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Nurse-Facilitated Health Checks for Persons With Severe Mental Illness: A Cluster-Randomized Controlled Trial
Jacquie White1, Joanne Lucas1, Louise Swift1
1Dr. White is with the Faculty of Health Sciences, University of Hull, Hull, United Kingdom. Ms. Lucas is with the Clinical Trials Unit, National Health Service (NHS) Blood and Transplant, Cambridge, United Kingdom. Dr. Swift, Dr. Barton, and Ms. Irvine are with Norwich Medical School, University of East Anglia, Norwich, United Kingdom. Dr. Johnson is with the Norfolk and Norwich Hospital University NHS Trust, Norwich. Mr. Abotsie is with Norfolk and Suffolk NHS Foundation Trust, Norwich. Dr. Jones is with the Department of Rural Health, University of South Australia, Wyalla, South Australia. Dr. Gray is with the Department of Nursing and Midwifery, La Trobe University School of Nursing and Midwifery, Melbourne.
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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