting

A 12-Week Evidence-Based Education Project to Reduce Cardiovascular and Metabolic Risk in Adults With Serious Mental Illness in the Integrated Care Setting

Occupational therapy intervention addressing weight gain and obesity in people with severe mental illness: A scoping review

A systematic review of interventions aimed at improving the cardiovascular health of people diagnosed with personality disorders

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