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Purpose: To examine the relationship between mental health and goal attainment for individuals in a healthy lifestyle program. Design: 12-month pilot pragmatic trial. Setting: Hamilton, Ontario, Canada. Sample: English-speaking adults (N = 15 per arm). Intervention: The intervention group participated in weekly education and peer-support sessions and monthly visits with a healthcare team to develop health goals and action plans. The comparator arm met every three months to set goals and action plans with a research assistant. Measures: Mental health symptomology was measured with validated health scales. Goal attainment was measured on a 7-point Likert scale. Analysis: Generalized estimating equations were used to model the data. Results: 16/30 (53%) of participants remained in the study for 12 months. There were improvements in mental health scores in the intervention group. Partaking in the intervention increased the likelihood of meeting health goals (β = 1.355, p = .002). Depression (β = -0.084, p = 0.025) and insomnia (β = -0.096, p < .001) were significantly negatively associated with goal attainment, while loneliness was not significant (β = -0.061, p = 0.506). Conclusion: Poor mental health is a barrier to achieving health goals. Partaking in a complex behavioral intervention helped participants reach their goals. Limitations include the small sample size as a pilot study. Brief report

journal of family medicine and disease prevention

Investigating the Relationship between Mental Health and Goal Attainment for Individuals Participating in a Healthy Lifestyles Program: A Pragmatic Randomized Pilot Trial