Nurse-Facilitated Health Checks for Persons With Severe Mental Illness: A Cluster-Randomized Controlled Trial

Jacquie White, Joanne Lucas, Louise Swift, Garry R. Barton, Harriet Johnson, Lisa Irvine, Gabriel Abotsie, Martin Jones, Richard J. Gray

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4 Citations (Scopus)
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Abstract

Objective: This study tested the effectiveness of a nurse-delivered health check with the Health Improvement Profile (HIP), which takes approximately 1.5 hours to complete and code, for persons with severe mental illness.

Methods: A single-blind, cluster-randomized controlled trial was conducted in England to test whether health checks improved the general medical well-being of persons with severe mental illness at 12-month follow-up.

Results: Sixty nurses were randomly assigned to the HIP group or the treatment-as-usual group. From their case lists, 173 patients agreed to participate. HIP group nurses completed health checks for 38 of their 90 patients (42%) at baseline and 22 (24%) at follow-up. No significant between-group differences were noted in patients’ general medical well-being at follow-up.

Conclusions: Nurses who had volunteered for a clinical trial administered health checks only to a minority of participating patients, suggesting that it may not be feasible to undertake such lengthy structured health checks in routine practice.
Original languageEnglish
Pages (from-to)601-604
Number of pages4
JournalPsychiatric Services
Volume69
Issue number5
Early online date15 Mar 2018
DOIs
Publication statusPublished - 1 May 2018

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