Web-Based Delivery of MOVE! to Veterans With Serious Mental Illness

基于网络的 MOVE! 交付

• 批准号: 8195243
• 负责人: RICHARD Warren GOLDBERG
• 金额: --
• 依托单位: VA GREATER LOS ANGELES HEALTHCARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8195243
• 关键词: Address; Adult; Adverse effects; Ambulatory Care Facilities; Area; Baltimore; Bipolar Disorder; Caring; Cessation of life; Chronic Disease; Clinic; Clinical; Cognitive; Cognitive Therapy; Communities; Computer Assisted; Computers; Control Groups; Counseling; Diet; Diet Habits; Disease; Education; Educational Curriculum; Effectiveness; Epidemic; Evidence based intervention; Evidence based practice; Evidence based treatment; Funding; Guidelines; Health; Health Care Costs; Health Promotion; Healthcare; Individual; Inferior; Informatics; Internet; Intervention; Interview; Learning; Learning Disabilities; Life Expectancy; Location; Medical; Medical center; Mental Health; Mental disorders; Methods; Motivation; Nutritionist; Obesity; Online Systems; Outcome; Overweight; Participant; Patients; Personal Communication; Persons; Pharmaceutical Preparations; Physical activity; Population; Primary Health Care; Psyche structure; Quality of life; Randomized Controlled Trials; Readiness; Reporting; Research; Research Personnel; Resources; Risk; Schedule; Schizophrenia; Self Efficacy; Services; Site; System; Technology; Testing; Time; Transportation; Travel; United States; Veterans; Visit; Weight; Weight Gain; Weight maintenance regimen; abstracting; base; computerized; control trial; cost; design; diet and exercise; disorder prevention; evidence base; experience; improved; literacy; meetings; mortality; nutrition education; preference; programs; prospective; prototype; psychoeducational; psychoeducational intervention; psychotic depression; rural area; severe mental illness; success; treatment strategy; urban area; web site

Abstract Background/Rationale: Obesity has reached epidemic proportions, and often has serious adverse health consequences. The VA has been deploying a "MOVE! Weight Management Program" nationally in the general veteran population. Since individuals with serious mental illness (SMI) usually have cognitive problems, specialized psychoeducational interventions are required in this population. Specialized psychoeducational interventions for weight have been developed and studied in populations with SMI. This evidence-based practice has been adapted for use in VA, resulting in a "MOVE! SMI" intervention. However, it has proven to be quite difficult to disseminate this intervention. Patients with SMI often have limited transportation options, and may not want to participate in groups. Also, in-person MOVE! SMI requires substantial time from mental health clinicians. This clinician time has been difficult to redeploy or not available at many VA locations. It is very likely that these barriers can be addressed with a computerized, web-based version of MOVE! that is tailored for veterans with SMI. Specialized web-based approaches have been studied and found to be successful in this population, and can deliver content that is intensive and engaging with minimal requirements for staff time. Objectives: The VISN 5 and 22 MIRECCs have developed a prototype web-based system that provides computerized counseling regarding diet to veterans with SMI. The proposed project will expand this system. This project's objectives are to: 1) develop a comprehensive web-based system that delivers MOVE! using design features that meet the needs of individuals with SMI; 2) evaluate the effectiveness, in veterans with SMI, of web-based MOVE! compared with in-person MOVE! and a control group; and, 3) characterize, from the patient's perspective, the strengths, weaknesses, and barriers to the use of in-person and web-based MOVE!. Methods: This is a prospective, randomized, controlled trial in 300 veterans with SMI who are overweight and receiving treatment with medications that often have weight gain as a major side-effect. Participants are assigned to in-person MOVE! SMI, web-based MOVE! SMI, or a control group. Research assessments occur at 0, 3, and 6 months. Changes in outcomes are compared over time between the three groups. Significance: By losing weight, veterans with SMI can decrease their risk for medical problems that have a serious negative effect on their quality of life and life expectancy. A web-based system that helps veterans lose weight could be feasible to disseminate broadly at VA sites, including medical centers and community based outpatient clinics serving both rural and urban areas.

