Advertisement

Losing to Gain: The Effects of a Healthy Lifestyle Intervention on the Physical and Psychosocial Well-being of Clients in a Community-based Mental Health Setting

  • Brandy M. MechlingEmail author
Brief Report
  • 66 Downloads

Abstract

Individuals with severe and persistent mental illness (SPMI) encounter both poorer physical health and psychosocial well-being in comparison to the general population. Obesity, hypertension, heart disease, and diabetes can result from the symptoms of mental illness, the side effects from psychotropic medications, as well as disparities associated with being mentally ill. Mental health nurses are in a prime position to implement healthy lifestyle interventions (HLIs). This study tested a HLI (physical exercise and nutrition) and examined the effects on physical and psychosocial outcomes in clients obtaining mental health services at a community-based facility. Key findings included a decrease in anxiety and depressive symptoms at 3 months and consistent improvement in self-efficacy for exercise in the intervention group. Bridges and barriers to achieving optimal results in physical and psychosocial well-being were identified. Findings from this study offer insight into designing and executing more effective HLIs with individuals who have SPMI.

Notes

Funding

Funding was provided by J. Richard Corbett Charitable Trust (Grant No. #621120).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institution at which the study was conducted.

References

  1. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman.Google Scholar
  2. Baranowski, P., & Parcel (2002). How individuals, environments, and health behaviors interact: Social cognitive theory. In K. Glanz, B. Rimer, & E. Lewis (Eds.), Health behavior and health education: Theory, research, and practice (3rd edn.). San Francisco: Wiley.Google Scholar
  3. Centers for Disease Control (CDC) (2013). Healthy People 2020 Objectives: Nutrition and Weight Status. Retrieved from: http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=29.
  4. Chassany, O., Dimnas, E., Dubois, D., Wu, A., & Dupuy, H. J. (2004). The psychological general well-being index (PGWBI) user manual. Lyons:MAPI Research InstituteGoogle Scholar
  5. Chobanian, A., Bakris, G., Black, H., Cushman, W., Green, L., Izzo, J., Jones, D., Materson, B., Oparil, S., Wright, J., & Rocella, E. (2003). The Seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure. Journal of the American medical Association, 289(19), 2560–2572.CrossRefGoogle Scholar
  6. Corp, I. B. M. (2012). IBM spss statistics for windows, Version 21.0. Armonk: IBM Corp.Google Scholar
  7. Daumit, G. L., Dickerson, F. B., Wang N. Y., Dalcin, A., Jerome, G. J., Anderson, C. A. M., … Appel, L. J. (2013). A behavioral weight-loss intervention in persons with serious mental illness. The New England Journal of Medicine, 368(17), 1594–1602.  https://doi.org/10.1056/NEJMoa1214530.CrossRefGoogle Scholar
  8. Dupuy, H. J. (1984). The psychological general well-being scale. Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies, 1984, 170–183.Google Scholar
  9. Galletly, C. L., & Murray, L. E. (2009). Managing weight in persons living with severe mental illness in community settings: A review of strategies used in community interventions. Issues in Mental Health, 30, 660–668.  https://doi.org/10.3109/01612840903131784.CrossRefGoogle Scholar
  10. Happell, B., Plantania-Plung, C., & Scott, D. (2011). Placing physical activity in mental health care: A leadership role for mental health nurses. International Journal of Mental Health Nursing, 20, 310–318.  https://doi.org/10.1111/j.1447-0349.2010.00732.x.CrossRefGoogle Scholar
  11. Hoffmann, K. D., Walnoha, A., Sloan, J., Buddadhumaruk, P., Hui-Huang, H., Borrebach, J., Cluss, P. A., & Burke, J. G. (2015). Progress in Community Health Partnerships: Research, education, and Action, 9, 213–227.CrossRefGoogle Scholar
  12. International Chair on Cardiac Risk. (2011). Waist circumference measurement guidelines for health professionals. Retrieved from: www.healthywaist.org.
  13. James, P., Oparil, S., carter, B., Cushman, C., Dennison-Himmelfarb, C., Handler, J., Lackland, D., LeFevre, M., Mackenzie, T., Ogedegbe, O., Smith, S., Svetkey, L., Taler, S., Townsend, R., Wright, J., Narva, A., & Ortiz, E. (2014). Evidence-based guidelines for the management of high blood pressure in adults report from the panel members appointed to the eight joint national committee (JNC 8). Journal of the American Medical Association, 311(5), 507–520.  https://doi.org/10.1001/jama.2013.284427.CrossRefGoogle Scholar
  14. Katekaru, M., Minn, C. E., & Pobutsky, A. M. (2015). Weight reduction among people with severe and persistent mental illness after behavior counseling and monitoring. Hawaii Journal of Medicine and Public Health, 74(4), 146–149.Google Scholar
