A Pilot Evaluation of the In SHAPE Individualized Health Promotion Intervention for Adults with Mental Illness
A Pilot Evaluation of the In SHAPE Individualized Health Promotion Intervention for Adults with Mental Illness
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DOI：
10.1007/s10597-009-9272-x
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发表时间：
2010-12-01
影响因子：
2.7
通讯作者：
Bartels, Stephen J.
中科院分区：
文献类型：
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作者：
Van Citters, Aricca D.;Pratt, Sarah I.;Bartels, Stephen J.
这项试点研究探讨了参与个性化，社区整合的In SHAPE健康促进计划是否会改善76名患有精神分裂症，双相情感障碍，重度抑郁症或其他精神障碍的成年人的身体活动和饮食行为，健康指标和心理功能或症状。在9个月的时间里，参与与增加运动、剧烈活动和悠闲散步有关（P <0.01），并有减少热量摄入的准备程度提高的趋势（P = 0.053）。参与者显示腰围减少（P <0.05），但BMI没有变化。健身满意度（P <0.001）和心理健康功能（P <0.05）改善，阴性症状严重程度降低（P <0.01）。这项研究证明了在形状计划，其中包括运动和饮食调整的可行性和潜在的有效性。基于这些有希望的结果，随机对照试验的形状程序是必要的，以建立其有效性相比，通常的护理和替代方法，以提高健身。
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.