Randomized trial of achieving healthy lifestyles in psychiatric rehabilitation: the ACHIEVE trial

@article{Casagrande2010RandomizedTO,
  title={Randomized trial of achieving healthy lifestyles in psychiatric rehabilitation: the ACHIEVE trial},
  author={Sarah S. Casagrande and Gerald J. Jerome and Arlene Dalcin and Faith B Dickerson and Cheryl A.M. Anderson and Lawrence J. Appel and Jeanne Charleston and Rosa M. Crum and Deborah Rohm Young and Eliseo Guallar and Kevin D. Frick and Richard W. Goldberg and Meghan Oefinger and Joseph Finkelstein and Joseph V. Gennusa and Oladapo Fred-Omojole and Leslie M Campbell and Nae-Yuh Wang and Gail L Daumit},
  journal={BMC Psychiatry},
  year={2010},
  volume={10},
  pages={108 - 108}
}
BackgroundOverweight and obesity are highly prevalent among persons with serious mental illness. These conditions likely contribute to premature cardiovascular disease and a 20 to 30 percent shortened life expectancy in this vulnerable population. Persons with serious mental illness need effective, appropriately tailored behavioral interventions to achieve and maintain weight loss. Psychiatric rehabilitation day programs provide logical intervention settings because mental health consumers… 

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References

SHOWING 1-10 OF 91 REFERENCES

A behavioral weight loss intervention for persons with serious mental illness in psychiatric rehabilitation centers

TLDR
This pilot study documents the feasibility and preliminary efficacy of a behavioral weight-loss intervention in adults with serious mental illness who were attendees at psychiatric rehabilitation centers and may have implications for developing weight- Loss interventions in other institutional settings such as schools or nursing homes.

A cognitive/behavioral group intervention for weight loss in patients treated with atypical antipsychotics

Behavioral treatment of obesity in patients taking antipsychotic medications.

TLDR
Behavioral weight control is a promising approach to the treatment of obesity among outpatients taking antipsychotic medications, but longer and more robust interventions are needed.

Obesity among those with mental disorders: a National Institute of Mental Health meeting report.

Managing atypical antipsychotic-associated weight gain: 12-month data on a multimodal weight control program.

TLDR
The weight control program resulted in clinically significant reductions in weight, BMI, and other risk factors for long-term poor health, including hemoglobin A(1c), in contrast to patients who did not receive the weight control intervention.

Multi-modal weight control intervention for people with persistent mental disorders.

TLDR
If provided with adequate information and an appropriate framework, people with persistent schizophrenia can significantly reduce BMI and weight and maintain the loss.

Prevalence and Correlates of Obesity in a Community Sample of Individuals with Severe and Persistent Mental Illness

TLDR
The results indicate that both men and especially women with SPMI had a higher prevalence of obesity than the general population; this portends substantial health implications.

Evaluation of a behavioural weight management programme for patients with severe mental illness: 3 year results

TLDR
This study demonstrates the long‐term value of a weight management programme at 3 years and supports the hypothesis that weight loss can be achieved using a simple behavioural intervention in motivated psychiatric patients.

Effects of Comprehensive Lifestyle Modification on Diet, Weight, Physical Fitness, and Blood Pressure Control: 18-Month Results of a Randomized Trial

TLDR
At 18 months, participants in both behavioral intervention groups had less hypertension, more weight loss, and better reduction in sodium and fat intake than those receiving advice only, and the DASH diet group also increased their intake of fruits, vegetables, and fiber.
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