Abstract
Metabolic disturbances commonly occur with serious mental illness (SMI). Strategies for weight management include group education, peer support, and follow up. This study evaluated the effects of group peer support on body weight, Confidence and Conviction (C&C), diet quality and health-related quality of life in a mental health setting. Fourteen participants [aged 51.7 + /− 12.2 years; four male ten female] who were unable to achieve and maintain 5% weight loss were recruited from a metabolic clinic at a mental health care facility. Weight, C&C, Dietary Screener Questionnaire (DSQ), and 36-item Short Form Survey Instrument (SF-36) were collected at baseline, 3, 6, and 12 months. SF-36 showed significant improvement in Vitality/Energy (−3.823, p = 0.003) and General Health Perception (−2.919, p = 0.014) at 3 months, significant decrease in Physical Functioning (-2.391, p = 0.048) and significant improvement in Pain (−2.885, p = 0.023) from baseline to 12 months. DSQ showed an inverse association between C&C and sugar intake.
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References
Alvarez-Jimenez, M., Hetrick, S. E., Gonzalez-Blanch, C., Gleeson, J. F., & McGorry, P. D. (2008). Non-pharmacological management of antipsychotic-induced weight gain: Systematic review and meta-analysis of randomised controlled trials. British Journal of Psychiatry, 193(2), 101–107. https://doi.org/10.1192/bjp.bp.107.042853.
Bandura, A., Adams, N. E., & Beyer, J. (1977). Cognitive processes mediating behavioral change. Journal of Personality and Social Psychology, 35(3), 125–139.
Bandura, A. (1997). The anatomy of stages of change. American Jounal of Health Promotion, 12(1), 8–10.
Canadian Obesity Network (2012). Obesity and mental illness: Addressing a double epidemic [Internet]. https://www.obesitynetwork.ca/Obesity-and-Mental-Illness-Addressing-a-Double-Epidemic-322
Gucciardi, E., DeMelo, M., Lee, R. N., & Grace, S. L. (2007). Assessment of two culturally competent diabetes education methods: Individual versus individual plus group education in Canadian Portuguese adults with Type 2 Diabetes. Ethnicity and Health., 12(2), 163–187.
Institute for Healthcare Communication (2015). Choices & Changes Annotated Bibliography. https://healthcarecomm.org/wp-content/uploads/2011/05/CC-Bibliography-10-20151.pdf
Keller, V. F., & White, M. K. (1997). Choices and changes: A new model for influencing patient health behavior. Journal of Science Communication, 4(6), 33–36.
Lorig, K. R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1–7.
Minniti, A., Bissoli, L., Di Francesco, V., Fantin, F., Mandragona, R., Oliveieri, M., et al. (2007). Individual versus group therapy for obesity: Comparison of dropout rate and treatment outcome. Eating Weight Disord., 12(4), 161–167.
Public Health Agency of Canada (2011). Obesity in Canada [Internet]. https://www.phac-aspc.gc.ca/hp-ps/hl-mvs/oic-oac/index-eng.php#toc. Accessed 21 March 2016.
Rickheim, P. L., Weaver, T. W., Flader, J. L., & Kendall, D. M. (2002). Assessment of group versus individual diabetes education. Diabetes Care, 25(2), 269–274.
Riediger, N. D., & Clara, I. (2011). Prevalence of metabolic syndrome in the Canadian adult population. Canadian Medical Association, 183(15), 1127–34. https://doi.org/10.1503/cmaj.110070.
Sharma, A.M. (2016). Issue #1: Why obesity is a chronic disease. Webinar. https://www.obesitynetwork.ca/list.aspx?list=155&gp=55. Accessed 24 March 2016.
Simon, G. E., Von Korff, M., Saunders, K., Miglioretti, D. L., Crane, P. K., Van Belle, G., et al. (2006). Association between obesity and psychiatric disorders in the US adult population. Archives of General Psychiatry, 63(7), 824–830. https://doi.org/10.1001/archpsyc.63.7.824.
Acknowledgements
Research department staff: Steve Mann, and Melanie Stuckey, Angie Yan Yee, research assistant, Elise Williams, RD MScFN (candidate at the time) Megan Martone RD (candidate at the time)
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This research was funded by a Grant from the Ontario Shores 2016 Inter-Professional Clinical Trials Research Seed Grant.
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This study was approved by the Research Ethics Board at Ontario Shores Centre for Mental Health Sciences and all subjects provided written informed consent.
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Hibbert, C., Trottier, E., Boville, M. et al. The Effect of Peer Support on Knowledge and Self-Efficacy in Weight Management: A Prospective Clinical Trial in a Mental Health Setting. Community Ment Health J 57, 979–984 (2021). https://doi.org/10.1007/s10597-020-00703-7
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DOI: https://doi.org/10.1007/s10597-020-00703-7