ClinicalTrials.gg
CompletedNCT03382782Updated Dec 8, 2023Results posted

Peer Navigators to Address Obesity-Related Concerns for African Americans With Serious Mental Illness

An interventional study of BWLI and BWLI & Peer Navigator in Obesity and Mental Disorder, sponsored by Illinois Institute of Technology. Completed at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-08.

Sponsored by Illinois Institute of Technology · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
234
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

People with serious mental illness such as schizophrenia and bipolar disorder experience high rates of physical illness and die earlier than people without serious mental illness (WHO, 2005). Health differences seem to be worse among African Americans (Weber, Cowan, Millikan \& Niebuhr, 2009). High rates of obesity among this group contribute to health and wellness concerns (de Hert et al., 2011), with African American women at higher risk of obesity than men. Behavioral weight loss interventions (BWLIs) may promote diet and physical activity that lead to weight loss, but healthy food and safe physical activity options are less available in low-income neighborhoods. Peer navigators have been found to be effective in addressing health differences, and may help people living in low-income communities find healthy food and activity resources (Fischer, Sauaia, \& Kutner, 2007). In addition, traumatic experiences are common among persons with serious mental illness as well as African Americans, and may impact weight.

Through this project, investigators will test two interventions designed to address overweight and obesity among African Americans with serious mental illness. The first is a BWLI designed for persons with serious mental illness and adapted to meet the needs of African Americans. This program has 8-month intervention phase and 4-month maintenance phase. The intervention includes group weight management classes, group physical activity, individual visits to address barriers to meeting weight goals, and weigh-ins. The second intervention is a peer navigator program that assists people with serious mental illness in meeting their health needs in the community. Two-hundred and seventy (270) research participants will be recruited and randomly assigned to one of three conditions: BWLI program, BWLI program plus peer navigator, and treatment as usual (integrated physical and mental health care). Investigators will evaluate these interventions over a 12-month period, and will track weight change, health behaviors, physical and mental health, recovery, and quality of life. Investigators also seek to understand the impact of gender and trauma on outcomes. Investigators hypothesize that peer navigators will improve outcomes over the BWLI program alone. Findings will advance knowledge and services to reduce racial disparities in obesity and comorbid health conditions for African Americans with serious mental illnesses.

Read the detailed description

Persons with serious mental illness experience disproportionate rates of physical health morbidity and mortality (WHO, 2005). One reason is a metabolic syndrome marked by significant obesity which seems even worse for African Americans. Although research suggests behavioral weight loss interventions (BWLIs) may promote healthy lifestyle behaviors (diet and exercise) that leads to weight loss, these programs are hindered by several social determinants of health found in low-income communities with food and activity deserts that undermine program goals. Preliminary evidence finds that peer navigators (service providers in recovery from serious mental illness) can help people to better avail existing healthcare programs, thereby improving health. Based on this evidence, our community-based participatory research (CBPR) project develops and tests two existing interventions to address the weight concerns of African Americans with serious mental illness:

  1. A BWLI developed for persons with serious mental illness (Goldberg et al., 2013) that will be evaluated for its responsiveness to the needs of African Americans with serious mental illness
  2. A peer navigator program (PNP) (Corrigan et al., 2017) that assists people with serious mental illness in meeting their health needs in the community; the PNP will be adapted so peer navigators can augment the impact of BWLI in food and activity deserts.

As compared with men, African American women with serious mental illness are at an even higher risk for lifetime prevalence of obesity (Baskaran et al., 2014; Galletly et al., 2012). Through an administrative supplement, investigators have augmented the approach of our study to understand the role of gender on the attainment of weight goals, with a specific focus on trauma, an experience of particular importance to women's health.

Two-hundred and seventy (270) African Americans with serious mental illness who are overweight or obese will be randomized to one of three conditions after baseline assessments: integrated physical and mental health care, integrated physical and mental health care plus BWLI, or integrated physical and mental health care plus BWLI and peer navigator (PN).

