Trial Outcomes & Findings for Adapting an Evidenced-based Weight Management Intervention and Testing Strategies to Increase Implementation in Community Mental Health Programs (NCT NCT03454997)

Last Updated: 2025-08-20

Results Overview

Knowledge to deliver the intervention using a measure developed by the study team with questions related to weight management and group exercise, 22 questions, each either correct or incorrect. Score range 0-22 will reflect number of questions answered correctly. Higher score indicates better performance.

Recruitment status

COMPLETED

Study phase

Target enrollment

92 participants

Primary outcome timeframe

Baseline and 6 months

Results posted on

2025-08-20

Participant Flow

Unit of analysis: sites

Participant milestones

Participant milestones
Measure	Enhanced Implementation Intervention The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Overall Study STARTED	54 5	38 4
Overall Study Staff Coach - Started	11 5	9 4
Overall Study Staff Coach - Finished	10 5	4 3
Overall Study Client With SMI - Started	43 5	29 4
Overall Study Client With SMI - Finished	41 5	16 3
Overall Study COMPLETED	51 5	20 3
Overall Study NOT COMPLETED	3 0	18 1

Reasons for withdrawal

Reasons for withdrawal
Measure	Enhanced Implementation Intervention The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Overall Study Staff Coach - Left Oranization	1	1
Overall Study Staff Coach - Withdrawal by Site	0	2
Overall Study Staff Coach - Withdrawal by subject	0	1
Overall Study Staff Coach - Lost to follow-up	0	1
Overall Study Client with SMI - Lost to follow-up	2	1
Overall Study Client with SMI - Left organization	0	1
Overall Study Client with SMI - Withdrawal by site	0	11

Baseline Characteristics

Adapting an Evidenced-based Weight Management Intervention and Testing Strategies to Increase Implementation in Community Mental Health Programs

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Enhanced Implementation Intervention: Client With SMI n=43 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Enhanced Implementation Intervention: Staff Coach n=11 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention: Client With SMI n=29 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices	Standard Implementation Intervention: Staff Coach n=9 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices	Total n=92 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants
Age, Categorical Between 18 and 65 years	40 Participants n=5 Participants	11 Participants n=7 Participants	29 Participants n=5 Participants	9 Participants n=4 Participants	89 Participants n=21 Participants
Age, Categorical >=65 years	3 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	3 Participants n=21 Participants
Sex: Female, Male Female	24 Participants n=5 Participants	10 Participants n=7 Participants	18 Participants n=5 Participants	8 Participants n=4 Participants	60 Participants n=21 Participants
Sex: Female, Male Male	19 Participants n=5 Participants	1 Participants n=7 Participants	11 Participants n=5 Participants	1 Participants n=4 Participants	32 Participants n=21 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	1 Participants n=5 Participants	3 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	4 Participants n=21 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	42 Participants n=5 Participants	8 Participants n=7 Participants	29 Participants n=5 Participants	9 Participants n=4 Participants	88 Participants n=21 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants
Race (NIH/OMB) Asian	1 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	1 Participants n=21 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=5 Participants	1 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	1 Participants n=21 Participants
Race (NIH/OMB) Black or African American	21 Participants n=5 Participants	0 Participants n=7 Participants	13 Participants n=5 Participants	3 Participants n=4 Participants	37 Participants n=21 Participants
Race (NIH/OMB) White	20 Participants n=5 Participants	10 Participants n=7 Participants	16 Participants n=5 Participants	5 Participants n=4 Participants	51 Participants n=21 Participants
Race (NIH/OMB) More than one race	1 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	1 Participants n=4 Participants	2 Participants n=21 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants
Region of Enrollment United States	43 Participants n=5 Participants	11 Participants n=7 Participants	29 Participants n=5 Participants	9 Participants n=4 Participants	92 Participants n=21 Participants

PRIMARY outcome

Timeframe: Baseline and 6 months

Population: Participants from a site that withdrew without implementing the program were not included in analysis models, data was not collected. All participants at sites that delivered the program were analyzed under modeling approach.

