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ToolsWhite, Jacquie, Lucas, Joanne, Swift, Louise, Barton, Garry R., Johnson, Harriet, Irvine, Lisa, Abotsie, Gabriel, Jones, Martin and Gray, Richard J. (2018) Nurse-facilitated health checks for persons with severe mental illness: A cluster-randomized controlled trial. Psychiatric Services, 69 (5). pp. 601-604. ISSN 1075-2730
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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.
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