The BWLI has a 8-month intervention phase followed by a 4-month maintenance phase. The intervention includes group weight management classes, physical activity, individual visits to address barriers to meeting goals and to develop skills, and weigh-ins. PNs will partner with participants on BWLI assignments, meet with participants and BWLI facilitators, or accompany participants to health care appointments and follow-up. In addition, PNs and participants will team up to assess community diet and activity resources, and based on this review, will develop strategies to address their diet and physical activity needs.

Investigators seek 70 participants per condition (N=210) to reach statistical power goals. Investigators will recruit 270 participants to account for expected loss-to-followup. Investigators will enroll participants in discrete cohorts every nine months.

Investigators will analyze fidelity, process, outcome and impact data, including the effect of BWLI and BWLI and PN on weight, waist circumference, blood pressure, health behavior, physical and mental health, recovery and quality of life. Measures will be repeated at 4, 8, and 12 months. To understand the impact of gender, investigators will stratify the sample on gender at recruitment and analyze all program outcome measures by gender. To better understand the impact of trauma, investigators will determine if trauma exposure moderates the effect of the study intervention. Investigators will also conduct post-hoc analyses to determine if gender matching between PNs and participants (e.g., female-female and male-male) led to better effects.

Investigators' main hypothesis is that the BWLI and PN condition will lead to greater weight loss and enhanced health behaviors compared with the two other conditions. Findings will advance knowledge and services to reduce racial disparities in obesity and comorbid health conditions for African Americans with serious mental illnesses.

02

Conditions studied

  • Obesity
  • Mental Disorder

Keywords

  • Obesity
  • Mental Disorder
  • Peer Navigator
  • Physical Health
  • Overweight
  • Serious Mental Illness
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's enrollment of 234 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Illinois Institute of Technology is the lead sponsor of 10 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • African American
  • Age 18 or older
  • Serious mental illness (as indicated by disability)
  • Identifies as either male or female
  • Concerned about weight and health goals
  • Willing to attend
  • of greater than or equal to 28

Exclusion criteria

Exclusion Criteria:

  • Currently receiving services from a peer support specialist or community health worker to work on weight-related goals
  • Weigh more than 440 pounds
  • Lifetime diagnosis of eating disorder
  • Pregnant or plan to become pregnant
  • Lifetime bariatric surgery
  • No doctor permission for exercise
  • Taking medication for weight loss
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
234 participants (actual)

Study arms

  • Active comparator
    Behavioral Weight Loss Intervention

    Participants will enroll in the BWLI program for 12 months. BWLI consists of a 8-month initial intervention phase followed by 4-month maintenance phase. The initial intervention phase comprises four types of contact: * 1-hour to 1-hour, 30 minute group weight-management class led by facilitator (once per week; 26 classes followed by a one week break and an additional 8 weight management review classes) * 45 minute, physical activity led by facilitator (one-two times per week); * 20 minute, monthly individual visit with facilitator to address barriers to goals and appropriate skills; and * weigh-in during weight management group and individual visits (once each week).

    Behavioral: BWLI

  • Experimental
    BWLI & Peer Navigator

    Participants randomly assigned to this condition will begin simultaneously with BWLI and run concurrently across the eight months of the intervention. Peer navigators will meet individually and face-to-face with research participants in time and places convenient to the person as needed. Specific practices are determined by the research participant with the peer navigator and may include: * partnering with participant on BWLI homework; * meeting with participant and BWLI facilitator individually; * attending all other health care appointments; and * partnering on tasks that arise out of those appointments.

    Behavioral: BWLI & Peer Navigator

  • Active comparator
    Integrated Care (Treatment as Usual)

    Participants in this arm will receive integrated care from their usual provider, which is treatment as usual. Integrated care is mental health specialty and general medical care providers working together to address the physical and behavioral health care needs of patients. One-third of research participants will be randomized to integrated care alone.

