4.2 Article

Quality of life outcomes of web-based and in-person weight management for adults with serious mental illness

Journal

JOURNAL OF BEHAVIORAL MEDICINE
Volume 43, Issue 5, Pages 865-872

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10865-019-00117-1

Keywords

Serious mental illness; Health-related quality of life; Weight management; Web-based interventions

Funding

  1. NIMH NIH HHS [R01 MH113650, R34 MH090207] Funding Source: Medline
  2. HSRD VA [I01 HX000169] Funding Source: Medline
  3. RRD VA [IK2 RX002339] Funding Source: Medline

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Adults with serious mental illness have high rates of obesity, with associated negative impacts on health-related quality of life. The present study utilized data from a randomized controlled trial (N = 276) to examine the effectiveness of in-person and online-delivered weight management interventions, compared to usual care, for improving health-related quality of life in this population. Participants completed quality of life assessments at baseline, 3 months, and 6 months. Mixed effects models examined group by time interactions. Compared to usual care, in-person MOVE was associated with improvements in loneliness (t = - 2.76,p = .006) and mental health related quality of life (t = 1.99,p = 0.048) at 6 months, and webMOVE was associated with improvements in weight-related self-esteem at 6 months (t = 2.23,p = .026) and mental health-related quality of life at 3 months (t = 2.17,p = 0.031) and 6 months (t = 2.38,p = .018). Web-based and in-person weight management led to improvements in health-related quality of life for adults with serious mental illness. ClinicalTrials.gov Identifier: NCT00983476.

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