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Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial

Nick Verhaeghe UGent, Jan De Maeseneer UGent, Lea Maes UGent, Cornelis Van Heeringen UGent, Veerle Bogaert UGent, Els Clays UGent, Dirk De Bacquer UGent and Lieven Annemans UGent (2012) BMC PUBLIC HEALTH. 12.
abstract
Background : Growing attention is given to the effects of health promotion programs targeting physical activity and healthy eating in individuals with mental disorders. The design of evaluation studies of public health interventions poses several problems and the current literature appears to provide only limited evidence on the effectiveness of such programs. The aim of the study is to examine the effectiveness and cost-effectiveness of a health promotion intervention targeting physical activity and healthy eating in individuals with mental disorders living in sheltered housing. In this paper, the design of the study and baseline findings are described. Methods/design : The design consists of a cluster preference randomized controlled trial. All sheltered housing organisations in the Flanders region (Belgium) were asked if they were interested to participate in the study and if they were having a preference to serve as intervention or control group. Those without a preference were randomly assigned to the intervention or control group. Individuals in the intervention group receive a 10-week health promotion intervention above their treatment as usual. Outcome assessments occur at baseline, at 10 and at 36 weeks. The primary outcomes include body weight, Body Mass Index, waist circumference, and fat mass. Secondary outcomes consist of physical activity levels, eating habits, health-related quality of life and psychiatric symptom severity. Cost-effectiveness of the intervention will be examined by calculating the Cost-Effectiveness ratio and through economic modeling. Twenty-five sheltered housing organisations agreed to participate. On the individual level 324 patients were willing to participate, including 225 individuals in the intervention group and 99 individuals in the control group. At baseline, no statistical significant differences between the two groups were found for the primary outcome variables. Discussion : This is the first trial evaluating both the effectiveness and cost-effectiveness of a health promotion intervention targeting physical activity and health eating in mental health care using a cluster preference randomized controlled design. The baseline characteristics already demonstrate the unhealthy condition of the study population.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
WAIST CIRCUMFERENCE, COST-EFFECTIVENESS, LIFE-STYLE, PHYSICAL-ACTIVITY, SCHIZOPHRENIA, ILLNESS, PEOPLE, RISK, CORONARY-HEART-DISEASE, BODY-MASS INDEX, Mental health care, Eating habits, Physical activity, Health promotion, Intervention study
journal title
BMC PUBLIC HEALTH
BMC Public Health
volume
12
article_number
431
pages
11 pages
Web of Science type
Article
Web of Science id
000306968800001
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
2.076 (2012)
JCR rank
55/157 (2012)
JCR quartile
2 (2012)
ISSN
1471-2458
DOI
10.1186/1471-2458-12-431
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
2137258
handle
http://hdl.handle.net/1854/LU-2137258
date created
2012-06-08 11:41:00
date last changed
2012-09-21 13:54:49
@article{2137258,
  abstract     = {Background : Growing attention is given to the effects of health promotion programs targeting physical activity and healthy eating in individuals with mental disorders. The design of evaluation studies of public health interventions poses several problems and the current literature appears to provide only limited evidence on the effectiveness of such programs. The aim of the study is to examine the effectiveness and cost-effectiveness of a health promotion intervention targeting physical activity and healthy eating in individuals with mental disorders living in sheltered housing. In this paper, the design of the study and baseline findings are described.
Methods/design : The design consists of a cluster preference randomized controlled trial. All sheltered housing organisations in the Flanders region (Belgium) were asked if they were interested to participate in the study and if they were having a preference to serve as intervention or control group. Those without a preference were randomly assigned to the intervention or control group. Individuals in the intervention group receive a 10-week health promotion intervention above their treatment as usual. Outcome assessments occur at baseline, at 10 and at 36 weeks. The primary outcomes include body weight, Body Mass Index, waist circumference, and fat mass. Secondary outcomes consist of physical activity levels, eating habits, health-related quality of life and psychiatric symptom severity. Cost-effectiveness of the intervention will be examined by calculating the Cost-Effectiveness ratio and through economic modeling. Twenty-five sheltered housing organisations agreed to participate. On the individual level 324 patients were willing to participate, including 225 individuals in the intervention group and 99 individuals in the control group. At baseline, no statistical significant differences between the two groups were found for the primary outcome variables.
Discussion : This is the first trial evaluating both the effectiveness and cost-effectiveness of a health promotion intervention targeting physical activity and health eating in mental health care using a cluster preference randomized controlled design. The baseline characteristics already demonstrate the unhealthy condition of the study population.},
  articleno    = {431},
  author       = {Verhaeghe, Nick and De Maeseneer, Jan and Maes, Lea and Van Heeringen, Cornelis and Bogaert, Veerle and Clays, Els and De Bacquer, Dirk and Annemans, Lieven},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keyword      = {WAIST CIRCUMFERENCE,COST-EFFECTIVENESS,LIFE-STYLE,PHYSICAL-ACTIVITY,SCHIZOPHRENIA,ILLNESS,PEOPLE,RISK,CORONARY-HEART-DISEASE,BODY-MASS INDEX,Mental health care,Eating habits,Physical activity,Health promotion,Intervention study},
  language     = {eng},
  pages        = {11},
  title        = {Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial},
  url          = {http://dx.doi.org/10.1186/1471-2458-12-431},
  volume       = {12},
  year         = {2012},
}

Chicago
Verhaeghe, Nick, Jan De Maeseneer, Lea Maes, Cornelis Van Heeringen, Veerle Bogaert, Els Clays, Dirk De Bacquer, and Lieven Annemans. 2012. “Health Promotion Intervention in Mental Health Care: Design and Baseline Findings of a Cluster Preference Randomized Controlled Trial.” Bmc Public Health 12.
APA
Verhaeghe, N., De Maeseneer, J., Maes, L., Van Heeringen, C., Bogaert, V., Clays, E., De Bacquer, D., et al. (2012). Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial. BMC PUBLIC HEALTH, 12.
Vancouver
1.
Verhaeghe N, De Maeseneer J, Maes L, Van Heeringen C, Bogaert V, Clays E, et al. Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial. BMC PUBLIC HEALTH. 2012;12.
MLA
Verhaeghe, Nick, Jan De Maeseneer, Lea Maes, et al. “Health Promotion Intervention in Mental Health Care: Design and Baseline Findings of a Cluster Preference Randomized Controlled Trial.” BMC PUBLIC HEALTH 12 (2012): n. pag. Print.