Effectiveness of Interventions for Weight Loss for People With Serious Mental Illness: A Systematic Review and Meta-Analysis.

Catana Brown, Lydia C Geiszler, Kelsie J Lewis, Marian Arbesman

Journal: The American journal of occupational therapy : official publication of the American Occupational Therapy Association 2018;72(5):7205190030p1-7205190030p9

PMID: 30157007

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Abstract

OBJECTIVE

We examined the effectiveness of weight loss interventions in community-based settings for people with serious mental illness (SMI).

METHOD

Four databases were searched for randomized controlled trials published in 2008 or later that met the criteria for the research question and used weight loss as an outcome measure. Data were extracted, and weight loss was analyzed using a meta-analysis. Similarities and differences in interventions were analyzed qualitatively.

RESULTS

Seventeen studies and a total of 1,874 participants with various diagnoses of SMI were included in the meta-analysis. The various lifestyle-focused interventions had a significant effect on weight loss with an overall effect size of -0.308 (p < .001).

CONCLUSION

Community-based interventions for people with SMI are effective for weight loss. Occupational therapists can be involved in the provision of weight loss interventions and in the development and study of intervention components that are most effective.

Address: Catana Brown, PhD, OTR/L, FAOTA, is Professor, Midwestern University-Glendale, Glendale, AZ; [email protected].; Lydia C. Geiszler, MOT, OTR/L, is Occupational Therapist, Mayo Clinic Hospital, Saint Mary's Campus, Rochester, MN.; Kelsie J. Lewis, MOT, OTR/L, is Occupational Therapist, Carondelet St. Mary's, Tucson, AZ.; Marian Arbesman, PhD, OTR/L, FAOTA, is Adjunct Associate Professor, Department of Clinical Research and Leadership, George Washington University School of Medicine and Health Sciences, Washington, DC, and President, ArbesIdeas, Inc., Williamsville, NY.

DOI: 10.5014/ajot.2018.033415