A Pilot Study of a Peer-Group Lifestyle Intervention Enhanced With mHealth Technology and Social Media for Adults With Serious Mental Illness

Aschbrenner, Kelly A.; Naslund, John A.; Shevenell, Megan; Kinney, Elizabeth; Bartels, Stephen J.

doi:10.1097/nmd.0000000000000530

Cited by 57 publications

(75 citation statements)

References 23 publications

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“…Additionally, the findings support the recent assertion made by the Royal Society for Public Health (2017) that social media websites should be used to discretely reach out to individuals who may be affected by content and signpost appropriate support options . Social networking components such as forums could be incorporated into digital health interventions for severe mental health problems to connect people with similar experiences and provide professional and peer support . However, our findings suggest that emotional disclosures via these platforms have the potential to elicit negative feelings.…”

Section: Discussionmentioning

confidence: 86%

Social media and its relationship with mood, self‐esteem and paranoia in psychosis

Berry

Emsley

Lobban

et al. 2018

Acta Psychiatr Scand

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ObjectiveAn evidence‐base is emerging indicating detrimental and beneficial effects of social media. Little is known about the impact of social media use on people who experience psychosis.MethodForty‐four participants with and without psychosis completed 1084 assessments of social media use, perceived social rank, mood, self‐esteem and paranoia over a 6‐day period using an experience sampling method (ESM).ResultsSocial media use predicted low mood, but did not predict self‐esteem and paranoia. Posting about feelings and venting on social media predicted low mood and self‐esteem and high paranoia, whilst posting about daily activities predicted increases in positive affect and self‐esteem and viewing social media newsfeeds predicted reductions in negative affect and paranoia. Perceptions of low social rank when using social media predicted low mood and self‐esteem and high paranoia. The impact of social media use did not differ between participants with and without psychosis; although, experiencing psychosis moderated the relationship between venting and negative affect. Social media use frequency was lower in people with psychosis.ConclusionFindings show the potential detrimental impact of social media use for people with and without psychosis. Despite few between‐group differences, overall negative psychological consequences highlight the need to consider use in clinical practice.

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Section: Discussionmentioning

confidence: 86%

Social media and its relationship with mood, self‐esteem and paranoia in psychosis

Berry

Emsley

Lobban

et al. 2018

Acta Psychiatr Scand

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“…As Patel and colleagues (2015) caution, there remains a considerable gap between recording individual-level information using wearable devices and contributing to meaningful and lasting health behavior change (Patel et al, 2015). While it is possible that the wearable devices in our study helped participants monitor their activity over time and may have provided them with additional encouragement, we also know that participants were highly engaged in the lifestyle program and had access to social and informational support from other participants as well as the lifestyle coaches who led the weekly group sessions (Aschbrenner et al, 2016; Aschbrenner et al, 2015). Therefore, the success of the wearable devices in contributing to weight loss may have been largely driven by the theoretically based components of the group lifestyle intervention that supported changes in participants’ physical activity and dietary behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…The program was modeled after the evidence-based Diabetes Prevention Program, and included weekly group sessions led by lifestyle coaches. Full descriptions of the program are available elsewhere (Aschbrenner et al, 2016; Aschbrenner et al, 2015). Participants shared an activity goal of reaching 150 minutes of exercise each week.…”

Section: Methodsmentioning

confidence: 99%

Wearable devices and mobile technologies for supporting behavioral weight loss among people with serious mental illness

Naslund

Aschbrenner

Scherer

et al. 2016

Psychiatry Research

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Promoting physical activity is essential for addressing elevated cardiovascular risk and high obesity rates affecting people with serious mental illness. Numerous challenges interfere with exercise participation in this high-risk group including mental health symptoms, low motivation, and limited access to safe and affordable options for physical activity. Wearable devices and mobile health technologies may afford new opportunities for promoting physical activity and supporting behavioral weight loss efforts. This exploratory study examined whether daily step count measured using Fitbit wearable devices was associated with weight loss and improved fitness among individuals with serious mental illness enrolled in a 6-month lifestyle program. Participants (n=34) had a schizophrenia spectrum disorder (23.5%), major depression (50.0%), or bipolar disorder (26.5%), and wore Fitbits most of the days (M=86.2%; SD=18.4%) they were enrolled in the study. At 6-months, higher average daily step count was associated with greater weight loss (F=5.07; df=1,32; p=0.0314), but not improved fitness (F=1.92; df=1,31; p=0.176). These findings demonstrate that encouraging participants with serious mental illness enrolled in lifestyle interventions to collect more steps may contribute to greater weight loss. This suggests that wearable devices may offer a feasible and potentially effective strategy for supporting behavioral weight loss in community mental health settings.

