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

doi:10.1176/appi.ps.201700258

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

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

33 Downloads (Pure)

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 language	English
Pages (from-to)	601-604
Number of pages	4
Journal	Psychiatric Services
Volume	69
Issue number	5
Early online date	15 Mar 2018
DOIs	https://doi.org/10.1176/appi.ps.201700258
Publication status	Published - 1 May 2018

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Access to Document

10.1176/appi.ps.201700258

Accepted manuscriptAccepted author manuscript, 204 KBLicence: CC BY-NC

https://psychiatryonline.org/doi/10.1176/appi.ps.201700258

Cite this

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title = "Nurse-facilitated health checks for persons with severe mental illness: A cluster-randomized controlled trial",

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{\textquoteright} 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.",

author = "Jacquie White and Joanne Lucas and Louise Swift and Barton, \{Garry R.\} and Harriet Johnson and Lisa Irvine and Gabriel Abotsie and Martin Jones and Gray, \{Richard J.\}",

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doi = "10.1176/appi.ps.201700258",

language = "English",

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AU - White, Jacquie

AU - Lucas, Joanne

AU - Swift, Louise

AU - Barton, Garry R.

AU - Johnson, Harriet

AU - Irvine, Lisa

AU - Abotsie, Gabriel

AU - Jones, Martin

AU - Gray, Richard J.

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N2 - 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.

AB - 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.

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