Delivering a lifestyle and weight loss intervention to individuals in real-world mental health settings: lessons and opportunities
Delivering a lifestyle and weight loss intervention to individuals in real-world mental health settings: lessons and opportunities
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DOI：
10.1007/s13142-011-0056-9
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发表时间：
2011-09-01
影响因子：
3.6
通讯作者：
Green, Carla A.
中科院分区：
文献类型：
--
作者：
Yarborough, Bobbi Jo H.;Janoff, Shannon L.;Green, Carla A.
大多数针对肥胖相关风险的减肥干预措施都将患有严重精神疾病的人排除在外。我们的目标是为这一人群调整一种成功的生活方式/减肥干预，在精神卫生诊所实施，同时测量实施因素。以发展和实施为重点的形成性评估指导了适应，并确定了成功部署项目的障碍/促进因素。调整包括针对人群需求的具体内容，提高临床医生和患者的意识，增加病例管理，以及更大的方案灵活性。障碍包括来自不同来源的两种环境的不稳定。辅助因素包括对小组的熟悉程度、手工完整性和对项目的欣赏。它在最大曝光和相当好的协议保真度的设置中一致传递（平均评级=1.7,2.0=完全保真度）。这种混合方法实施评估表明，精神卫生机构的生活方式/减肥干预措施复杂，但可行，并且受到参与者的重视。主要项目结果将在试验结束时报告。
Most weight loss interventions for obesity-related risks 11 exclude people with serious mental health conditions. Our goal was to adapt a successful lifestyle/weight loss intervention for this population, deliver it in mental health clinics, and concurrently measure implementation factors. Developmental and implementation-focused formative evaluations guided adaptations and identified barriers/facilitators to successful program deployment. Adaptations included content specific to the population's needs, consciousness-raising among clinicians and patients, additional case management, and greater program flexibility. Barriers included instability in both settings from different sources. Facilitators included familiarity with groups, manual integrity, and appreciation of the program. It was delivered consistently across settings with maximum exposure and fairly good fidelity to the protocol (mean rating=1.7, 2.0=complete fidelity). This mixed-method implementation evaluation demonstrated that lifestyle/weight loss interventions in mental health settings are complex, but feasible, and valued by participants. Main program outcomes will be reported at the trial's conclusion.