    Behavioral: Integrated Care

Interventions

  • BehavioralBWLI

    BWLI includes group weight management classes, physical activity classes, individual sessions with a facilitator to address goals and barriers to weight loss, and weigh-ins. A punch card system will be implemented to incentivize participation for BHL classes. Each participant from the BWLI condition will be given a punch card, each punch card contains 10 spaces of punches, and will receive a punch at the end of each class (either BHL or physical activity) they attend. No punch will be given if they are more than 15 minutes late for BHL class or more than 5 minutes late for physical activity class. Participants can earn $5 per punch for up to $250. They will be allowed to cash in for $50 Visa gift card every 10 punches. They cannot cash in for a partially filled card. They must have the 10 full punches to cash in.

  • BehavioralBWLI & Peer Navigator

    Participants receive the BWLI condition and partner with a peer navigator. Peer navigators will meet individually and face-to-face with participants to address their health and weight goals (i.e. working on BWLI homework, attending health care appointments, and facilitating diet and exercise activities). A punch card system will be implemented to incentivize participation for BHL classes. Each participant from BWLI \& Peer Navigator will be given a punch card, each punch card contains 10 spaces of punches, and will receive a punch at the end of each class (either BHL or physical activity) they attend. No punch will be given if they are more than 15 minutes late for BHL class or more than 5 minutes late for physical activity class. Participants can earn $5 per punch for up to $250. They will be allowed to cash in for $50 Visa gift card every 10 punches. They cannot cash in for a partially filled card. They must have the 10 full punches to cash in.

  • BehavioralIntegrated Care

    Participants receive integrated physical and mental health care from their usual provider.

06

What researchers measure

Primary outcomes

  1. Weight

    Change in Weight (pounds/lbs)

    Time frame: 0, 4, 8 and 12 months

Secondary outcomes

  1. Quality of Life Scale (QLS)

    Quality of Life Scale. Assesses life domains including general life, daily activities, and social contact. 6-items assessing how participants feel about different aspects of their lives including as a whole, accomplishments, how they handle problems, family, and activities (1=Terrible, 7=Delighted). Range from 0 to 126. Higher scores indicate better outcome (better quality of life).

    Time frame: 0, 8 months

  2. Recovery Assessment Scale-Revised (RAS-R)

    Based on Original Recovery Assessment Scale. RAS-Revised is shorter 24 item scale with individual items representing aspects of recovery to which participants respond on a 5-point agreement scale (1=strongly disagree, 5=strongly agree).There are five factors (1) personal confidence and hope; (2) willingness to ask for help; (3) goal and success orientation; (4) reliance on others; (5) not dominated by symptoms. Range from 24-120. Higher scores indicate better outcome (better recovery).

    Time frame: 0, 8 months

  3. Weight Efficacy Lifetime (WEL) Questionnaire

    Weight Efficacy Lifestyle Questionnaire. 20 items. Assesses participant confidence in resisting eating in some typical eating situations. Items rated on scale from 0=Not confident at all to 9=Very confident. Scores range from 0 to 180. Higher scores indicate better outcome (greater eating self-efficacy).

    Time frame: 0, 8 months

  4. Self-Efficacy for Exercise Scale

    Assesses participant beliefs in their ability to continue exercising on a three-time per week basis at moderate intensities. Range from 0 to 90. Higher score = better.

    Time frame: 0, 8 months

  5. Waist Circumference

    Change in waist circumference

    Time frame: 0, 4, 8, 12 months

  6. Blood Pressure

    Mean diastolic and systolic blood pressure (BP), in millimeters of mercury (mmHg) across 4 time frames.

    Time frame: 0, 4, 8, 12 months

  7. Height

    Measure participants' height (inches)

    Time frame: 0 Month (Baseline)

  8. 36-Item Short Form Health Survey (SF-36)

    36-Item Short Form Health Survey. Assess change in participants' health status and health related quality of life. Includes 4 subscales: (1) General health, (2) bodily pain, (3) physical functioning, (4) emotional well-being; range from 0-100 for each subscale. Higher score indicates better outcome.

    Time frame: 0, 8 months

  9. Center for Epidemiologic Studies Depression Scale-Depression(CES-D)

    Assess change in participants' experienced symptoms associated with depression. 10 items. Range from 0-60. Higher score indicates worse outcome (greater depressive symptoms).

