The evaluation of a telephonic wellness coaching intervention for weight reduction and wellness improvement in a community-based cohort of persons with serious mental illness

Henk Temmingh, Amanda Claassen, Sandi Van Zyl, Henri Carrara, Nyameka Matross Dayakalashe, Landon Myer, Dan J. Stein

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Obesity and metabolic disturbances frequently occur in individuals with psychiatric disorders. This study evaluates a telephonically delivered lifestyle coaching intervention aimed at weight reduction and wellness improvement in psychiatric outpatients. A cohort of 761 participants was prospectively followed up for a period of 12 months. Lifestyle coaching was administered telephonically on a weekly basis for the first 3 months and monthly thereafter. During the study period, there was a significant reduction in weight and waist circumference as well as a significant increase in general health in the completer group. A total of 46% of the participants lost 5% or more of their baseline weight. Significant predictors of attrition at baseline were the presence of metabolic syndrome, younger age, chronic illness, and the diagnosis of a mood disorder. Dropout was significantly less in those participants who received support from a nominated caregiver. Telephonic lifestyle coaching is feasible in this population.

Original languageEnglish
Pages (from-to)977-986
Number of pages10
JournalJournal of Nervous and Mental Disease
Volume201
Issue number11
DOIs
StatePublished - Nov 2013
Externally publishedYes

Keywords

  • Lifestyle coaching
  • Serious mental illness
  • Telephonic
  • Weight reduction
  • Wellness improvement

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