  15. McDevitt, J., Snyder, M., Miller, A., & Wilbur, J. (2006). Perceptions of barriers and benefits to physical activity among patients in psychiatric rehabilitation. Journal of Nursing Scholarship, 38(1), 50–55.CrossRefGoogle Scholar
  16. McDevitt, J., & Wilbur, J. (2006). Exercise and people with pesistent mental illness: A walking group may be an effective way to lower the risk of comorbidities. American Journal of Nursing, 106(4), 50–54.CrossRefGoogle Scholar
  17. McKibbin, C. L., Kitchen, K. A., Wykes, T. L., & Lee, A. A. (2014). Barriers and facilitators of a healthy lifestyle among persons with serious mental illness: Percspectives of community health providers. Community Mental Health Journal, 50, 566–576.  https://doi.org/10.1007/s10597-013-9650-2.CrossRefGoogle Scholar
  18. National Institute of Mental Health (NIMH). (July, 2012). Retrieved from: http://nimh.nih.gov/statistics/SMI_AASR.shtml.
  19. Park, T., Usher, K., & Foster, K. (2011). Description of a healthy lifestyle intervention for people with serious mental illness taking second-generation antipsychotics. International Journal of Mental Health Nursing, 20, 428–437.  https://doi.org/10.1111/j.1447-0349.2011.00747.x.CrossRefGoogle Scholar
  20. Pelletier, J. R., Nguyen, M., Bradley, K., Johnsen, M., & McKay, C. (2005). A study of a structured exercise program with members of an ICCD certified clubhouse: Program design, benefits, and implications for feasibility. Psychiatric Rehabilitation Journal, 29(2), 89–96.CrossRefGoogle Scholar
  21. Perham, A. S., & Accordino, M. P. (2007). Exercise and functioning level of individuals with severe mental illness: A comparison of two groups. Journal of Mental Health Counseling, 29(4), 350–362.CrossRefGoogle Scholar
  22. Roberts, S. H., & Bailey, J. E. (2011). Incentives and barriers to lifestyle interventions for people with severe mental illness: a narrative synthesis of quantitaive, qualitative, and mixed methods studies. Journal of Advanced Nursing, 67(4), 690–708.  https://doi.org/10.1111/j.1365-2648.2010.05546.x.CrossRefGoogle Scholar
  23. Resnick, B., & Jenkins, L. S. (2000). Testing the reliability and validity of the self-efficacy for exercise scale. Nursing Research, 49(3), 154–159.CrossRefGoogle Scholar
  24. Saxena, S., Van Ommeren, M., Tang, K. C., & Armstrong, T. P. (2005). Mental health benefits of physical activitiy. Journal of Mental Health., 14(5), 445–451.  https://doi.org/10.1080/09638230500270776.CrossRefGoogle Scholar
  25. Scheewe, T. W., Backx, F. J. G., Takken, T., Jorg, F., van Strater, A. C. P., Kroes, A. G., Kahn, R. S., & Cahn, W. (2013). Exercise therapy improves mental and physical health in schizophrenia: A randomised controlled trial. Acta Psychiatrica Scandinavica, 127, 464–473. https://doi.org/10.111/acps.12029.CrossRefGoogle Scholar
  26. Soundy, A., Faulkner, G., & Taylor, A. (2007). Exploring variability and perceptions of lifestyle physical activity among individuals with severe and enduring mental health problems: A qualitative study. Journal of Mental Health, 16(4), 493–503.  https://doi.org/10.1080/09638230701482345.CrossRefGoogle Scholar
  27. Sylvia, L. G., Salcedo, S., Bernstein, E. E., Baek, J. H., Nierenberg, A. A., & Deckersbach, T. (2013). Nutrition, exercise, and wellness treatment in bipolar disorder: Proof of concept for a consolidated intervention. International Journal of Bipolar Disorder, 1(1), 24.CrossRefGoogle Scholar
  28. United States Department of Agriculture (USDA) (September, 2011). My Plate Tip Sheets. Retrieved from: http://www.ChooseMyPlate.gov.
  29. Van Citters, A. D., Pratt, S. I., Jue, K., Williams, G., Miller, P. T., Xie, H., & Bartels, S. J. (2010). A pilot evaluation if the In SHAPE individualized health promotion intervention for adults with mental illness. Community Mental Health Journal, 46, 540–552.  https://doi.org/10.1007/s10597.009-9272-x.CrossRefGoogle Scholar
  30. Wolff, E., Gaudlitz, K., von Lindenberger, B. L., Plag, J., Heinz, A., & Strohle, A. (2011). Exercise and physical activities in mental disorders. European Archives of Psychiatry Clinical Neuroscience. 261(2), 186–191.  https://doi.org/10.1007/s00406-011-0254-y CrossRefGoogle Scholar
  31. World Health Organization (WHO). (2007). A guide for population-based approaches to increasing levels of physical activity: Implementation of the WHO global strategy on diet, physical activity, and health. Geneva: World Health Organization. http://www.who.int/iris/handle/10665/43612.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.College of Health and Human Services, School of NursingUniversity of North Carolina WilmingtonWilmingtonUS

Personalised recommendations