title: A pilot study of the diabetes prevention program on weight loss for adults at community mental health centers.
abstract: OBJECTIVE
  This study was a pilot evaluation of the Diabetes Prevention Program (DPP) implemented by community mental health center (CMHC) clinicians to reduce weight for individuals with serious mental illnesses.
  
  
  METHODS
  Participants (N=60) received the 16-week DPP core curriculum at one of six CMHCs. A comparison group (N=77) received usual care at one of five other CMHCs.
  
  
  RESULTS
  Compared with participants in usual care, DPP participants lost significantly more weight and were nearly three times more likely to lose at least 5% of body weight. Participants and staff found the program acceptable and feasible to implement. They also suggested incorporating exercise and cooking components, providing information about diabetes and the impact of medications on weight, simplifying intake and activity monitoring, providing at least twice monthly postcore sessions, monitoring lab values, and reinforcing group involvement between sessions.
  
  
  CONCLUSIONS
  The evaluation demonstrated the feasibility, acceptability, and preliminary effectiveness of engaging CMHC clinicians in implementing the DPP for adults with serious mental illnesses.
authors: Dr. Srebnik and Ms. Sylla are with the Mental Health, Chemical Abuse and Dependency Services Division, King County Department of Community and Human Services, Seattle, Washington (e-mail: debra.srebnik@kingcounty.gov ). Dr. Chwastiak and Dr. Russo are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Chwastiak is also with the Harborview Medical Center, Seattle.
authors: Debra
authors: D
authors: Srebnik
authors: Lydia A
authors: LA
authors: Chwastiak
authors: Joan
authors: J
authors: Russo
authors: Laurie
authors: L
authors: Sylla
mesh_terms: D000328:Adult; D003155:Community Mental Health Centers / Q000458:organization & administration*; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D016896:Treatment Outcome; D015431:Weight Loss