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Wellness intervention for patients with serious and persistent mental illness
Vicki Poole Hoffmann1, Jonna Ahl, Adam Meyers
1From Lilly Research Laboratories, Eli Lilly and Co., Indianapolis, IN 46285, USA. vph@lilly.com
The Journal of Clinical Psychiatry
|January 13, 2006
Summary
Behavioral wellness programs can help individuals with serious and persistent mental illness manage weight gain and obesity. These programs, focusing on diet and exercise, show significant improvements in body mass index (BMI) and confidence in maintaining healthy lifestyles.
Area of Science:
- Psychiatry
- Public Health
- Behavioral Science
Background:
- Weight gain and obesity are common side effects of psychopharmacologic treatment in individuals with serious and persistent mental illness.
- Obesity in this population is challenging to reverse, though behavioral interventions show promise.
Purpose of the Study:
- To assess the effectiveness of a personalized wellness program in managing weight and improving lifestyle behaviors in patients with serious and persistent mental illness.
Main Methods:
- Voluntary enrollment in the Solutions for Wellness Personalized Program.
- Individualized management plans including nutrition, exercise, stress management, and sleep.
- Assessment of weight, BMI, behavior, and attitudes at baseline and monthly for 6 months.
Main Results:
- 83% of enrolled patients (N=7188) were overweight or obese.
- Significant improvements in diet (91%), exercise (85%), stress reduction (93.8%), and sleep (92.9%) reported by 6-month finishers (N=1422).
- Decreases in BMI correlated with dietary and exercise changes (p=.014, p=.035). High confidence (97%) in maintaining lifestyle changes was linked to goal achievement (p < .001).
Conclusions:
- Personalized wellness intervention programs can benefit patients with serious and persistent mental illness.
- Positive lifestyle changes and improved BMI are achievable outcomes.
- Increased confidence in maintaining lifestyle changes is a key factor for success.
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