Clinical trial of wellness training: health promotion for severely mentally ill adults

• Published in: The journal of nervous and mental disease Vol. 196; no. 6; p. 475
• Main Authors: Chafetz, Linda, White, Mary, Collins-Bride, Gerri, Cooper, Bruce A, Nickens, John
• Format: Journal Article
• Language: English
• Published: United States 01.06.2008
• Subjects: Activities of Daily Living - psychology; Adult; Attitude to Health; Bipolar Disorder - psychology; Bipolar Disorder - rehabilitation; Cognitive Therapy; Combined Modality Therapy; Depressive Disorder, Major - psychology; Depressive Disorder, Major - rehabilitation; Female; Follow-Up Studies; Health Promotion; Hospitalization; Humans; Male; Middle Aged; Primary Health Care; San Francisco; Schizophrenia - rehabilitation; Schizophrenic Psychology; Self Care - psychology; Self Efficacy; San Francisco
• ISSN: 1539-736X
• DOI: 10.1097/NMD.0b013e31817738de

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.