Trial Outcomes & Findings for Improving Obesity Self-Care Among Mentally Ill Veterans (NCT NCT02642536)

NCT ID: NCT02642536

Last Updated: 2018-02-22

Results Overview

Number of MOVE! sessions attended minimum-maximum total score range (2-12) Higher value represents more sessions attended The score was obtained from a single item

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

44 participants

Primary outcome timeframe

16 weeks

Results posted on

2018-02-22

Participant Flow

Participant milestones

Participant milestones
Measure
MH MOVE
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 10 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 10 phone based clinician led CBT sessions
Enhanced Usual Care
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Overall Study
STARTED
21
23
Overall Study
COMPLETED
19
18
Overall Study
NOT COMPLETED
2
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Improving Obesity Self-Care Among Mentally Ill Veterans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MH MOVE
n=21 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=23 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Total
n=44 Participants
Total of all reporting groups
Age, Continuous
59.65 years
STANDARD_DEVIATION 8.9 • n=99 Participants
58.3 years
STANDARD_DEVIATION 9.5 • n=107 Participants
58.65 years
STANDARD_DEVIATION 9.11 • n=206 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Sex: Female, Male
Male
19 Participants
n=99 Participants
20 Participants
n=107 Participants
39 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=99 Participants
12 Participants
n=107 Participants
20 Participants
n=206 Participants
Race (NIH/OMB)
White
12 Participants
n=99 Participants
10 Participants
n=107 Participants
22 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 16 weeks

Number of MOVE! sessions attended minimum-maximum total score range (2-12) Higher value represents more sessions attended The score was obtained from a single item

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
MOVE! Attendance
5.9 number of sessions
Standard Deviation 1.8
5.8 number of sessions
Standard Deviation 1.8

PRIMARY outcome

Timeframe: 16 weeks

changes in vigor and time spent on physical activity practice will be measured by the MOVE! 11 assessment at post treatment (16 weeks) minimum-maximum total score range (0-48) Higher value represents more days spent performing vigorous activity

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Number of Days Engaged in Vigorous Activity
21.5 days spent performing vigorous activity
Standard Deviation 11.5
26.9 days spent performing vigorous activity
Standard Deviation 18

PRIMARY outcome

Timeframe: baseline

Initial assessment of vigor and time spent on physical activity minimum-maximum total score range (0-32) Higher value represents more days spent performing vigorous physical activity The score was obtained from a single item

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Number of Days Engaged in Vigorous Activity
27.7 days spent performing vigorous activity
Standard Deviation 22.1
28.1 days spent performing vigorous activity
Standard Deviation 15.3

PRIMARY outcome

Timeframe: baseline

Self-efficacy for practicing healthy dietary habits during difficult times will be assessed at baseline and post treatment (16 weeks) minimum-maximum total score range (20-100) Higher value represents greater sense of self-efficacy for healthy eating during difficult times The score was obtained from 3 subscales

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Self Efficacy for Practicing Good Dietary Habits
32.3 units on a scale
Standard Deviation 19.2
29.8 units on a scale
Standard Deviation 6.0

PRIMARY outcome

Timeframe: 16 weeks

Self-efficacy for practicing healthy dietary habits during difficult times will be assessed at baseline and post treatment (16 weeks) minimum-maximum total score range (20-100) Higher value represents greater sense of self-efficacy for healthy eating during difficult times The score was obtained from 3 subscales

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Self Efficacy for Practicing Good Dietary Habits
29.9 units on a scale
Standard Deviation 10.4
23.2 units on a scale
Standard Deviation 7.4

SECONDARY outcome

Timeframe: 16 weeks

Population: frequency analysis

Changes in depression symptom severity will be measured at baseline and post treatment (16 weeks) minimum-maximum total score range (0-24) Higher value represents greater depressive symptom severity An overall score was obtained from the 8-item measure.

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Assessing Depression Symptom Severity
6.3 units on a scale
Standard Deviation 7.1
13.4 units on a scale
Standard Deviation 6.2

SECONDARY outcome

Timeframe: 16 weeks

Anxiety symptom severity will be measured by the GAD-7 at baseline and post treatment (16 weeks) minimum-maximum total score range (0-21) Higher value represents greater anxiety symptom severity An overall score was obtained from the 7-item measure.

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Assessing Anxiety Symptom Severity
5.5 units on a scale
Standard Deviation 6.5
10.5 units on a scale
Standard Deviation 6.7

SECONDARY outcome

Timeframe: 16 weeks

PTSD symptom severity will be measured by the PCL-M at baseline and post treatment (16 weeks) minimum-maximum total score range (17-85) Higher value represents greater PTSD symptom severity An overall score was obtained from 4 subscales.

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Assessing PTSD Symptom Severity
32.1 units on a scale
Standard Deviation 20.8
53 units on a scale
Standard Deviation 18

SECONDARY outcome

Timeframe: baseline

Changes in depression symptom severity will be measured at baseline and post treatment (16 weeks) minimum-maximum total score range (0-24) Higher value represents greater depressive symptom severity An overall score was obtained from the 8-item measure.

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Assessing Depression Symptom Severity
19 units on a scale
Standard Deviation 21.7
15 units on a scale
Standard Deviation 19.3

SECONDARY outcome

Timeframe: baseline

Anxiety symptom severity will be measured by the GAD-7 at baseline and post treatment (16 weeks) minimum-maximum total score range (0-21) Higher value represents greater anxiety symptom severity An overall score was obtained from the 7-item measure.

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Assessing Anxiety Symptom Severity
8 units on a scale
Standard Deviation 13.8
16 units on a scale
Standard Deviation 19.7

SECONDARY outcome

Timeframe: baseline

PTSD symptom severity will be measured by the PCL-M at baseline and post treatment (16 weeks) minimum-maximum total score range (17-85) Higher value represents greater PTSD symptom severity An overall score was obtained from 4 subscales.

Outcome measures

Outcome measures
Measure
MH MOVE
n=19 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions MH MOVE: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms to be used during 8 phone based clinician led CBT sessions
Enhanced Usual Care
n=18 Participants
provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided. Enhanced Usual Care: provides the standard MOVE! weight management program plus a workbook containing education for management of depression, anxiety and PTSD symptoms but not phone calls are provided.
Assessing PTSD Symptom Severity
39 units on a scale
Standard Deviation 26.5
25 units on a scale
Standard Deviation 73.5

Adverse Events

MH MOVE

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Enhanced Usual Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Gina Evans

VA

Phone: 713-440-4459

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place