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=11 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=7 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Knowledge of ACHIEVE Intervention Topics baseline	16.1 score on a scale Standard Deviation 2.8	13.3 score on a scale Standard Deviation 3.5
Knowledge of ACHIEVE Intervention Topics 6 months	19.9 score on a scale Standard Deviation 1.7	20.5 score on a scale Standard Deviation 1.4

PRIMARY outcome

Timeframe: Baseline and 6 months

Population: Participants from a site that withdrew without implementing the program were not included in analysis models, data not collected. All participants at sites that delivered the program were analyzed under modeling approach.

Self-efficacy to deliver the intervention using a measure developed by the study team with a score range of 1-10. A higher score is better and indicates higher confidence to deliver the intervention.

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=11 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=7 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Self-efficacy to Deliver ACHIEVE Intervention leading behavioral weight loss group- baseline	8.9 score on a scale Standard Deviation 0.7	9.3 score on a scale Standard Deviation 1.1
Self-efficacy to Deliver ACHIEVE Intervention leading behavioral weight loss group- 6 month	8.4 score on a scale Standard Deviation 1.4	8.9 score on a scale Standard Deviation 0.7
Self-efficacy to Deliver ACHIEVE Intervention completing weigh ins- baseline	9.0 score on a scale Standard Deviation 1.0	9.5 score on a scale Standard Deviation 1.0
Self-efficacy to Deliver ACHIEVE Intervention completing weigh ins- 6 months	8.1 score on a scale Standard Deviation 1.6	9.1 score on a scale Standard Deviation 0.6
Self-efficacy to Deliver ACHIEVE Intervention managing group session- baseline	9.3 score on a scale Standard Deviation 0.9	9.3 score on a scale Standard Deviation 1.1
Self-efficacy to Deliver ACHIEVE Intervention managing group session- 6 months	8.6 score on a scale Standard Deviation 1.4	8.9 score on a scale Standard Deviation 0.9

PRIMARY outcome

Timeframe: Baseline (after initial training) and 6 months

Fidelity to the intervention using a tool rating minimal competencies in delivering the intervention. This is a closed ended rating form where coaches are observed and rated. Total scores ranged from 0 to 34 with higher scores indicating higher fidelity.

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=11 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=7 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Fidelity to ACHIEVE Intervention baseline	29.5 score on a scale Standard Deviation 2.9	25.5 score on a scale Standard Deviation 3.8
Fidelity to ACHIEVE Intervention 6 months	29.9 score on a scale Standard Deviation 5.9	30.7 score on a scale Standard Deviation 2.6

SECONDARY outcome

Timeframe: Baseline and 6 months

Participants self reported responses to the NHIS five factor dietary screener. The potential values range from 0 servings to no upper limit with higher numbers indicating higher amounts of food product consumed.

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=43 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=18 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Added Sugar Consumption as Measured by National Health Interview Survey (NHIS) Five Factor Dietary Screener Survey added sugar (tsp/day)- baseline	20.7 tsp/day Standard Deviation 15.5	20.9 tsp/day Standard Deviation 21.0
Added Sugar Consumption as Measured by National Health Interview Survey (NHIS) Five Factor Dietary Screener Survey added sugar (tsp/day)- 6 month	15.0 tsp/day Standard Deviation 10.2	20.0 tsp/day Standard Deviation 21.0

SECONDARY outcome

Timeframe: Baseline and 6 months

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=43 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=18 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Fruit and Vegetable Consumption as Measured by National Health Interview Survey (NHIS) Five Factor Dietary Screener Survey Baseline	3.4 servings/day Standard Deviation 1.7	4.5 servings/day Standard Deviation 4.1
Fruit and Vegetable Consumption as Measured by National Health Interview Survey (NHIS) Five Factor Dietary Screener Survey fruit and vegetables (servings/day)-6 months	3.8 servings/day Standard Deviation 2.1	4.7 servings/day Standard Deviation 3.0

SECONDARY outcome

Timeframe: Baseline and 6 months

Population: Participants from a site that withdrew without implementing the program were not included in analysis models, data not colleccted. All participants at sites that delivered the program were analyzed under modeling approach.

