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A Pilot Study of a Peer-Group Lifestyle Intervention Enhanced With mHealth Technology and Social Media for Adults With Serious Mental Illness
Open accessAbstract
This pilot study examined the preliminary effectiveness of a peer-group lifestyle intervention enhanced with mobile health technology and social media for obese individuals with serious mental illness. Thirty-two participants with a body mass index of 30 or higher received a 24-week intervention designed to facilitate peer support for lifestyle change through experiential learning and use of wearable activity tracking devices, smartphone applications, and Facebook to reinforce physical activity, healthy eating, and group participation between sessions. The primary outcome was weight loss. Secondary measures included fitness and participants' perceptions of peer-group support. Most participants (72%) lost weight, including 28% achieving clinically significant weight loss, and 17% of participants showed clinically significant improvements in cardiovascular fitness. Weight loss was associated with perceived peer-group support. This evaluation demonstrated the preliminary effectiveness of a potentially scalable peer-group lifestyle intervention delivered in community mental health settings for obese individuals with serious mental illness.
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“To date, this program has demonstrate preliminary effectiveness for meaningfully reducing cardiovascular risk factors that contribute to early mortality in this patient group (Aschbrenner, Naslund, Shevenell, Kinney, et al., 2016)”
From Social Media and Mental Health: Benefits, Risks, and Opportunities for Research and Practice (2020) · cites this paper as Aschbrenner, Naslund, Shevenell, Kinney, et al., 2016
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A Behavioral Weight-Loss Intervention in Persons with Serious Mental Illness
Daumit, G. L., Dickerson, F. B., Wang, N.-Y., Dalcin, A., Jerome, G. J., Anderson, C. A. M., Young, D. R., Frick, K. D., Yu, A., Gennusa, J. V., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1214530 · Cited by 523 · cited 5×
“A series of randomized trials of lifestyle interventions have shown that people with serious mental illness can achieve clinically significant weight loss through behavioral changes in diet and exercise (Bartels et al, 2015; Daumit et al, 2013; Green et al, 2015).”
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Research works printed but not linked: 17
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Social Media and Mental Health: Benefits, Risks, and Opportunities for Research and Practice
Naslund, J. A., Bondre, A., Torous, J., & Aschbrenner, K. A. (2020) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-020-00134-x · Cited by 746
Self-citationOECD (2021) · OECD Health Policy Studies · doi:10.1787/4ed890f6-en · Cited by 407
Naslund, J. A., Aschbrenner, K. A., Scherer, E. A., McHugo, G. J., Marsch, L. A., & Bartels, S. J. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.06.056 · Cited by 86
Self-citationNaslund, J. A., Aschbrenner, K. A., Marsch, L. A., McHugo, G. J., & Bartels, S. J. (2018) · Psychiatric Quarterly · doi:10.1007/s11126-017-9512-0 · Cited by 64
Self-citationNaslund, J. A., & Aschbrenner, K. A. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201800520 · Cited by 54
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Metadata
- Authors
- Aschbrenner, K. A., Naslund, J. A., Shevenell, M., Kinney, E., & Bartels, S. J.
- Affiliations
- Dartmouth College (US)
- Corresponding author
- Aschbrenner, Kelly A.
- Naslund, John A.
- Shevenell, Megan
- Kinney, Elizabeth
- Bartels, Stephen J.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2016-06
- Volume
- 204
- Issue
- 6
- Pages
- 483-486
- ISSN
- 0022-3018 (ISSN-L)
- 1539-736X
- PMC
- PMC4887192
- OpenAlex
- W2404805569
- Cited by
- 60
- References
- 3
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 5 · 2023: 10 · 2022: 6 · 2021: 13 · 2020: 5 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 2
- FWCI
- 8.69
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Centers for Disease Control and Prevention
- Agency for Healthcare Research and Quality (K12HS021695)
- National Institute of Mental Health (R01MH089811)
- National Center for Chronic Disease Prevention and Health Promotion (U48DP005018, U48DP001935)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- severe mental illness, obesity, weight loss, mobile health, social media, wearable activity trackers, mobile application, peer support, physical activity, healthy eating, cardiorespiratory fitness, community mental health services
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Male, Middle Aged, Obesity, Peer Group, Pilot Projects, Severity of Illness Index, Telemedicine, Risk Reduction Behavior, Social Media, Early Medical Intervention
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