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
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.
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In 8 included studies, mHealth interventions connected a patient to a provider, directly facilitating patient access to professional care.
“In 8 studies, mHealth interventions connected a patient to a provider, thus directly facilitating patient access to (professional) care [20, 37, 46, 50, 51, 53–55].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
In three studies, sicker patients were more likely to use mHealth interventions.
“Furthermore, three studies found that sicker patients were more likely to use the interventions, possibly because they found it easier to use the mHealth interventions rather than, for instance, walk to a provider [20, 51, 55].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
For both patients and specialized healthcare providers, another important predisposing characteristic associated with the perception that mHealth was useful was source confidentiality.
“For both patients and (specialized) healthcare providers another important predisposing characteristic associated with the perception that mHealth was useful was source confidentiality [20, 39, 40, 49, 51]: Healthcare providers have to be confident that the information received via the mobile phone is accurate, and patients have to trust the (specialized) provider on the line in order to perceive”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
Specialized providers found mHealth easier for certain diagnostic and treatment tasks (sharing feedback with patients, continuous clinical follow-ups) than for others (conducting physical examinations, special tests, and probing for additional information).
“However, specialized providers found mHealth easier to use in the context of certain disease conditions, such as acne, herpes simplex, Kaposi’s sarcoma, and flame burns in dermatology, than in others (scald burns, thickness wounds, and atopic dermatitis) [36, 43] and easier for certain diagnostic and treatment tasks (sharing feedback with patients, continuous clinical follow-ups) than for others (”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
Reduced costs of travel was an enabling resource for patients.
“Other enabling resources were assurance of privacy [43, 48], support from partners/relatives [51, 55], reduced costs of travel, and reduced time away from home or work [24, 50–53].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
Reduced time away from home or work was an enabling resource for patients.
“Other enabling resources were assurance of privacy [43, 48], support from partners/relatives [51, 55], reduced costs of travel, and reduced time away from home or work [24, 50–53].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
Support from partners/relatives was an enabling resource for patients.
“Other enabling resources were assurance of privacy [43, 48], support from partners/relatives [51, 55], reduced costs of travel, and reduced time away from home or work [24, 50–53].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
First-contact providers reported that mHealth could contribute to overcoming barriers to accessing supervision.
“Furthermore, (first-contact) providers reported that they needed support in order to follow guidelines [50, 54, 55] and that mHealth could contribute to overcoming barriers to accessing supervision [37, 40–42, 47, 51].”
From A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa (2017) · cites this paper as [51]
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“Because telephonic interventions are a potentially cost-effective manner to deliver services, particularly in underresourced settings (O’Reilly et al., 2007; Pratt et al., 2012; Verhaeghe et al., 2011), we therefore aimed, firstly, to evaluate the impact of a telephonic wellness coaching program on weight reduction an…”
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- Authors
- Temmingh, H., Claassen, A., van Zyl, S., Carrara, H., Dayakalashe, N. M., Myer, L., & Stein, D. J.
- Affiliations
- University of Cape Town (ZA)
- Corresponding author
- Temmingh, Henk
- Dayakalashe, Nyameka Matross
- Stein, Dan J.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2013-11
- Volume
- 201
- Issue
- 11
- Pages
- 977-986
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2334647381
- Cited by
- 31
- References
- 58
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 2 · 2015: 2
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- Servier
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- lifestyle coaching, weight loss, obesity, severe mental illness, psychiatric outpatients, metabolic syndrome, waist circumference, health status, caregiver support, mood disorders
- MeSH terms
- Adolescent, Adult, Mental Disorders, Female, Follow-Up Studies, Health Promotion, Humans, Life Style, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Residence Characteristics, Severity of Illness Index, Cohort Studies, Weight Loss, Telemedicine, Young Adult
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