Clinical trial of wellness training: health promotion for severely mentally ill adults.
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.
Department of Community Health Systems, University of California, San Francisco, California 94143-0608, USA. linda.chafetz@nursing.ucsf.edu
Linda
L
Chafetz
Mary
M
White
Gerri
G
Collins-Bride
Bruce A
BA
Cooper
John
J
Nickens
D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D001294:Attitude to Health; D001714:Bipolar Disorder / Q000523:psychology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003865:Major Depressive Disorder / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012495:San Francisco; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy