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Effectiveness of health checks to improve the physical health of people with severe mental illness in secondary care: A single blind cluster randomised controlled trial

Published online by Cambridge University Press:  23 March 2020

J. White ,
J. Lucas ,
L. Swift ,
G. Barton ,
G. Harriet ,
L. Irvine ,
G. Abotsie ,
M. Jones  and
R. Gray
J. White
Affiliation:
University of Hull, Faculty of Health and Social Care, Hull, United Kingdom
J. Lucas
Affiliation:
James Paget University Hospitals NHS Foundation Trust, Research and Development, Great Yarmouth, United Kingdom
L. Swift
Affiliation:
University of East Anglia, Norwich Medical School, Norwich, United Kingdom
G. Barton
Affiliation:
University of East Anglia, Clinical Trials Unit, Norwich, United Kingdom
G. Harriet
Affiliation:
University of East Anglia, School of Psychology, Norwich, United Kingdom
L. Irvine
Affiliation:
University of East Anglia, Clinical Trial Unit, Norwich, United Kingdom
G. Abotsie
Affiliation:
Norfolk and Suffolk NHS Foundation Trust, Research and Development, Norwich, United Kingdom
M. Jones
Affiliation:
University of South Australia, Department of Rural Health, Whyalla, Australia
R. Gray
Affiliation:
Hamad Medical Corporation, Health Services and Population Research Centre, Doha, Qatar

Abstract

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Introduction

Annual monitoring of physical health of people with severe mental illness (SMI) in primary or secondary care is recommended in England.

Objective

The SMI Health Improvement Profile (HIP) was developed to target physical well-being in SMI through the role of the mental health nurse.

Aim

The primary aim was to investigate if health checks performed by community mental health nurses (CMHNs) trained to use the HIP improved the physical well-being of patients with SMI at 12 months.

Methods

A single blind, parallel group randomised controlled trial of training to use the HIP (clustered at the level of the nurse). Physical well-being was measured in study patients using the physical component score of the SF36v2 at baseline and at 12 months.

Results

Sixty CMHNs (working with 173 patients) were assigned to the HIP programme (training to use the HIP) or treatment as usual. The HIP was completed with 38 (42%) patients at baseline and 22 (24%) at follow-up in the HIP programme group. No effect of the HIP programme on physical health-related quality of life of study patients was identified, a finding supported by per protocol analyses.

Conclusions

This study found no evidence that CMHN delivered health checks following training to use the HIP are effective at improving the physical well-being of SMI patients at one year. More attention to methods that aim to enable the delivery, receipt and enactment of evidence-based interventions to improve physical health outcomes in this population is urgently required.

ISRCTN: 41137900.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Walk: Schizophrenia and other psychotic disorders – Part 5
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S390 - S391
Copyright
Copyright © European Psychiatric Association 2017
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