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Increasing physical activity for veterans in the Mental Health Intensive Case Management Program: A community-based

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Veterans with severe mental illness (SMI) saw reduced weight and improved blood pressure control through a personalized, in-home pedometer program. This intervention integrated physical activity into mental health case management, addressing a key factor in premature mortality.

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Area of Science:

  • Public Health
  • Mental Health Services
  • Quality Improvement

Background:

  • Individuals with severe mental illness (SMI) experience significantly higher mortality rates, with adverse health behaviors contributing to premature death.
  • Physical activity is a leading health indicator, yet individuals with SMI are less active, facing accessibility barriers to exercise.
  • Lifestyle modifications like diet and exercise are crucial for managing chronic diseases, but benefits of physical activity in SMI are mixed.

Purpose of the Study:

  • To enhance health and wellness for veterans with SMI in a community-based program.
  • To implement a pedometer steps intervention adapted from the VA MOVE! Program with personalized, in-home support.
  • To focus on reducing weight and improving blood pressure control in veterans with SMI.

Main Methods:

  • A 2-month pedometer intervention was offered to veterans in the Mental Health Intensive Case Management Program (MHICM).
  • The intervention included personalized assistance from mental health professionals in the veteran's home environment.
  • Data on steps, blood pressure, and weight were collected pre- and post-implementation, alongside case manager focus groups.

Main Results:

  • Mean weight decreased by 9 lbs among participants.
  • The percentage of veterans with controlled blood pressure increased from 60% to 84%.
  • The percentage of veterans with uncontrolled blood pressure decreased from 40% to 16%.

Conclusions:

  • A personalized, multi-component exercise intervention effectively reduced weight and improved blood pressure in veterans with SMI.
  • Integrating physical activity into mental healthcare can improve health outcomes and address premature mortality in this population.
  • In-home support and case management involvement facilitated veteran engagement and goal achievement.