    Time frame: 0, 8 months

  10. Evidence-Based Practices Use (EBPU)

    Assess change in participants' enrollment in clinical and service interventions. Range from 0-10, higher scores = better outcome.

    Time frame: 0 months

  11. Emotional Eating Scale (EES)

    Assess change in participants' experienced negative emotions and their relationships with desire to eat. 25 items. (0=No desire to eat, 5=Overwhelming urge to eat). Comprised of 3 subscales, added together for a total score. Range from 0 to 125. Higher scores indicate worse outcome (stronger desire to eat).

    Time frame: 0, 8 months

  12. Life Events Checklist for DSM-5

    Life Events Checklist (LEC) for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Assess participants experiences of potential traumatic events on a 6-point nominal scale, across 16 types of traumatic events. No formal scoring protocol or interpretation recommended. Reported scores indicate average amount of distress by traumatic event type. Higher values indicate greater distress from exposure to trauma = worse outcomes (Minimum = 0, maximum = 7).

    Time frame: Baseline

07

Results

Posted Dec 8, 2023
Limitations and caveats
Difficulties with study retention led to missing data, which limited power and options for data analysis. COVID-19 challenges forced a change to online format, impacting standardization of delivery across cohorts.

Participant flow

Cohort 1
Participant flow — Cohort 1
MilestoneBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Started413530
Completed303030
Not completed1150
Withdrew: Withdrawal by subject1150
Cohort 2
Participant flow — Cohort 2
MilestoneBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Started242827
Completed232727
Not completed110
Withdrew: Withdrawal by subject110
Cohort 3
Participant flow — Cohort 3
MilestoneBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Started171913
Completed161713
Not completed120
Withdrew: Withdrawal by subject120

Outcome measures

PrimaryWeight

Change in Weight (pounds/lbs)

Time frame:
0, 4, 8 and 12 months
Reported as:
Mean · pounds (lbs)
Weight
pounds (lbs)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Baseline226.54 ± 41.22225.46 ± 52.94218.19 ± 40.41
4-Month225.63 ± 42.58223.21 ± 51.27214.85 ± 40.99
8-Month227.66 ± 42.12223.25 ± 50.63216.03 ± 39.62
12-Month228.86 ± 41.29222.41 ± 50.13216.65 ± 39.54
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = .025 · Mean difference (net): 0.36degrees of freedom = (3, 172)
SecondaryQuality of Life Scale (QLS)

Quality of Life Scale. Assesses life domains including general life, daily activities, and social contact. 6-items assessing how participants feel about different aspects of their lives including as a whole, accomplishments, how they handle problems, family, and activities (1=Terrible, 7=Delighted). Range from 0 to 126. Higher scores indicate better outcome (better quality of life).

Time frame:
0, 8 months
Reported as:
Mean · score on a scale
Quality of Life Scale (QLS)
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Baseline27.61 ± 8.1227.00 ± 6.7827.58 ± 6.91
8-Month28.63 ± 7.6928.53 ± 6.8329.49 ± 6.84
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.784 · Mean difference (net): 0.243degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.810 · Mean difference (net): 0.058degrees of freedom = 1, 118
SecondaryRecovery Assessment Scale-Revised (RAS-R)

Based on Original Recovery Assessment Scale. RAS-Revised is shorter 24 item scale with individual items representing aspects of recovery to which participants respond on a 5-point agreement scale (1=strongly disagree, 5=strongly agree).There are five factors (1) personal confidence and hope; (2) willingness to ask for help; (3) goal and success orientation; (4) reliance on others; (5) not dominated by symptoms. Range from 24-120. Higher scores indicate better outcome (better recovery).

