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RENEW - Weight Loss Program for Recovery

Implementing an evidence-based weight management intervention specifically designed for people in recovery, with detailed participant and leader manuals.

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RENEW - Weight Loss Program for Recovery

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  1. Catana Brown PhD, OTR, FAOTA Midwestern University, Glendale, AZ Implementing an Evidence Based Weight Management Intervention for Use in Community Mental Health Settings

  2. Sponsors • University of Illinois at Chicago National Research and Training Center on Psychiatric Disability and Co-Occurring Medical Conditions • Funding from the U.S. Department of Education, National Institute on Disability and Rehabilitation Research; and the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, under Cooperative Agreement No. H133B100028.

  3. Existing Programs Not Useful for Many People in Recovery • Cost • Transportation • Stigma • Medication/symptom issues • Accessible instruction

  4. Purpose of NEW-R Program • Provide a weight loss program specifically designed for people in recovery that is….. • Easy to adopt in a variety of settings • Detailed participant and leader manuals • Can be provided by people in recovery and professionals • Informed by evidence, people in recovery and experts • RENEW program (12 month program) • Panel of experts providing input • Participant feedback

  5. Recovering Energy using Nutrition and Exercise for Weight Loss (RENEW) – A Weight Loss Program for People in Recovery NIMH Funded: 1R34MH077282 PI: Catana Brown/Edna Hamera

  6. RENEW Project Timeline of Program • Evidence based weight loss strategies • Psychiatric rehabilitation principles 3 months 3 months 6 months

  7. Weight Loss Results (in pounds) Intent to Treat Analysis Intervention/control differences: 3 months p =.005, 6 months p = .106, 12 months p = .67

  8. Weight Loss by Site (Intervention Only) Weight Loss (lb)

  9. Development of NEW-R Curriculum

  10. Development Process • Used RENEW Program curriculum as the foundation • Adapted for lessons learned • Conducted interviews with peer educators & providers • Assessed themes from interviews and incorporated when possible • Thank you to those providing guidance: • Peggy Swarbrick • Beth Stoneking • Karen Cook • Richard Goldberg • Dori Hutchinson • Mary Ellen Copeland • Judy Young • Joe Parks

  11. Themes from the experts • Change thinking • Setting goals • Social support • Important topics • Changing environment of the setting • Develop more structure to daily life • Strategies to continue the good work

  12. NEW-R Curriculum

  13. Downloadable Manuals Available at: http://www.cmhsrp.uic.edu/health/weight-wellbeing.asp • Participant Manual • Leader Manual

  14. Recommended Format • Group format • 8 sessions • 1 x per week • 1 ½ hour session with one brief break • Commitment from leaders and participants to attend all sessions

  15. Theme of “Being Intentional” Placing an emphasis on making a plan and/or thinking about what you are going to do each day. • Based on principles from research of weight loss interventions: • Changes in intake, make the biggest impact on weight loss • Being aware of what you eat can have a positive effect on intake • Physical activity can support changes in diet, help maintain weight loss and promote other health benefits • People that are overweight/obese tend to lead very sedentary lifestyles • Social support is important for weight loss • Belief in one’s ability to lose weight/self-efficacy contributes to behavioral change

  16. My NEW-R Plan Each day …… • I will wake up at a reasonable time in the morning. • I will do something meaningful. • I will spend more time moving and less time sitting and/or watching TV. • I will make a plan about what I am going to eat each day. • I will eat healthy foods that I enjoy and avoid unhealthy foods. • I will talk to someone that supports my weight loss goals. • And if I have a bad day, it’s not a big deal. I will remind myself of the plan and try to do better the next day.

  17. NEW – R Content • Distilled most important topics into 8 sessions: • I can make a change! • ABCs of healthier eating • Reading food labels and portion control • Let’s get moving • Eating out • Meal planning and thrifty shopping • Let’s get cooking without the fat • Celebrating accomplishments and keeping up the good work

  18. Common Components of Each Session • Opening quote – creating a positive mind set • Instruction and active learning • Goal setting • Reminders of things to do this week • Success story • Physical Activity

  19. 8 Exercise Videos 20-25 minutes • Dance • Yoga • Upper Body Strength • Lower Body Strength • Kickboxing • Core • Cardio • Mixed

  20. Pilot Study Findings (N = 16)

  21. Additional findings • Average body weight loss – 3.6% • 6 participants had > 5% body weight loss • Small increase in knowledge from 10.4 – 11.4 points (p = .05)

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