Evidence map›Paper›PMID 31081651›Full record

Trial reportPsychiatric rehabilitation journal2019

Barriers to participation in web-based and in-person weight management interventions for serious mental illness.

Tanya T Olmos-Ochoa, Noosha Niv, Gerhard Hellemann, Amy N Cohen, Rebecca Oberman, Richard Goldberg, Alexander S Young

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychiatric rehabilitation journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  8. Patient experiences with a primary care medical home tailored for people with serious mental illness.Families, systems & health : the journal of collaborative family healthcare · 2024
    Article
  9. Observational
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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

7 authors at 5 institutions in 2 countries.

Tanya T Olmos-OchoaVeterans Affairs Desert Pacific Mental Illness Research, Education, and Clinical Center.ORCID 0000-0002-8532-5933
Noosha NivVeterans Affairs Desert Pacific Mental Illness Research, Education, and Clinical Center, and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
Gerhard HellemannDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
Amy N CohenVeterans Affairs Desert Pacific Mental Illness Research, Education, and Clinical Center, and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
Rebecca ObermanVA Greater Los Angeles Healthcare System, Los Angeles, California.
Richard GoldbergVA Capitol Healthcare Network Mental Illness, Research, Education, and Clinical Center.
Alexander S YoungVA Greater Los Angeles Healthcare System, and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
VA Greater Los Angeles Healthcare System · USWest Los Angeles College · USMental Illness Research, Education and Clinical Centers · USUniversity of California, Los Angeles · USVA Capitol Health Care Network · US

Funding

Web-Based Weight Management for Individuals with Mental IllnessR34MH090207 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI YOUNG, ALEXANDER S. · 2010 to 2012
$537k
Web-Based Delivery of MOVE! to Veterans With Serious Mental IllnessI01HX000169 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI GOLDBERG, RICHARD WARREN, YOUNG, ALEXANDER S. · 2009 to 2013
–
HSRD VA I01 HX000169NIMH NIH HHS R34 MH090207VAVeterans Affairs Capitol Healthcare Network Mental Illness Research, Education, and Clinical CenterVeterans Affairs Desert Pacific Mental Illness Research, Education, and Clinical CenterVeterans Affairs HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy
6 · The paper itself

Abstract

objectiveThis study examines barriers to participation and retention in 2 modalities (web-based and in-person) of a weight-management intervention tailored for individuals with serious mental illness (SMI).

methodUsing a mixed-methods approach, we explored the barriers veterans with SMI face when participating in a web-based (WebMOVE) or in-person (MOVE-SMI) version of the same SMI-adapted MOVE weight-management program. Participants in the randomized controlled trial (n = 277) were recruited from specialty mental health clinics at a Veterans Affairs medical center. Barriers were analyzed across treatment condition and program attendance (engagement) at baseline and follow-up using a generalized lineal model. Post hoc analyses assessed whether changes in the trajectory of barriers over time were associated with engagement. A subsample of participants (n = 48) from the WebMOVE and MOVE-SMI treatment conditions completed a qualitative interview, and 2 coders used open coding to analyze the data.

resultsAlthough barriers specific to treatment modality existed, most barriers cut across intervention modality, including financial hardship, lack of reliable housing and transportation, comorbid physical and mental health issues, and competing demands on personal time. Results of post hoc analyses found the association between engagement and emotional and motivational factors to be statistically significant.

conclusionsThis study is the 1st to identify barriers in a web-based intervention for SMI. Similar barriers persisted across treatment modalities. Known barriers, particularly socioeconomic barriers, should be addressed to improve engagement and retention of individuals in weight-management interventions adapted for SMI, irrespective of modality. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Indexed as

Mental DisordersAdultAgedComorbidityFemaleFollow-Up StudiesHealth Services AccessibilityHumansInternetMaleMiddle AgedOverweightPatient Acceptance of Health CareQualitative ResearchTelemedicineUnited States

Identifiers

PMID31081651
PMCPMC6715516
OpenAlexW2945966256

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.