Time frame:
0, 8 months
Reported as:
Mean · score on a scale
Recovery Assessment Scale-Revised (RAS-R)
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Baseline95.73 ± 13.8195.32 ± 12.4498.21 ± 11.96
8-Month98.72 ± 14.3398.85 ± 13.0197.65 ± 13.92
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.174 · Mean difference (net): 1.77degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.286 · Mean difference (net): 1.15degrees of freedom = 1, 118
SecondaryWeight Efficacy Lifetime (WEL) Questionnaire

Weight Efficacy Lifestyle Questionnaire. 20 items. Assesses participant confidence in resisting eating in some typical eating situations. Items rated on scale from 0=Not confident at all to 9=Very confident. Scores range from 0 to 180. Higher scores indicate better outcome (greater eating self-efficacy).

Time frame:
0, 8 months
Reported as:
Mean · score on a scale
Weight Efficacy Lifetime (WEL) Questionnaire
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Baseline102.83 ± 38.3299.22 ± 31.4899.26 ± 32.35
8-Month124.72 ± 33.81116.13 ± 32.40109.93 ± 39.06
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.261 · Mean difference (net): 1.36degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.912 · Mean difference (net): 0.012degrees of freedom = 1, 118
SecondarySelf-Efficacy for Exercise Scale

Assesses participant beliefs in their ability to continue exercising on a three-time per week basis at moderate intensities. Range from 0 to 90. Higher score = better.

Time frame:
0, 8 months
Reported as:
Mean · score on a scale
Self-Efficacy for Exercise Scale
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
0 Month74.05 ± 24.5069.02 ± 23.8876.56 ± 22.70
8 Month66.34 ± 24.2862.10 ± 25.6267.15 ± 23.82
SecondaryWaist Circumference

Change in waist circumference

Time frame:
0, 4, 8, 12 months
Reported as:
Mean · inches
Waist Circumference
inchesBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
0 Months (Baseline)46.00 ± 4.5443.85 ± 6.1844.99 ± 5.61
4 Months45.56 ± 4.9044.78 ± 6.9044.60 ± 6.34
8 Months46.23 ± 4.6944.36 ± 6.4443.82 ± 6.16
12 Months45.98 ± 5.0444.13 ± 6.5843.99 ± 5.59
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.11 · Mean difference (net): 1.74degrees of freedom = 3, 172
SecondaryBlood Pressure

Mean diastolic and systolic blood pressure (BP), in millimeters of mercury (mmHg) across 4 time frames.

Time frame:
0, 4, 8, 12 months
Reported as:
Mean · millimeters of mercury (mmHg)
Blood Pressure
millimeters of mercury (mmHg)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
0 Month (Baseline) Mean systolic BP127.39 ± 15.52124.98 ± 25.97126.85 ± 25.79
0 Month (Baseline) Mean diastolic BP89.11 ± 13.1292.10 ± 12.5590.27 ± 14.23
4 Month Mean systolic BP129.35 ± 18.34129.12 ± 25.78125.93 ± 15.99
4 Month Mean diastolic BP87.22 ± 14.1386.62 ± 14.5484.50 ± 10.06
8 Month Mean systolic BP132.83 ± 21.30124.80 ± 21.18125.43 ± 18.22
8 Month Mean diastolic BP86.87 ± 13.7983.20 ± 12.3185.63 ± 13.16
12 Month Mean systolic BP130.06 ± 19.89133.68 ± 24.34130.95 ± 14.02
12 Month Mean diastolic BP86.70 ± 13.2587.46 ± 12.0686.52 ± 9.26
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.09 · Mean difference (net): 1.18degrees of freedom = 3, 156
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.05 · Mean difference (net): 0.63degrees of freedom = 3, 156
SecondaryHeight

Measure participants' height (inches)

Time frame:
0 Month (Baseline)
Reported as:
Mean · inches
Height
inchesBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Height65.38 ± 3.6566.68 ± 3.8566.29 ± 4.70
Secondary36-Item Short Form Health Survey (SF-36)

36-Item Short Form Health Survey. Assess change in participants' health status and health related quality of life. Includes 4 subscales: (1) General health, (2) bodily pain, (3) physical functioning, (4) emotional well-being; range from 0-100 for each subscale. Higher score indicates better outcome.

