Date Approved

12-2014

Graduate Degree Type

Dissertation

Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Andrea Bostrom

Second Advisor

Dianne Conrad

Third Advisor

Patricia Hawkins

Fourth Advisor

Jeffrey Madigan

Abstract

Individuals on antipsychotic medications have been found to be disproportionately affected by overweight and obesity which increases their cardiometabolic risk. Psychoeducation has been found to be an effective strategy for risk reduction of cardiometabolic risks. This intervention examined the effectiveness of a psychoeducational intervention in adults (aged 18 and above) with severe mental illness. The four session, 8 week intervention encouraged an increase in fruit and vegetable intake and engagement in physical activity. The conceptual frameworks included the Health Promotion Model and Chronic Care Model. Outcome measures included nutrition, physical activity and health promoting behaviors. Biological outcomes included weight, BMI, blood pressure, pulse, waist circumference, and waist-hip ratio. The Health- Promoting Lifestyle Profile II (HPLP II) questionnaire was used to measure health promoting behaviors. The sample that completed the intervention consisted of 19 adults.

Results of paired sample t-tests indicate that at the end of the intervention there were significant changes in the fruit intake, vegetable intake and time spent engaged in physical activity. Twelve of the 19 participants lost weight at the end of the intervention. However, there were no significant statistical changes in any biological variable. Paired sample t-tests of the pre and post intervention 52 item HPLP II questionnaire indicated significant changes in the total 52 item scale, and physical activity and spiritual growth subscales. These findings suggest that an 8 week psychoeducational intervention can have an impact on the nutrition, physical activity and health promoting behaviors.

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