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Journal of the American Psychiatric Nurses Association, Vol. 13, No. 6, 353-359 (2008)
DOI: 10.1177/1078390307309517
© 2008 American Psychiatric Nurses Association

Pilot Study of a Cognitive–Behavioral Group Intervention to Prevent Further Weight Gain in Hispanic Individuals With Schizophrenia

Mary Weber

School of Nursing, University of Texas at Arlington, Arlington, Texas; mweber{at}uta.edu

Marco Colon

Metrocare Services, Dallas, Texas

Monica Nelson

Psychiatric Mental Health Nurse Practitioner Program student, School of Nursing, University of Texas at Arlington

BACKGROUND: Obesity and type 2 diabetes are increasing significantly in the Hispanic population and in the Hispanic population with schizophrenia. In the Diabetes Prevention Project (DPP), cognitive—behavioral (CB) interventions were more effective in reducing weight and preventing diabetes. OBJECTIVE: To test a CB group intervention based on the DPP model among Hispanic individuals with schizophrenia on weight, body mass index (BMI), and waist—hip circumference (WH). STUDY DESIGN: Pilot study using a pre—post quasi-experimental design and convenience sample of 8 subjects from a public mental health clinic who met for 8 weekly group meetings. RESULTS: No significant differences in BMI, weight, or WH scores based on t-test results; the subjects' weight remained stable, there was a trend toward weight loss, and no one gained weight during the trial. CONCLUSIONS: No further weight gain is a finding that merits further research using a larger sample size and a randomized controlled design. J Am Psychiatr Nurses Assoc, 2008; 13(6), 353-359.

Key Words: schizophrenia • obesity • diabetes • cognitive—behavioral group intervention


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