Abstract
Most weight loss interventions for obesity-related risks 11 exclude people with serious mental health conditions. Our goal
was to adapt a successful lifestyle/weight loss intervention for this population, deliver it in mental health clinics, and
concurrently measure implementation factors. Developmental and implementation-focused formative evaluations guided adaptations
and identified barriers/facilitators to successful program deployment. Adaptations included content specific to the population’s
needs, consciousness-raising among clinicians and patients, additional case management, and greater program flexibility. Barriers
included instability in both settings from different sources. Facilitators included familiarity with groups, manual integrity,
and appreciation of the program. It was delivered consistently across settings with maximum exposure and fairly good fidelity
to the protocol (mean rating = 1.7, 2.0 = complete fidelity). This mixed-method implementation evaluation demonstrated that
lifestyle/weight loss interventions in mental health settings are complex, but feasible, and valued by participants. Main
program outcomes will be reported at the trial’s conclusion.
was to adapt a successful lifestyle/weight loss intervention for this population, deliver it in mental health clinics, and
concurrently measure implementation factors. Developmental and implementation-focused formative evaluations guided adaptations
and identified barriers/facilitators to successful program deployment. Adaptations included content specific to the population’s
needs, consciousness-raising among clinicians and patients, additional case management, and greater program flexibility. Barriers
included instability in both settings from different sources. Facilitators included familiarity with groups, manual integrity,
and appreciation of the program. It was delivered consistently across settings with maximum exposure and fairly good fidelity
to the protocol (mean rating = 1.7, 2.0 = complete fidelity). This mixed-method implementation evaluation demonstrated that
lifestyle/weight loss interventions in mental health settings are complex, but feasible, and valued by participants. Main
program outcomes will be reported at the trial’s conclusion.
- Content Type Journal Article
- Pages 1-10
- DOI 10.1007/s13142-011-0056-9
- Authors
- Bobbi Jo H Yarborough, Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA
- Shannon L Janoff, Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA
- Victor J Stevens, Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA
- David Kohler, Cascadia Behavioral Healthcare, Portland, OR, USA
- Carla A Green, Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA
- Journal Translational Behavioral Medicine
- Online ISSN 1613-9860
- Print ISSN 1869-6716