Alexander S. Young|Amy N. Cohen|Richard W. Goldberg|Gerhard Hellemann|Julie Kreyenbuhl|Noosha Niv|Nancy Nowlin-Finch|Rebecca Oberman|Fiona Whelan
Improving Weight in People with Serious Mental Illness: The Effectiveness of Computerized Services with Peer Coaches
VA Greater Los Angeles Healthcare System|VA Greater Los Angeles Healthcare System|VA Capitol Health Care Network|Mental Illness Research, Education and Clinical Centers|Neurobehavioral Systems|University of California, Los Angeles|VA Capitol Health Care Network|Mental Illness Research, Education and Clinical Centers|Neurobehavioral Systems|University of California, Los Angeles|Neurobehavioral Systems|University of California, Los Angeles|VA Greater Los Angeles Healthcare System|Neurobehavioral Systems|University of California, Los Angeles
people serious mental illness high rates obesity related medical problems die years prematurely commonly cardiovascular disease specialized inperson weight management interventions result weight loss efficacy trials highly motivated patients usual care patient enrollment retention low interventions effectiveness inconsistentto determine whether computerized provision weight management peer coaching feasible deliver acceptable patients effective inperson delivery usual caremixedmethods randomized controlled trialtwo hundred seventysix overweight patients serious mental illness receiving care veterans administration medical centerpatients randomized 1 computerized weight management peer coaching webmove 2 inperson clinicianled weight services 3 usual care active interventions offered educational contentbody mass index feasibility acceptability interventionat 6 months obese patients n 200 significant condition visit effect f 402 p 002 webmove group average estimated bmi change baseline 6 months 349 04 341 04 corresponds 28 kg 62 lbs weight loss 32 p 0001 significant change bmi seen either inperson services 010 p 092 usual care 025 p 080 average percentage modules completed webmove group 49 inperson group 41 14 p 017 nonobese patients included analyses trend towards condition visit effect f 28 p 006 webmove well received acceptability inperson services mixedcomputerized weight management peer support results lower weight greater effectiveness clinicianled inperson services intervention well received could feasible disseminate