Evidence map›Paper›PMID 25827032›Full record

Trial reportThe American journal of psychiatry2015

Pragmatic replication trial of health promotion coaching for obesity in serious mental illness and maintenance of outcomes.

Stephen J Bartels, Sarah I Pratt, Kelly A Aschbrenner, Laura K Barre, John A Naslund, Rosemarie Wolfe, Haiyi Xie, Gregory J McHugo, Daniel E Jimenez, Ken Jue and 2 more

Abstract readPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 8 pooled it
9.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 8 syntheses or guidelines pooled it, 189 citations in OpenAlex.

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  5. Interventions for the management of obesity in people with bipolar disorder.The Cochrane database of systematic reviews · 2020
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  6. Psychological interventions for psychosis in adolescents.The Cochrane database of systematic reviews · 2020
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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Stephen J BartelsFrom the Department of Psychiatry, the Department of Community and Family Medicine, and the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, N.H.; the Division of Nutritional Sciences, Cornell University, Ithaca, N.Y.; the Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami; Ken Jue Consulting, Keene, N.H.; Massachusetts Mental Health Center, Boston; and Vinfen Corporation, Cambridge, Mass.
Sarah I Pratt
Kelly A Aschbrenner
Laura K Barre
John A Naslund
Rosemarie Wolfe
Haiyi Xie
Gregory J McHugo
Daniel E Jimenez
Ken Jue
James Feldman
Bruce L Bird
Dartmouth Institute for Health Policy and Clinical Practice · US

Funding

Health Promotion and Fitness for Younger and Older Adults With SMIR01MH078052 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2007 to 2012
$3.5M
Exercise to prevent depression and anxiety in older HispanicsK23MH098025 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI JIMENEZ, DANIEL ENRIQUE · 2013 to 2016
$670k
NIMH NIH HHS K23 MH098025NIMH NIH HHS R01 MH078052
6 · The paper itself

Abstract

objectiveFew studies targeting obesity in serious mental illness have reported clinically significant risk reduction, and none have been replicated in community settings or demonstrated sustained outcomes after intervention withdrawal. The authors sought to replicate positive health outcomes demonstrated in a previous randomized effectiveness study of the In SHAPE program across urban community mental health organizations serving an ethnically diverse population.

methodPersons with serious mental illness and a body mass index (BMI) >25 receiving services in three community mental health organizations were recruited and randomly assigned either to the 12-month In SHAPE program, which included membership in a public fitness club and weekly meetings with a health promotion coach, or to fitness club membership alone. The primary outcome measures were weight and cardiorespiratory fitness (as measured with the 6-minute walk test), assessed at baseline and at 3, 6, 9, 12, and 18 months.

resultsParticipants (N=210) were ethnically diverse (46% were nonwhite), with a mean baseline BMI of 36.8 (SD=8.2). At 12 months, the In SHAPE group (N=104) had greater reduction in weight and improved fitness compared with the fitness club membership only group (N=106). Primary outcomes were maintained at 18 months. Approximately half of the In SHAPE group (51% at 12 months and 46% at 18 months) achieved clinically significant cardiovascular risk reduction (a weight loss ≥5% or an increase of >50 meters on the 6-minute walk test).

conclusionsThis is the first replication study confirming the effectiveness of a health coaching intervention in achieving and sustaining clinically significant reductions in cardiovascular risk for overweight and obese persons with serious mental illness.

Indexed as

AdultBipolar DisorderBody Mass IndexExercise TestExercise TherapyFemaleHealth PromotionHumansMajor Depressive DisorderMaleMiddle AgedObesityOverweightPhysical FitnessPsychotic DisordersReproducibility of Results

Identifiers

PMID25827032
PMCPMC4537796
OpenAlexW2057921759

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.