Evaluation of a weight management programme for individuals in a forensic, high- secure psychiatric setting

Abstract

Obesity is epidemic among individuals with serious mental illness, representing an under-represented and at risk group in weight management research.The ‘healthy living programme’ is a group based intervention designed by practitioners at the State Hospital, offered to patients with a body mass index (BMI) of over 25. It aims to maintain patients in conversations regarding diet and activity and begin the process of making long-term lifestyle changes. The aim of the evaluation was to explore the effectiveness of the ‘Healthy Living Programme’ in enabling patients to engage in weight management. Methods: The evaluation is a mixed methodological design. The quantitative component includes anthropometric (weight, BMI and waist circumference) and psychometric measures (weight related quality of life, motivation, psychological health and self-efficacy) collected pre and post intervention. Qualitative semi-structured interviews will be conducted in evaluating patient perception and experience. Data generated will be analysed using Interpretative Phenomenological Analysis (IPA). Current stage of work: Two cohorts have completed the ten session group programme (n=6, n=4) and a further cohort is due to commence in April. Quantitative date will be collected and analysed and IPA analysis undertaken over the coming months. Discussion: The evaluation aims to determine whether the Healthy Living Group is feasible in effectively supporting patient’s motivation and self-efficacy to engage in health behaviour change. The evaluation will also enable patients’ to feedback their personal experiences of the group, highlighting areas that could be improved to facilitate a positive and effective experience for other group members in the future.