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“…255,256 Mobile health (or 'mhealth') technologies may also provide new options for applying adapted versions of programs such as the DPP in mental illness. For example, a pilot study found that 'FitBit' activity trackers could potentially be used alongside fitness apps in people with schizophrenia to deliver DPP-based interventions, 257 using added features such as daily prompts/motivational messages and self-determined 'step count' goals. Participants in this initial study found this to be engaging, motivating and empowering, 257 In conclusion, the overarching principles of existing gold-standard diabetes prevention programs are advised to be used as a benchmark in the implementation and maintenance of lifestyle interventions as an integrated, routine component of mental healthcare (Table 4).…”

Section: Barriers Opportunities and Future Researchmentioning

confidence: 99%

The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

Firth

Siddiqi

Koyanagi

et al. 2019

The Lancet Psychiatry

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1,093

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Executive SummaryThe poor physical health of people with mental illness is a multi-faceted, transdiagnostic, and global problem. Physical health disparities are observed across the entire spectrum of mental illnesses, in low, middle-and high-income countries. This stems from both a heightened risk of physical diseases in people with mental illness, along with their reduced access to adequate healthcare. The high rates of physical comorbidities (and typically-poor clinical management of this) drastically reduces life expectancy, and also increases the personal, social and economic burden of illness across the lifespan.This Commission has brought together an international team of researchers, clinicians, and key stakeholders from various backgrounds and professionally / personally-relevant experience, in order to summarize advances in understanding on this topic, and present clear directions for health promotion, clinical care and future research. The breadth and multifactorial nature of physical health disparities across the range of mental health diagnoses poses an almost limitless number of potential considerations. Therefore, rather than attempting to cover all of the different possible combinations of physical-mental comorbidities individually, the aim of this Commission was to: (i) establish highlypertinent aspects of physical health-related morbidity and mortality which apply transdiagnostically, (ii) highlight the common modifiable factors driving these disparities, (iii) present actions and initiatives for health policy and clinical services to address these issues, and (iv) identify promising areas for future research towards discovering novel solutions. This was addressed across 5 different Parts of the Commission: Parts 1 and 2 determined the scope, priorities and key targets for physical health improvement across multiple mental illnesses. Parts 3, 4 and 5 discussed emerging strategies and produced recommendations for improving physical health outcomes in people with mental illness. Leaders and contributors for each Part are shown in the Appendix (pg.1) . Part 1: 'Its more than premature mortality'Part 1 identified almost 100 systematic reviews/meta-analyses examining the prevalence of physical comorbidities in mental illness. Around 70% of the meta-research focused on cardiometabolic diseases; consistently reporting that mental illnesses were associated with 1.4-to 2-fold increased risk for obesity, diabetes and cardiovascular diseases compared to the general population. Although mostly studied in 'severe mental illness' ('SMI', and particularly psychotic disorders), the prevalence of cardiometabolic diseases was similarly elevated across a broad range of other diagnoses, including substance use disorders (SUDs), and 'common mental disorders' ('CMDs', such as depression and anxiety). Part 2: Key modifiable factors in health behaviours and health servicesPart 2 built on the findings of Part 1 with a hierarchal evidence synthesis of modifiable risk factors for physical diseases in mental illness. The bu...

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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

Cited by 57 publications

References 23 publications

Social media and its relationship with mood, self‐esteem and paranoia in psychosis

Social media and its relationship with mood, self‐esteem and paranoia in psychosis

Wearable devices and mobile technologies for supporting behavioral weight loss among people with serious mental illness

The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

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