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A Pilot Evaluation of the In SHAPE Individualized Health Promotion Intervention for Adults with Mental Illness

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Abstract

This pilot study examined whether participation in the individualized, community-integrated In SHAPE health promotion program would result in improved physical activity and dietary behaviors, health indicators, and psychological functioning or symptoms in 76 adults with schizophrenia, bipolar disorder, major depression, or other mental disorders. Over a 9-month period, participation was associated with increased exercise, vigorous activity, and leisurely walking (P < .01), and a trend toward improved readiness to reduce caloric intake (P = .053). Participants demonstrated a reduction in waist circumference (P < .05), but no change in BMI. Satisfaction with fitness (P < .001) and mental health functioning (P < .05) improved, and severity of negative symptoms decreased (P < .01). This study demonstrated the feasibility and potential effectiveness of the In SHAPE program, which consisted of exercise and dietary modification. Based on these promising results, randomized controlled trials of the In SHAPE program are necessary to establish its effectiveness compared with usual care and alternative approaches to enhancing fitness.

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Acknowledgments

The authors wish to thank the staff at Monadnock Family Services for their work in evaluating and providing the In SHAPE program, including Wayne Balnis, Laura Breidas, Brenda Buffum, Pam Buffum, Melinda LaBarge, Jeremy Mitchell, Shannon Rondeau, and Josh Royce. Sources of Support: This study was supported by the Endowment for Health (Grant #1467) and NIMH K24 MH66282 (PI: Bartels, SJ), with programmatic support from the Robert Wood Johnson Foundation.

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Authors and Affiliations

  1. Department of Community and Family Medicine, Dartmouth Medical School, Center for Aging Research, The Dartmouth Institute for Health Policy and Clinical Practice, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA

    Aricca D. Van Citters & Stephen J. Bartels

  2. Department of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research Center, 105 Pleasant Street-Main Building, Concord, NH, 03301, USA

    Sarah I. Pratt, Gail Williams, Patricia T. Miller & Stephen J. Bartels

  3. Monadnock Family Services, 17 93rd Street, Keene, NH, 03431, USA

    Kenneth Jue

  4. Department of Community and Family Medicine, Dartmouth Medical School, Dartmouth Psychiatric Research Center, Rivermill Commercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH, 03766, USA

    Haiyi Xie

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  1. Aricca D. Van Citters
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  2. Sarah I. Pratt
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  3. Kenneth Jue
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  7. Stephen J. Bartels
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Correspondence to Stephen J. Bartels.

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Van Citters, A.D., Pratt, S.I., Jue, K. et al. A Pilot Evaluation of the In SHAPE Individualized Health Promotion Intervention for Adults with Mental Illness. Community Ment Health J 46, 540–552 (2010). https://doi.org/10.1007/s10597-009-9272-x

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