Time frame:
0, 8 months
Reported as:
Mean · score on a scale
36-Item Short Form Health Survey (SF-36)
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
0 Month-General Health Subscale (Baseline)60.20 ± 23.0558.00 ± 22.1159.13 ± 22.66
0 Month-Bodily Pain Subscale (Baseline)59.87 ± 26.2561.94 ± 28.9159.96 ± 27.31
0 Month-Physical Functioning Subscale (Baseline)63.86 ± 25.0767.00 ± 26.5169.23 ± 22.20
0 Month-Emotional Well-Being Subscale (Baseline)63.58 ± 20.5760.43 ± 21.1763.43 ± 23.53
8 Month-General Health Subscale62.11 ± 20.5364.23 ± 21.9658.17 ± 24.92
8 Month-Bodily Pain Subscale58.11 ± 27.1363.25 ± 29.9459.52 ± 26.29
8 Month-Physical Functioning Subscale59.74 ± 27.7268.54 ± 27.2360.48 ± 28.12
8 Month-Emotional Well-Being Subscale64.49 ± 20.7067.20 ± 18.2768.32 ± 18.86
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.121 · Mean difference (net): 2.14degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.193 · Mean difference (net): 1.71degrees of freedom = 1, 118
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.835 · Mean difference (net): 0.181degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.513 · Mean difference (net): 0.430degrees of freedom = 1, 118
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.097 · Mean difference (net): 2.37degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.184 · Mean difference (net): 0.040degrees of freedom = 1, 118
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.347 · Mean difference (net): 1.06degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.549 · Mean difference (net): 0.361degrees of freedom = 1, 118
SecondaryCenter for Epidemiologic Studies Depression Scale-Depression(CES-D)

Assess change in participants' experienced symptoms associated with depression. 10 items. Range from 0-60. Higher score indicates worse outcome (greater depressive symptoms).

Time frame:
0, 8 months
Reported as:
Mean · score on a scale
Center for Epidemiologic Studies Depression Scale-Depression(CES-D)
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Baseline23.79 ± 11.8723.67 ± 10.9721.93 ± 11.25
8-Month21.04 ± 12.9320.53 ± 12.0920.07 ± 11.22
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = .855 · Mean difference (net): 0.157Degrees of freedom = 2,182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.915 · Mean difference (net): 0.011degrees of freedom = 1, 118
SecondaryEvidence-Based Practices Use (EBPU)

Assess change in participants' enrollment in clinical and service interventions. Range from 0-10, higher scores = better outcome.

Time frame:
0 months
Reported as:
Mean · score on a scale
Evidence-Based Practices Use (EBPU)
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Evidence-Based Practices Use (EBPU)4.07 ± 2.464.21 ± 2.654.09 ± 2.48
SecondaryEmotional Eating Scale (EES)

Assess change in participants' experienced negative emotions and their relationships with desire to eat. 25 items. (0=No desire to eat, 5=Overwhelming urge to eat). Comprised of 3 subscales, added together for a total score. Range from 0 to 125. Higher scores indicate worse outcome (stronger desire to eat).

Time frame:
0, 8 months
Reported as:
Mean · score on a scale
Emotional Eating Scale (EES)
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Baseline42.14 ± 23.2543.14 ± 21.1540.90 ± 21.15
8-Month35.60 ± 20.5833.63 ± 21.2636.61 ± 21.38
Statistical analysis
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.508 · Mean difference (net): 0.680degrees of freedom = 2, 182
  • Behavioral Weight Loss Intervention vs BWLI & Peer Navigator vs Integrated Care (Treatment as Usual) · ANOVA · p = 0.198 · Mean difference (net): 1.67degrees of freedom = 1, 118
SecondaryLife Events Checklist for DSM-5

Life Events Checklist (LEC) for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Assess participants experiences of potential traumatic events on a 6-point nominal scale, across 16 types of traumatic events. No formal scoring protocol or interpretation recommended. Reported scores indicate average amount of distress by traumatic event type. Higher values indicate greater distress from exposure to trauma = worse outcomes (Minimum = 0, maximum = 7).

