Improving Obesity Self-care Among Mentally Ill Veterans

改善患有精神疾病的退伍军人的肥胖自我护理

• 批准号: 8998625
• 负责人: Gina L. Evans
• 金额: --
• 依托单位: MICHAEL E DEBAKEY VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2016-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8998625
• 关键词: Adherence; Anxiety; Appointment; Attention; Award; Behavior Therapy; Blood Vessels; Body Weight decreased; Chronic; Chronic Disease; Clinical; Clinical Trials; Computer software; Development; Development Plans; Digital Libraries; Drug Prescriptions; Economics; Educational workshop; Elements; Expenditure; Faculty; Goals; Grant; Habits; Health; Health Status; Healthcare; Hospitalization; Intervention; Lead; Link; Maintenance; Medical; Medical center; Medicine; Mental Depression; Mental Health; Mental disorders; Mentally Ill Persons; Mentors; Mentorship; Methodology; Obesity; Outcome; Outpatients; Policies; Quality of Care; Rehabilitation therapy; Research; Research Personnel; Research Project Grants; Resources; Risk; Secure; Self Care; Symptoms; System; Testing; Time; United States National Institutes of Health; Veterans; Visit; Weight maintenance regimen; Work; Writing; anxiety symptoms; anxiety treatment; career; career development; clinical practice; depressive symptoms; disability; evidence base; experience; health related quality of life; high risk; improved; member; mortality; physical conditioning; programs; psychologic; reduce symptoms; rehabilitative care; research and development; retention rate

DESCRIPTION (provided by applicant) Description of the research project: Obesity is an escalating health problem among Veterans that is associated with increased risk of chronic disease, disability and early mortality rates. Obese Veterans with co-existing mental illness experience greater difficulties with weight management in comparison to those without mental illness. Psychological variables create barriers to engagement and maintenance of obesity self-care habits. Decreased symptoms of depression and anxiety have been associated with successful weight management which in turn can lead to improved health status. Despite the high coexistence rates and evidence linking improvements in mental health symptoms to improved engagement and maintenance of appropriate weight management, most obesity self-care interventions provide minimal to no attention to improving co-existing anxiety and depression symptoms. The proposed research projects will: (1) examine psychological barriers to participation, adherence and outcomes of an evidenced based weight management program (MOVE!) and (2) integrate depression and anxiety treatment into MOVE! to improve retention rates, adherence and subsequent weight loss. My previous research, clinical and mentorship experiences make me uniquely poised to conduct this study. Candidate's immediate and long-term career goals: My overall career aim is to establish myself as an independent rehabilitation researcher with expertise in weight management among obese Veterans with co-existing mental illnesses. My short term career goals include securing a RR&D CDA-2 award that will provide the needed protected time and clinical, mentoring and research experiences to advance develop into an independent rehabilitation researcher. My long-term research goals are to modify evidenced based weight management strategies to improve physical health outcomes, clinical practice, and policy for obese Veterans at the greatest risk for disability. Key elements of the research career development plan: I will receive additional didactic and mentorship experiences to expanding my expertise in developing and testing evidence based obesity self-care behavioral interventions, integrating mental health treatments into weight management interventions using clinical trial methodology, gaining an understanding how to integrate evidenced based weight management strategies in a VA rehabilitation care line and VA RR&D project, and secure an RR&D IIR Merit award to attain research independence. Facilities & Other Resources: I am fortunate to be a junior BCM faculty member in the department of medicine with a primary appointment in the Houston Center for Quality of Care and Utilization Studies (COE) and secondary appointment in Atheroscleorsis and Vascular Medicine and to be an MIRECC Investigator for the Michael E. DeBakey VA Medical Center. Each setting has its own unique resources that are available for my use. Some of these resources include, electronic library access, research and career development didactics and workshops, statisticians, several senior NIH and VA investigators, grant writing workshops, and a variety of software packages.

描述（由申请人提供） 研究项目的描述：肥胖是退伍军人的一个不断升级的健康问题，与慢性疾病，残疾和早期死亡率的风险增加有关。与没有精神疾病的人相比，患有精神疾病的肥胖退伍军人在体重管理方面面临更大的困难。心理变量为肥胖自我保健习惯的参与和维护造成了障碍。抑郁症和焦虑症状的减轻与成功的体重管理有关，这反过来又可以改善健康状况。尽管共存率高和证据，将心理健康症状的改善与改善参与度和维持适当的体重管理联系起来，但大多数肥胖自我护理干预措施使人们对改善共存的焦虑和抑郁症状的关注最低。拟议的研究项目将：（1）研究基于证据的体重管理计划（移动！）和（2）将抑郁症和焦虑治疗的基于证据的体重管理计划（移动！）的心理障碍！提高保留率，依从性和随后的体重减轻。我以前的研究，临床和指导经验使我完全准备进行这项研究。候选人的直接和长期职业目标：我的整体职业目标是确立自己是一名独立的康复研究人员，在患有共存精神疾病的肥胖退伍军人之间具有体重管理方面的专业知识。我的短期职业目标包括获得RR＆D CDA-2奖，该奖项将提供所需的受保护时间和临床，指导和研究经验，以提高发展成为独立的康复研究人员。我的长期研究目标是修改基于证据的体重管理策略，以改善身体健康状况，临床实践和肥胖退伍军人的政策，最大的残疾风险。 Key elements of the research career development plan: I will receive additional didactic and mentorship experiences to expanding my expertise in developing and testing evidence based obesity self-care behavioral interventions, integrating mental health treatments into weight management interventions using clinical trial methodology, gaining an understanding how to integrate evidenced based weight management strategies in a VA rehabilitation care line and VA RR&D project, and secure an RR&D IIR Merit award to attain research独立。设施和其他资源：我很幸运能在医学系的初级BCM教职员工任职，并在休斯顿护理质量和利用研究中心任命（COE）（COE），并在Atheroscleorsis和血管医学中任命次要任命，并成为Michael E. Debakey Va Medical Center的Mirecc研究者。每个设置都有自己的独特资源，可供我使用。其中一些资源包括电子图书馆访问，研究和职业发展教学和研讨会，统计学家，几位NIH和VA研究人员，赠款写作讲习班以及各种软件包。