CARDIA-EARLY Sedentary Behavior questionnaire. 12-item sedentary behavior measure which separately estimates the amount of time (None,15 minutes or less, 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours or more) spent on six categories of sedentary behaviors for an average weekday or weekend day. These responses are then summed to create separate estimates of average weekday and weekend day total sedentary behavior. A weekly estimate of sedentary behavior these scores are weighted and then summed for a total score which ranges from 0 to 168 hours and an average day estimate is calculated by dividing this weekly estimate by 7 (0 to 24). Scores reported below reflect the average day estimate of sedentary behavior with a possible score range of 0 to 24 hours. For all scoring a higher score indicates more sedentary activity completed in the day. Higher score is worse.

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=43 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=18 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Consumer Sedentary Behavior Baseline	8.9 hours/day Standard Deviation 5.9	11.0 hours/day Standard Deviation 7.4
Consumer Sedentary Behavior 6 Month	7.9 hours/day Standard Deviation 6.6	8.5 hours/day Standard Deviation 5.3

SECONDARY outcome

Timeframe: Baseline and 6 months

Weight measured in kilograms (kg) using a calibrated scale and standardized procedures

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=43 Participants The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=18 Participants The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Client Weight baseline	111.9 kg Standard Deviation 27.2	114.8 kg Standard Deviation 28.2
Client Weight 6 months	106.5 kg Standard Deviation 27.3	112.7 kg Standard Deviation 30.5

SECONDARY outcome

Timeframe: 12 months (6 months after original study period of Baseline to 6 months)

Population: A site that withdrew without implementing the program could not be included in the analysis of continued site implementation.

Sites reported whether program was still being delivered six months after original study period.

Outcome measures

Outcome measures
Measure	Enhanced Implementation Intervention- Client With SMI n=5 Sites The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention- Client With SMI n=3 Sites The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Continued Site Implementation Implementing after 6 months	4 sites	0 sites
Continued Site Implementation Not implementing after 6 months	1 sites	3 sites

Adverse Events

Enhanced Implementation Intervention

Serious events: 3 serious events

Other events: 4 other events

Deaths: 0 deaths

Standard Implementation Intervention

Serious events: 3 serious events

Other events: 1 other events

Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure	Enhanced Implementation Intervention n=43 participants at risk The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention n=29 participants at risk The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Psychiatric disorders mental health hospitalization	4.7% 2/43 • Number of events 2 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.	3.4% 1/29 • Number of events 1 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.
Infections and infestations infection treatment	2.3% 1/43 • Number of events 1 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.	6.9% 2/29 • Number of events 2 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.
Surgical and medical procedures spinal injection	2.3% 1/43 • Number of events 1 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.	0.00% 0/29 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.
Nervous system disorders head injury	0.00% 0/43 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.	3.4% 1/29 • Number of events 1 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.

Other adverse events

Other adverse events
Measure	Enhanced Implementation Intervention n=43 participants at risk The enhanced version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. The enhanced version will also include performance coaching. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices performance coaching: to enhance ability to deliver the weight management intervention	Standard Implementation Intervention n=29 participants at risk The standard version will train community mental health program staff to become ACHIEVE-D coaches and peers to become ACHIEVE-D peer-leaders, will include in-person and online training and avatar-assisted motivational interviewing practice as well as organizational strategy meetings. training including in-person and online: training, motivational interviewing practice organizational strategy meetings: meetings with leadership to optimize implementation of evidence-based practices
Surgical and medical procedures outpatient procedure	7.0% 3/43 • Number of events 3 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.	3.4% 1/29 • Number of events 1 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.
General disorders accident or injury	2.3% 1/43 • Number of events 1 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.	0.00% 0/29 • Baseline to 6 months Adverse events were only collected for Client participants with serious mental illness who were participating in the study.

Additional Information

Gail Daumit MD, MHS

Johns Hopkins University School of Medicine

Phone: 410-614-6460

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place