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Self-determined motivational health coaching ('SAMI') during outpatient treatment to promote physical activity of people with serious mental illness: a pilot controlled trial.

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Title: Self-determined motivational health coaching ('SAMI') during outpatient treatment to promote physical activity of people with serious mental illness: a pilot controlled trial.
Authors: Ruf, Wolfgang, Juvan, Lukas, van Poppel, Mireille, Hiebler-Ragger, Michaela, Anhaus, Susanne, Sattler, Matteo C.
Source: Journal of Mental Health. Jun2024, Vol. 33 Issue 3, p376-385. 10p.
Subjects: Mental illness treatment, Motivational interviewing, T-test (Statistics), Human services programs, Outpatient medical care, Evaluation of human services programs, Clinical trials, Pilot projects, Logistic regression analysis, Descriptive statistics, Mann Whitney U Test, Chi-squared test, People with mental illness, Health promotion, Data analysis software, Confidence intervals, Physical activity
Abstract: Brief motivational coaching, integrated into health care; seems promising to address physical inactivity of people with serious mental illness (SMI). To test the impact of a self-determined health coaching approach (the "SAMI" intervention) during outpatient mental health treatment on moderate-to-vigorous physical activity (MVPA) of people with SMI. Adults (mean age = 41.9, SD = 10.9) with an ICD-10 diagnosis of mental illness were semi-randomized to the SAMI-intervention group (IG) or control group (CG). The IG received 30 minutes of health coaching based on the self-determination theory (SDT). MVPA and sedentary time (ST) were measured with the International Physical Activity Questionnaire – short form (IPAQ-SF) and symptoms of mental illness with the Brief Symptom Inventory (BSI-18), each at baseline and follow-up (3–4 months). Differences in primary (MVPA) and secondary (ST, BSI-18) outcomes were evaluated using negative binomial regressions and general linear models. In the IG (n = 30), MVPA increased from 278 (interquartile range [IQR] = 175–551) to 435 (IQR = 161–675) min/week compared to a decrease from 250 (IQR = 180–518) to 155 (IQR = 0–383) min/week in the CG (n = 26; adjusted relative difference at follow-up: Incidence Rate Ratio [IRR] = 2.14, 95% CI: 1.17–3.93, p = 0.014). There were no statistically significant differences in ST and BSI-18. Brief self-determined health coaching during outpatient treatment could increase post-treatment MVPA in people with SMI, potentially up to a clinically relevant level. However, great uncertainty (for all outcomes) weakens the assessment of clinical relevance. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Self-determined motivational health coaching ('SAMI') during outpatient treatment to promote physical activity of people with serious mental illness: a pilot controlled trial.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Mental+Health%22">Journal of Mental Health</searchLink>. Jun2024, Vol. 33 Issue 3, p376-385. 10p.
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– Name: Abstract
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  Data: Brief motivational coaching, integrated into health care; seems promising to address physical inactivity of people with serious mental illness (SMI). To test the impact of a self-determined health coaching approach (the "SAMI" intervention) during outpatient mental health treatment on moderate-to-vigorous physical activity (MVPA) of people with SMI. Adults (mean age = 41.9, SD = 10.9) with an ICD-10 diagnosis of mental illness were semi-randomized to the SAMI-intervention group (IG) or control group (CG). The IG received 30 minutes of health coaching based on the self-determination theory (SDT). MVPA and sedentary time (ST) were measured with the International Physical Activity Questionnaire – short form (IPAQ-SF) and symptoms of mental illness with the Brief Symptom Inventory (BSI-18), each at baseline and follow-up (3–4 months). Differences in primary (MVPA) and secondary (ST, BSI-18) outcomes were evaluated using negative binomial regressions and general linear models. In the IG (n = 30), MVPA increased from 278 (interquartile range [IQR] = 175–551) to 435 (IQR = 161–675) min/week compared to a decrease from 250 (IQR = 180–518) to 155 (IQR = 0–383) min/week in the CG (n = 26; adjusted relative difference at follow-up: Incidence Rate Ratio [IRR] = 2.14, 95% CI: 1.17–3.93, p = 0.014). There were no statistically significant differences in ST and BSI-18. Brief self-determined health coaching during outpatient treatment could increase post-treatment MVPA in people with SMI, potentially up to a clinically relevant level. However, great uncertainty (for all outcomes) weakens the assessment of clinical relevance. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09638237.2024.2361230
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 376
    Subjects:
      – SubjectFull: Mental illness treatment
        Type: general
      – SubjectFull: Motivational interviewing
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Outpatient medical care
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Clinical trials
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: People with mental illness
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      – SubjectFull: Health promotion
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Physical activity
        Type: general
    Titles:
      – TitleFull: Self-determined motivational health coaching ('SAMI') during outpatient treatment to promote physical activity of people with serious mental illness: a pilot controlled trial.
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              M: 06
              Text: Jun2024
              Type: published
              Y: 2024
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