Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in young people with first-episode psychosis as part of routine care: The Keeping the Body in Mind program.

Curtis, J; Teasdale, SB; Morell, R; Wadhwa, P; Watkins, A; Lederman, O; O'Donnell, C; Fibbins, H; Ward, PB

Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in young people with first-episode psychosis as part of routine care: The Keeping the Body in Mind program.

Curtis, J Teasdale, SB Morell, R Wadhwa, P Watkins, A Lederman, O

O'Donnell, C Fibbins, H Ward, PB

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Early Interv Psychiatry, 2024
Issue Date:: 2024-02-09

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Field	Value	Language
dc.contributor.author	Curtis, J
dc.contributor.author	Teasdale, SB
dc.contributor.author	Morell, R
dc.contributor.author	Wadhwa, P
dc.contributor.author	Watkins, A
dc.contributor.author	Lederman, O https://orcid.org/0000-0002-0321-5723
dc.contributor.author	O'Donnell, C
dc.contributor.author	Fibbins, H
dc.contributor.author	Ward, PB
dc.date.accessioned	2024-09-24T05:07:00Z
dc.date.available	2024-01-24
dc.date.available	2024-09-24T05:07:00Z
dc.date.issued	2024-02-09
dc.identifier.citation	Early Interv Psychiatry, 2024
dc.identifier.issn	1751-7885
dc.identifier.issn	1751-7893
dc.identifier.uri	http://hdl.handle.net/10453/180945
dc.description.abstract	OBJECTIVES: In 2013, a cluster-controlled pilot study found the 12-week Keeping the Body in Mind (KBIM) lifestyle and life skills intervention was able to prevent weight gain in a small sample of youth experiencing first-episode psychosis (FEP) with fewer than 4 weeks of antipsychotic exposure. This study aims to evaluate the effectiveness of KBIM as routine care on anthropometry and metabolic biochemistry in a larger sample of youth with FEP across three community mental health services. METHOD: This retrospective chart audit was conducted on youth with FEP, prescribed a therapeutic dose of antipsychotic medication, and who engaged with KBIM between 2015 and 2019. Primary outcomes were weight and waist circumference. Secondary outcomes were blood pressure, blood glucose, and blood lipids. Outcomes were collected in at baseline and at 12 weeks. Data on program engagement were obtained from the participant's medical file. RESULTS: One-hundred and eighty-two people met inclusion criteria, and up to 134 people had baseline and 12-week data on one or more outcome. Mean number of sessions attended was 11.1 (SD = 7.3). Increases in weight and waist circumference were limited to 1.5 kg (SD = 5.3, t(133) = 3.2, p = .002) and 0.7 cm (SD = 5.8, t(109) = 1.2, p = .23) respectively. Eighty-one percent of participants did not experience clinically significant weight gain (>7% of baseline weight). There were no significant changes in blood pressure or metabolic biochemistry. CONCLUSION: The prevention of substantial gains in weight and waist circumference observed in the initial pilot study was maintained with implementation of KBIM as part of routine clinical care for youth with FEP.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Early Interv Psychiatry
dc.relation.isbasedon	10.1111/eip.13508
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology
dc.subject.classification	Psychiatry
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	3209 Neurosciences
dc.subject.classification	5203 Clinical and health psychology
dc.title	Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in young people with first-episode psychosis as part of routine care: The Keeping the Body in Mind program.
dc.type	Journal Article
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/School of Sport, Exercise and Rehabilitation
pubs.organisational-group	University of Technology Sydney/Strength - HPRC - Human Performance Research Centre
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Human Performance Research Centre (HPRC)
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2024-09-24T05:06:58Z
pubs.publication-status	Published online

Abstract:

OBJECTIVES: In 2013, a cluster-controlled pilot study found the 12-week Keeping the Body in Mind (KBIM) lifestyle and life skills intervention was able to prevent weight gain in a small sample of youth experiencing first-episode psychosis (FEP) with fewer than 4 weeks of antipsychotic exposure. This study aims to evaluate the effectiveness of KBIM as routine care on anthropometry and metabolic biochemistry in a larger sample of youth with FEP across three community mental health services. METHOD: This retrospective chart audit was conducted on youth with FEP, prescribed a therapeutic dose of antipsychotic medication, and who engaged with KBIM between 2015 and 2019. Primary outcomes were weight and waist circumference. Secondary outcomes were blood pressure, blood glucose, and blood lipids. Outcomes were collected in at baseline and at 12 weeks. Data on program engagement were obtained from the participant's medical file. RESULTS: One-hundred and eighty-two people met inclusion criteria, and up to 134 people had baseline and 12-week data on one or more outcome. Mean number of sessions attended was 11.1 (SD = 7.3). Increases in weight and waist circumference were limited to 1.5 kg (SD = 5.3, t(133) = 3.2, p = .002) and 0.7 cm (SD = 5.8, t(109) = 1.2, p = .23) respectively. Eighty-one percent of participants did not experience clinically significant weight gain (>7% of baseline weight). There were no significant changes in blood pressure or metabolic biochemistry. CONCLUSION: The prevention of substantial gains in weight and waist circumference observed in the initial pilot study was maintained with implementation of KBIM as part of routine clinical care for youth with FEP.

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http://hdl.handle.net/10453/180945