Time frame:
Baseline
Reported as:
Mean · score on a scale
Life Events Checklist for DSM-5
score on a scaleBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Natural Disaster4.08 ± 2.533.71 ± 2.052.94 ± 2.21
Fire or Explosion3.86 ± 2.213.52 ± 2.483.09 ± 2.37
Transportation Accident4.28 ± 1.903.84 ± 2.493.09 ± 2.25
Serious Accident at Work/Home/Recreational4.06 ± 1.534.67 ± 2.545.36 ± 1.43
Exposure to Toxic Substance4.00 ± 2.974.88 ± 2.645.00 ± 1.89
Physical Assault Without a Weapon4.96 ± 1.974.66 ± 2.434.24 ± 2.31
Assault With a Weapon4.82 ± 1.975.04 ± 2.293.81 ± 2.35
Sexual Assault5.82 ± 1.685.60 ± 2.314.73 ± 2.27
Other Unwanted or Uncomfortable Sexual Experience5.12 ± 1.505.05 ± 2.465.08 ± 2.47
Combat2.80 ± 1.304.00 ± 4.243.30 ± 2.41
Captivity5.62 ± 2.075.33 ± 1.516.00 ± 1.31
Life-threatening Illness or Injury5.00 ± 1.804.63 ± 2.364.38 ± 2.33
Severe Human Suffering5.41 ± 1.425.14 ± 2.325.57 ± 1.79
Serious Injury, Harm, or Death Caused5.67 ± 1.213.56 ± 2.836.11 ± 1.36
Incarceration4.52 ± 2.153.86 ± 2.704.15 ± 2.49
Homelessness4.60 ± 2.165.06 ± 2.594.75 ± 2.34
Involuntary Hospitalization4.26 ± 2.333.94 ± 2.724.65 ± 2.18
Exposure to Neighborhood Violence4.61 ± 2.314.45 ± 2.344.97 ± 2.00
Any Other Very Stressful Event6.67 ± 0.526.27 ± 1.275.71 ± 1.38

Adverse events

Collected over 2 years, 11 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Behavioral Weight Loss Intervention0/69 (0%)1/69 (1.4%)0/69 (0%)
BWLI & Peer Navigator0/74 (0%)1/74 (1.4%)0/74 (0%)
Integrated Care (Treatment as Usual)0/70 (0%)0/70 (0%)0/70 (0%)
Most frequent serious events
Most frequent serious events
EventBehavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)
Difficulty walking to interview, back painGeneral disorders1/690/740/70
High blood pressure observed at interviewGeneral disorders0/691/74—

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
<=18 years0000
Between 18 and 65 years666968203
>=65 years35210
Age, Continuous
Age, Continuous(years)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
Mean49.93 ± 10.4852.91 ± 8.8151.37 ± 8.5551.4 ± 9.30
Sex: Female, Male
Sex: Female, Male(Participants)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
Female444040124
Male25343089
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
American Indian/Alaskan Native33612
Asian1102
White/Caucasian92415
Native Hawaiian/Pacific Islander0213
Other3238
Hispanic/Latino45110
African American697470213
Region of Enrollment
Region of Enrollment(participants)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
United States697470213
SF-36 Subscale: General Health
SF-36 Subscale: General Health(units on a scale)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
Mean60.20 ± 23.0558.00 ± 22.1159.13 ± 22.6658.59 ± 22.72
SF-36 Subscale: Bodily Pain
SF-36 Subscale: Bodily Pain(units on a scale)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
Mean59.87 ± 26.2561.94 ± 28.9159.96 ± 27.3161.15 ± 26.90
SF-36 Subscale: Physical Functioning
SF-36 Subscale: Physical Functioning(units on a scale)Behavioral Weight Loss InterventionBWLI & Peer NavigatorIntegrated Care (Treatment as Usual)Total
Mean63.86 ± 25.0767.00 ± 26.5169.23 ± 22.2066.02 ± 25.69

9 further baseline measures are reported on the registry.

