Feasibility Study of Increasing Social Support to Enhance a Healthy Lifestyle Intervention for Individuals with Serious Mental Illness.

IF 1.1 2区 社会学 Q3 CRIMINOLOGY & PENOLOGY
Journal of Criminal Law & Criminology Pub Date : 2016-01-01 Epub Date: 2016-05-03 DOI:10.1086/686486
Kelly A Aschbrenner, Kim T Mueser, John A Naslund, Amy A Gorin, Allison Kinney, Lucas Daniels, Stephen J Bartels
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引用次数: 0

Abstract

Objective: Healthy lifestyle interventions addressing obesity in people with serious mental illness (SMI) lead to modest weight losses that tend not to be sustained over time. By augmenting lifestyle interventions with family and peer support targeting health behavior change, greater weight loss might be obtained and sustained in this population. The purpose of this study was to assess the feasibility of increasing support from family and friends to enhance a healthy lifestyle intervention (In SHAPE) adapted for individuals with SMI.

Method: A sample of 7 dyads (14 total participants) participated in this small-scale open-feasibility trial of social support strategies to enhance health promotion. Weekly 1-hour health coaching sessions were augmented by sessions designed to increase support for healthy eating and exercise through active learning and didactic instruction. Feasibility was assessed by program participation and by examining participants' satisfaction and exploring suggestions for improving the model post-intervention.

Results: The majority of participants (57%) nominated a friend, followed by adult child-parent pairs (28%) and sibling pairs (14%) to participate as support partners in the study. All participant-partner dyads (100%) completed 12 sessions within 16 weeks. Participants reported high satisfaction and perceived benefits from the program. Recommend modifications by the dyads included more interactive sessions, a combination of group and dyadic sessions, and hands-on cooking classes.

Conclusions: This formative research showed that the study design is feasible and that the intervention can facilitate social support for health behavior change in people with SMI. Further research is needed to evaluate the effectiveness of this intervention.

增加社会支持以加强针对严重精神疾病患者的健康生活方式干预的可行性研究。
目标:针对严重精神疾病(SMI)患者肥胖问题的健康生活方式干预可使体重适度减轻,但往往无法长期维持。通过以改变健康行为为目标的家庭和同伴支持来加强生活方式干预,可能会使这一人群的体重得到更大的减轻并保持下去。本研究的目的是评估增加家人和朋友的支持以加强针对 SMI 患者的健康生活方式干预(In SHAPE)的可行性:方法:7 个家庭(共 14 名参与者)参加了这项小规模的开放式可行性试验,以评估加强健康促进的社会支持策略。在每周 1 小时的健康指导课程之外,还增加了一些课程,旨在通过主动学习和说教式指导来增加对健康饮食和运动的支持。通过项目参与度、参与者满意度和干预后对改进模式的建议来评估可行性:大多数参与者(57%)指定了一位朋友作为研究的支持伙伴,其次是成年子女与父母(28%)和兄弟姐妹(14%)。所有参与者-伙伴组合(100%)都在 16 周内完成了 12 个疗程。参与者对该计划的满意度很高,并认为从中受益匪浅。合作伙伴提出的修改建议包括:增加互动课程、将小组课程和合作伙伴课程结合起来,以及开设动手烹饪课程:这项形成性研究表明,研究设计是可行的,干预措施可以促进社会支持,从而改变 SMI 患者的健康行为。还需要进一步的研究来评估这项干预措施的有效性。
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期刊介绍: The Journal remains one of the most widely read and widely cited publications in the world. It is the second most widely subscribed journal published by any law school in the country. It is one of the most widely circulated law journals in the country, and our broad readership includes judges and legal academics, as well as practitioners, criminologists, and police officers. Research in the area of criminal law and criminology addresses concerns that are pertinent to most of American society. The Journal strives to publish the very best scholarship in this area, inspiring the intellectual debate and discussion essential to the development of social reform.
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