Catana Brown PhD, OTR, FAOTA Midwestern University, Glendale, AZ.

Catana Brown PhD, OTR, FAOTAMidwestern University, Glendale, AZ

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.

CostTransportationStigmaMedication/symptom issues Accessible instruction

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

Recovering Energy using Nutrition and Exercise for Weight Loss (RENEW) – A Weight Loss Program for

People in Recovery

NIMH Funded: 1R34MH077282PI: Catana Brown/Edna Hamera

Evidence based weight loss strategies Psychiatric rehabilitation principles

3 months

3 months

6 months

Timeline of Program

Group At 3 Months At 6 Months

At 12 Months

Intervention

range

-4.9 + 10.4

-34.5 - +24.6

-4.4 + 16.7

-47 - +49.8

.32 + 20.4

-78.4 - +31.5

Control

range

-0.64 ± 8.8

-31.5 - +24.5

+0.74 ±13.1

-44 - +25.0

1.3 + 14.5

-34.5 - +27.5

Intent to Treat AnalysisIntervention/control differences: 3 months p =.005, 6 months p = .106, 12 months p = .67

-20

-15

-10

-5

0

5

10

15

Cohort 1 Cohort 2 Cohort 3 Cohort 4

Intensive

Maintenance

Intermittent

Development of NEW-R Curriculum

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

Change thinkingSetting goalsSocial support Important topicsChanging environment of the settingDevelop more structure to daily lifeStrategies to continue the good work

NEW-R Curriculum

Available at: http://www.cmhsrp.uic.edu/health/weight-

wellbeing.asp 

• Participant Manual• Leader Manual

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

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

Placing an emphasis on making a plan and/or thinking about what you are going

to do each day.

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.

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

Opening quote – creating a positive mind set

Instruction and active learning Goal setting Reminders of things to do this week Success story Physical Activity

Average body weight loss – 3.6%6 participants had > 5% body weight

lossSmall increase in knowledge from

10.4 – 11.4 points (p = .05)