Clinical Trial of Wellness Training: Health Promotion for Severely Mentally Ill Adults
Abstract
This randomized controlled trial examined benefits of adding active health promotion to basic primary care (BPC) services for SMI adults. It compared BPC with BPC plus wellness training (WT), a 12 months intervention promoting individual skills in self-management. Three hundred nine participants enrolled during short-term residential treatment completed baseline assessments and were assigned to treatment groups, before discharge. Outcomes of perceived health status (SF-36), global assessment of function, and ratings of self-efficacy were assessed at follow-up interviews at 6, 12, and 18 months. The intent-to-treat analysis employed multilevel regression to examine differences by group on outcomes across time, controlling for health related covariates. The WT group showed significantly better outcomes on the SF-36 physical functioning and general health scales. Findings affirm ability of SMI adults to benefit from active health promotion.
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No trials evaluated several psychosocial interventions shown effective in high-income countries, including wellness promotion, vocational rehabilitation, and cognitive remediation.
“Lastly, no trials were found that evaluated a number of types of psychosocial interventions shown to be effective in high-income countries, such as wellness promotion,50 vocational rehabilitation51 and cognitive remediation.52,53”
From Effect of psychosocial interventions on social functioning in depression and schizophrenia: meta-analysis (2013) · cites this paper as [50]
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- Authors
- Chafetz, L., White, M., Collins-Bride, G., Cooper, B. A., & Nickens, J.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Chafetz, Linda
- White, Mary
- Collins-Bride, Gerri
- Cooper, Bruce A.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2008-06
- Volume
- 196
- Issue
- 6
- Pages
- 475-483
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2066277297
- Cited by
- 41
- References
- 8
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2019: 1 · 2017: 2 · 2016: 5 · 2015: 2 · 2014: 6 · 2013: 10 · 2012: 3
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (R01 NRO5350)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- self-management skills, severe mental illness, health promotion, primary care, residential treatment, self-efficacy, physical function, health perception, global functioning, post-discharge follow-up
- MeSH terms
- Activities of Daily Living, Adult, Attitude to Health, Bipolar Disorder, Combined Modality Therapy, Depressive Disorder, Major, Major Depressive Disorder, Female, Follow-Up Studies, Health Promotion, Hospitalization, Humans, Male, Middle Aged, Primary Health Care, San Francisco, Schizophrenia, Schizophrenic Psychology, Self Care, Cognitive Behavioral Therapy, Self Efficacy
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