Main Outcomes of a Peer-Led Healthy Lifestyle Intervention for People With Serious Mental Illness in Supportive Housing.

Authors

• Leopoldo J Cabassa
• Ana Stefancic
• Roberto Lewis-Fernández
• José Luchsinger
• Lara Carson Weinstein
• Shenyang Guo
• Lawrence Palinkas
• Lauren Bochicchio
• Xiaoyan Wang
• Kathleen O'Hara
• Michael Blady
• Christine Simiriglia
• Monica Medina McCurdy

Publication/Presentation Date

5-1-2021

Abstract

OBJECTIVE: The effectiveness of the Peer-led Group Lifestyle Balance (PGLB) intervention, a 12-month manualized healthy lifestyle intervention delivered by peer specialists, was investigated in a sample of persons with serious mental illness who were overweight or obese and living in supportive housing.

METHODS: The authors randomly assigned 314 participants from three supportive housing agencies to PGLB or usual care, with assessments at baseline and 6, 12, and 18 months. Outcomes were clinically significant changes from baseline in weight (≥5% weight loss), cardiorespiratory fitness (CRF; increase of ≥50 meters in the 6-minute walk test), and cardiovascular disease (CVD) risk reduction (clinically significant weight loss or CRF improvement).

RESULTS: Most participants were from racial-ethnic minority groups (82%, N=255). The mean±SD baseline weight of this sample was 218.8±54.0 pounds, and the body mass index was 33.7±7.2. Compared with the usual care group, a larger proportion of the PGLB group achieved clinically significant changes in study outcomes at 12 and 18 months, but none of these changes was statistically significant. Outcomes differed by site: two sites reported no significant differences between the two groups, and one reported that PGLB significantly outperformed usual care on clinically significant weight loss at 18 months and CVD risk reduction at 6 and 12 months.

CONCLUSIONS: The null findings indicate that PGLB was not superior to usual care in helping participants achieve clinically significant changes in weight, CRF, and CVD risk reduction at 12 and 18 months. Questions remain regarding how PGLB works, for whom, and in which settings.

Volume

72

Issue

5

First Page

555

Last Page

562

ISSN

1557-9700

Published In/Presented At

Cabassa, L. J., Stefancic, A., Lewis-Fernández, R., Luchsinger, J., Weinstein, L. C., Guo, S., Palinkas, L., Bochicchio, L., Wang, X., O'Hara, K., Blady, M., Simiriglia, C., & Medina McCurdy, M. (2021). Main Outcomes of a Peer-Led Healthy Lifestyle Intervention for People With Serious Mental Illness in Supportive Housing. Psychiatric services (Washington, D.C.), 72(5), 555–562. https://doi.org/10.1176/appi.ps.202000304

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

33334158

Department(s)

Administration and Leadership

Document Type

Article