08

Study locations

3 sites
  • Illinois Institute of Technology
    Chicago, Illinois 60616, United States
  • Trilogy Behavioral Healthcare
    Chicago, Illinois 60626, United States
  • Access Community Health Network
    Chicago, Illinois 60661, United States
09

References and documents

Publications

  • Baskaran A, Cha DS, Powell AM, Jalil D, McIntyre RS. Sex differences in rates of obesity in bipolar disorder: postulated mechanisms. Bipolar Disord. 2014 Feb;16(1):83-92. doi: 10.1111/bdi.12141. Epub 2013 Oct 29. PubMed 24467470 ↗
  • Corrigan PW, Kraus DJ, Pickett SA, Schmidt A, Stellon E, Hantke E, Lara JL. Using Peer Navigators to Address the Integrated Health Care Needs of Homeless African Americans With Serious Mental Illness. Psychiatr Serv. 2017 Mar 1;68(3):264-270. doi: 10.1176/appi.ps.201600134. Epub 2017 Jan 17. PubMed 28093056 ↗
  • DE Hert M, Correll CU, Bobes J, Cetkovich-Bakmas M, Cohen D, Asai I, Detraux J, Gautam S, Moller HJ, Ndetei DM, Newcomer JW, Uwakwe R, Leucht S. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011 Feb;10(1):52-77. doi: 10.1002/j.2051-5545.2011.tb00014.x. PubMed 21379357 ↗
  • Fischer SM, Sauaia A, Kutner JS. Patient navigation: a culturally competent strategy to address disparities in palliative care. J Palliat Med. 2007 Oct;10(5):1023-8. doi: 10.1089/jpm.2007.0070. No abstract available. PubMed 17985954 ↗
  • Goldberg RW, Reeves G, Tapscott S, Medoff D, Dickerson F, Goldberg AP, Ryan AS, Fang LJ, Dixon LB. "MOVE!" Outcomes of a weight loss program modified for veterans with serious mental illness. Psychiatr Serv. 2013 Aug 1;64(8):737-44. doi: 10.1176/appi.ps.201200314. PubMed 23584716 ↗
  • Weber NS, Cowan DN, Millikan AM, Niebuhr DW. Psychiatric and general medical conditions comorbid with schizophrenia in the National Hospital Discharge Survey. Psychiatr Serv. 2009 Aug;60(8):1059-67. doi: 10.1176/ps.2009.60.8.1059. PubMed 19648193 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Results will be available to researchers and service agencies, with quantitative data available from an expected 210 African American participants with serious mental illness who report concerns obesity or being overweight. No identifying information will be connected to the data and investigators do not believe that there is a possibility of deductive disclosure of subjects with unusual characteristics. Regardless, to ensure the protection of the human subjects involved in this research, investigators will make the data and associated documentation available to users only under a data-sharing agreement. Notice of available data will be posted in appropriate arenas including websites for the project: www.chicagohealthdisparities.org and www.ncse1.org.

Time frame: Data will be available on 12-31-2020.

Access criteria: To ensure the protection of the human subjects involved in our research, investigators will make the data and associated documentation available to users only under a data-sharing agreement that provides for: (1) a commitment to using the data only for research purposes and not to identify any individual participant; (2) a commitment to securing the data using appropriate computer technology; and (3) a commitment to destroying or returning the data after analyses are completed.

Data sharing details ↗ · www.chicagohealthdisparities.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03382782
Lead sponsor
Illinois Institute of Technology
Collaborators
National Institute on Minority Health and Health Disparities (NIMHD), ACCESS Community Health Network, Trilogy Inc. Behavioral Healthcare
Responsible party
Patrick Corrigan (Distinguished Professor of Psychology, Illinois Institute of Technology) — Principal investigator
First posted
Dec 26, 2017
Start date
Dec 12, 2017
Primary completion
Mar 12, 2020
Completion
Mar 11, 2021
Results posted
Dec 8, 2023
Last update
Dec 8, 2023

Study contacts

Patrick Corrigan, PsyD
principal investigator · Illinois Institute of Technology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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