Evidence map›Paper›PMID 26214184›Full record

ArticlePsychiatric rehabilitation journal2016

Improving lifestyle interventions for people with serious mental illnesses: Qualitative results from the STRIDE study.

Bobbi Jo H Yarborough, Scott P Stumbo, Micah T Yarborough, Thomas J Young, Carla A Green

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatric rehabilitation journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
2.7field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  11. Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Bobbi Jo H YarboroughKaiser Permanente Northwest, Center for Health Research.
Scott P StumboKaiser Permanente Northwest, Center for Health Research.
Micah T YarboroughKaiser Permanente Northwest, Center for Health Research.
Thomas J YoungKaiser Permanente Northwest, Center for Health Research.
Carla A GreenKaiser Permanente Northwest, Center for Health Research.
Kaiser Permanente Center for Health Research · US

Funding

Reducing Weight and Diabetes Risk in an Underserved PopulationR18DK076775 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GREEN, CARLA A. · 2008 to 2012
$3.6M
NIDDK NIH HHS R18 DK076775NIDDK NIH HHS R18DK076775
6 · The paper itself

Abstract

objectiveIndividuals with serious mental illnesses are disproportionately affected by overweight and obesity. Understanding the factors that facilitate or hinder lifestyle change in this population could lead to better interventions and improved health outcomes.

methodsA subset of intervention and usual-care participants (n = 84) in the STRIDE randomized trial were interviewed at 3, 9, and 18 months, yielding 101 interviews (some were interviewed more than once). Participants had a mean age of 48.1 (SD = 10.1); 64% were female. Participants had diagnoses of schizophrenia or schizoaffective disorder (41%), bipolar disorder (20%), affective psychoses (37%), or PTSD (2%). Interviews were transcribed verbatim, coded using Atlas.ti, and analyzed for common themes.

resultsBarriers to behavior change were similar to those described for the general population, including lack of support from significant others, the lure of unhealthy foods, and poor weather impeding exercise. Additional challenges included the effects of psychiatric symptoms, or consequences of symptoms (i.e., social isolation), on ability to make and sustain lifestyle changes. We found a strong preference for ongoing, group-based support to foster a sense of accountability which motivated and helped to sustain behavior changes. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Individuals with serious mental illnesses encounter many of the same barriers to weight loss seen in the general population, but they may be more vulnerable to additional obstacles. Lifestyle change interventions for this population should help participants develop the ability to iteratively cope with fluctuating mood and subsequent changes in motivation to eat healthfully and exercise regularly.

Indexed as

ExerciseLife StyleWeight LossAdultAffective Disorders, PsychoticBipolar DisorderComorbidityFemaleHumansMaleMental DisordersMiddle AgedObesityOverweightPsychotic DisordersRandomized Controlled Trials as Topic

Identifiers

PMID26214184
PMCPMC4729655
OpenAlexW2400625421

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.