The Impact of Tobacco Use on Weight Loss During a Peer-Led Healthy Lifestyle Intervention for People With Serious Mental Illness Living in Permanent Supportive Housing

IF 1.7 4区社会学 Q1 SOCIAL WORK

Research on Social Work Practice Pub Date : 2024-10-03 DOI:10.1177/10497315241285886

Mark R. Hawes, Michael Park, Leopoldo J. Cabassa

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引用次数: 0

Abstract

Purpose: Over 50% of people with serious mental illness (SMI) smoke cigarettes. This study evaluated whether tobacco use impacted weight loss outcomes during a peer-led healthy lifestyle intervention (PGLB) for people with SMI living in permanent supportive housing (PSH). Method: Data from an effectiveness trial of PGLB examined whether baseline tobacco use moderated the effectiveness of the intervention compared to usual care (UC) in helping participants lose weight. PGLB was conducted in three sites in two U.S. cities between 2015 and 2018. Results: 63% of participants were current cigarette smokers. Smoking did not moderate the effect of the intervention. However, baseline tobacco use predicted greater weight loss ( b = −4.1, p = .022) over the course of the trial, regardless of treatment group. Discussion: Tobacco use was a significant driver of weight loss for study participants. Findings have implications for offering tobacco cessation treatment during healthy lifestyle interventions for people with SMI.

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在对居住在永久性支持性住房中的严重精神疾病患者进行同伴引导的健康生活方式干预期间，烟草使用对体重减轻的影响

目的：50% 以上的重性精神病患者（SMI）吸烟。本研究评估了在同伴引导的健康生活方式干预（PGLB）中，烟草使用是否会影响居住在永久性支持性住房（PSH）中的重性精神病患者的减肥效果。方法：来自PGLB有效性试验的数据考察了与常规护理（UC）相比，基线烟草使用是否会调节干预措施在帮助参与者减肥方面的效果。PGLB于2015年至2018年期间在美国两个城市的三个地点进行。结果显示63%的参与者目前是吸烟者。吸烟并不影响干预效果。然而，在试验过程中，无论治疗组的情况如何，基线烟草使用情况都预示着更大的体重减轻（b = -4.1，p = .022）。讨论：烟草使用是研究参与者体重减轻的重要原因。研究结果对在对 SMI 患者进行健康生活方式干预时提供戒烟治疗具有重要意义。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.