. Participants had diagnoses of schizophrenia or schizoaffective disorder (4 ), bipolar disorder (20 ), affective
. Participants had diagnoses of schizophrenia or schizoaffective disorder (four ), bipolar disorder (20 ), affective psychosis (37 ) or PTSD (2 ). Fortysix (55 ) were from Kaiser Permanente cohorts and 38 (45 ) have been from community mental health centers. BASIS24 depression subscale scores averaged .7 (SD.0) and psychosis subscale scores averaged 0.84 (SD.0). The demographics on the qualitative sample roughly matched the full sample (Yarborough et al 203) with all the exception of getting PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/24722005 a lot more males and nonwhites, each as a result of purposeful oversampling. Thematic Analyses We identified two themes in our analyses of life-style transform barriers and facilitators, described under. Barriers tended to be constant across intervention and control arms, and stable across time. Facilitators connected to participation in the intervention diminished over time because the intensity from the intervention waned. Motivation for joining the study and generating lifestyle adjustments Theme : Folks with serious mental illnesses are concerned about physical health, specially obesityrelated adverse effects of psychiatric medications: Reasons for wanting to enroll and participate in STRIDE did not differ by study arm. One of the most usually described motives for wanting to lose Naringin weight had been present wellness (or perceived future well being danger status) and perceived possible for weight get, specifically because of taking psychiatric drugs. On the subject of well being and health dangers, one particular participant who was worried about her family history of diabetes, mentioned “One of your reasons why I wanted to be a part of this study was to bePsychiatr Rehabil J. Author manuscript; out there in PMC 207 March 0.Yarborough et al.Pagehealthier… My dad was a huge guy and he developed diabetes, and he had to have surgeries and all kinds of stuff. I do not choose to do that later in life. You realize, I am attempting to prevent obtaining diabetes. I never choose to must go through any fat reduction surgery and stuff like that. That’s stuff I be concerned about”; (intervention arm, 9 months). Recently receiving health news was also a motivator for yet another participant: “Finding out that I am a borderline diabetic…about six months ago…was also a push too”; (control arm, 3 months). Some STRIDE participants felt that the intensity or rapidity of their weight acquire on psychiatric medicines necessitated action. “When I went on Zyprexa I gained a hundred pounds, pretty promptly. And that was actually frustrating for me, since I had worked really hard to get me down to exactly where I was”; (handle arm, 3 months). Another participant noted that she was “hoping to have some sort of handle over my weight. I’ve been on drugs that have severely elevated my weight…And just hoping and praying that this will likely…operate. Even if I never necessarily lose a lot weight, but just living healthier, eating healthier, getting healthier is enough”; (intervention arm, 3 months). Themes in frequent with those who usually do not have mental well being problems Early in analyses, we noted that lots of participants’ experiences with lifestyle alter barriers and facilitators were similar to these reported in life style alter studies in other populations. We detail these prevalent themes here: Theme two: Living with family members members who didn’t support wholesome lifestyle change was a important barrier: Family members who did not assistance improved life-style had been especially problematic when it came to generating dietary changes or managing tempting foods. Temptation to eat junk meals and ex.
