Weight management in a cohort of Irish inpatients with serious mental illness (SMI) using a modular behavioural programme. A preliminary service evaluation.

Hdl Handle:
http://hdl.handle.net/10147/95295
Title:
Weight management in a cohort of Irish inpatients with serious mental illness (SMI) using a modular behavioural programme. A preliminary service evaluation.
Authors:
Bushe, Chris J; McNamara, Dermot; Haley, Cliff; McCrossan, Mary Fleming; Devitt, Pat
Affiliation:
Eli Lilly and Company Ltd, Adelaide Road, Dublin, Ireland. bushe_chris@lilly.com
Citation:
Weight management in a cohort of Irish inpatients with serious mental illness (SMI) using a modular behavioural programme. A preliminary service evaluation. 2008, 8:76 BMC Psychiatry
Journal:
BMC psychiatry
Issue Date:
2008
URI:
http://hdl.handle.net/10147/95295
DOI:
10.1186/1471-244X-8-76
PubMed ID:
18793390
Abstract:
BACKGROUND: Weight gain is commonly observed during psychotropic treatments for chronic forms of severe mental illness and is most rapid during the early treatment phases. All formats of behavioural weight intervention programmes have suggested that weight gain can be prevented or reversed in some patients. There is no data on these programmes in acutely unwell inpatients whom may be the major beneficiaries. METHODS: A modular behavioural intervention programme (Solutions for Wellness) used in SMI outpatients since 2002 in Ireland has been adapted for inpatient use. Preliminary data is reported from 5 centres in Ireland. RESULTS: In 47 inpatients the mean weight change was +0.26 kg (SD 2.02) with a median change of 0 kg. Mean follow-up was 23.7 (SD 21.6) days, and median 14 days (range 6-98 days). There was no difference in mean weight change in those patients involved for > 35 days compared with < 35 days (+0.26 kg; 0.25 kg; p = 0.5). Weight loss or maintenance was seen in 70% of patients. CONCLUSION: These preliminary data are supportive of the concept that acutely unwell inpatients with SMI may engage with a behavioural weight programme. Weight change observed contrasts with the significant weight gain often seen in most subjects. Further clinical trials are warranted.
Language:
en
MeSH:
Acute Disease; Adult; Behavior Therapy; Body Weight; Cohort Studies; Female; Hospitalization; Humans; Ireland; Male; Mental Disorders; Program Evaluation; Severity of Illness Index
ISSN:
1471-244X

Full metadata record

DC FieldValue Language
dc.contributor.authorBushe, Chris Jen
dc.contributor.authorMcNamara, Dermoten
dc.contributor.authorHaley, Cliffen
dc.contributor.authorMcCrossan, Mary Flemingen
dc.contributor.authorDevitt, Paten
dc.date.accessioned2010-03-30T14:24:09Z-
dc.date.available2010-03-30T14:24:09Z-
dc.date.issued2008-
dc.identifier.citationWeight management in a cohort of Irish inpatients with serious mental illness (SMI) using a modular behavioural programme. A preliminary service evaluation. 2008, 8:76 BMC Psychiatryen
dc.identifier.issn1471-244X-
dc.identifier.pmid18793390-
dc.identifier.doi10.1186/1471-244X-8-76-
dc.identifier.urihttp://hdl.handle.net/10147/95295-
dc.description.abstractBACKGROUND: Weight gain is commonly observed during psychotropic treatments for chronic forms of severe mental illness and is most rapid during the early treatment phases. All formats of behavioural weight intervention programmes have suggested that weight gain can be prevented or reversed in some patients. There is no data on these programmes in acutely unwell inpatients whom may be the major beneficiaries. METHODS: A modular behavioural intervention programme (Solutions for Wellness) used in SMI outpatients since 2002 in Ireland has been adapted for inpatient use. Preliminary data is reported from 5 centres in Ireland. RESULTS: In 47 inpatients the mean weight change was +0.26 kg (SD 2.02) with a median change of 0 kg. Mean follow-up was 23.7 (SD 21.6) days, and median 14 days (range 6-98 days). There was no difference in mean weight change in those patients involved for > 35 days compared with < 35 days (+0.26 kg; 0.25 kg; p = 0.5). Weight loss or maintenance was seen in 70% of patients. CONCLUSION: These preliminary data are supportive of the concept that acutely unwell inpatients with SMI may engage with a behavioural weight programme. Weight change observed contrasts with the significant weight gain often seen in most subjects. Further clinical trials are warranted.-
dc.language.isoenen
dc.subject.meshAcute Disease-
dc.subject.meshAdult-
dc.subject.meshBehavior Therapy-
dc.subject.meshBody Weight-
dc.subject.meshCohort Studies-
dc.subject.meshFemale-
dc.subject.meshHospitalization-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshMental Disorders-
dc.subject.meshProgram Evaluation-
dc.subject.meshSeverity of Illness Index-
dc.titleWeight management in a cohort of Irish inpatients with serious mental illness (SMI) using a modular behavioural programme. A preliminary service evaluation.en
dc.contributor.departmentEli Lilly and Company Ltd, Adelaide Road, Dublin, Ireland. bushe_chris@lilly.comen
dc.identifier.journalBMC psychiatryen

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