抽象的 背景/理由： 肥胖已达到流行病的程度，并且常常造成严重的不良健康后果。弗吉尼亚州 一直在全国范围内针对退伍军人群体实施“MOVE！体重管理计划”。 由于患有严重精神疾病 (SMI) 的人通常存在认知问题，因此需要专门 该人群需要心理教育干预。专门的心理教育干预措施 已经在患有 SMI 的人群中开发和研究了体重。这种基于证据的实践已 适合在 VA 使用，导致“MOVE！SMI”干预。然而，事实证明这是相当困难的 传播这种干预措施。 SMI 患者的交通选择通常有限，并且可能不想要 参加团体活动。另外，亲自移动！ SMI 需要心理健康临床医生投入大量时间。 临床医生的时间很难重新部署，或者在许多退伍军人事务部地点都没有。很有可能的是 这些障碍可以通过计算机化、基于网络的 MOVE 版本来解决！专为退伍军人量身定制 与SMI。专门的基于网络的方法已经被研究并发现在这个人群中是成功的， 并且可以以最低限度的员工时间要求提供密集且有吸引力的内容。 目标： VISN 5 和 22 MIRECC 开发了一个基于网络的原型系统，可提供 为患有 SMI 的退伍军人提供有关饮食的计算机化咨询。拟议的项目将扩展该系统。 该项目的目标是： 1) 开发一个全面的基于网络的系统，提供 MOVE!使用 满足 SMI 患者需求的设计功能； 2) 评估患有 SMI 的退伍军人的有效性， 基于网络的 MOVE!与亲自MOVE相比！和对照组；以及，3) 表征，从 患者的观点、使用面对面和基于网络的 MOVE! 的优点、缺点和障碍。 方法： 这是一项前瞻性、随机、对照试验，受试者为 300 名患有 SMI 的退伍军人，他们超重且体重过重。 接受药物治疗，其主要副作用通常是体重增加。参加者有 分配给亲自移动！ SMI，基于网络的MOVE！ SMI，或对照组。研究评估发生在 0、3 和 6 个月。比较三组之间随着时间的推移结果的变化。 意义： 通过减肥，患有 SMI 的退伍军人可以降低出现严重医疗问题的风险 对他们的生活质量和预期寿命产生负面影响。帮助退伍军人减肥的基于网络的系统 在 VA 站点（包括医疗中心和社区）广泛传播是可行的 门诊诊所服务于农村和城市地区。

项目成果

Improving Weight in People with Serious Mental Illness: The Effectiveness of Computerized Services with Peer Coaches.

改善严重精神疾病患者的体重：同伴教练计算机化服务的有效性。

• 发表时间: 2017-04
• 影响因子: 5.7
• 作者: Young, Alexander S;Cohen, Amy N;Goldberg, Richard;Hellemann, Gerhard;Kreyenbuhl, Julie;Niv, Noosha;Nowlin;Oberman, Rebecca;Whelan, Fiona
• 通讯作者: Whelan, Fiona

Factors Associated With Weight Intervention Participation Among People With Serious Mental Illness.

与严重精神疾病患者参与体重干预相关的因素。

• 发表时间: 2018
• 作者: Bennett, Lauren L;Cohen, Amy N;Young, Alexander S
• 通讯作者: Young, Alexander S

Peer wellness coaches for adults with mental illness.

患有精神疾病的成年人的同伴健康教练。

• 发表时间: 2014-01-01
• 作者: Cohen, Amy N;Golden, Joya F;Young, Alexander S
• 通讯作者: Young, Alexander S

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

参与针对严重精神疾病的基于网络和面对面的体重管理干预措施的障碍。

• 发表时间: 2019-09
• 影响因子: 1.9
• 作者: Olmos;Niv, Noosha;Hellemann, Gerhard;Cohen, Amy N;Oberman, Rebecca;Goldberg, Richard;Young, Alexander S
• 通讯作者: Young, Alexander S

Mobile Phone and Smartphone Use by People With Serious Mental Illness.

患有严重精神疾病的人使用手机和智能手机。

• 发表时间: 2020
• 作者: Young, Alexander S;Cohen, Amy N;Niv, Noosha;Nowlin;Oberman, Rebecca S;Olmos;Goldberg, Richard W;Whelan, Fiona
• 通讯作者: Whelan, Fiona