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The serious mental illness health improvement profile [HIP]: study protocol for a cluster randomised controlled trial

Barton, Garry R.; Gray, Richard J.; White, Jacquie; Gray, Richard J; Swift, Louise; Barton, Garry R; Jones, Martin


Garry R. Barton

Richard J. Gray

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Dr Jacquie White
Mental Health Strategy Lead (Student Services) and Reader (Faculty of Health Sciences)

Richard J Gray

Louise Swift

Garry R Barton

Martin Jones


Background: The serious mental illness Health Improvement Profile [HIP] is a brief pragmatic tool, which enables mental health nurses to work together with patients to screen physical health and take evidence-based action when variables are identified to be at risk. Piloting has demonstrated clinical utility and acceptability. Methods/Design: A single blind parallel group cluster randomised controlled trial with secondary economic analysis and process observation. Unit of randomisation: mental health nurses [MHNs] working in adult community mental health teams across two NHS Trusts. Subjects: Patients over 18 years with a diagnosis of schizophrenia, schizoaffective or bipolar disorder on the caseload of participating MHNs. Primary objective: To determine the effects of the HIP programme on patients' physical wellbeing assessed by the physical component score of the Medical Outcome Study (MOS) 36 Item Short Form Health Survey version 2 [SF-36v2]. Secondary objectives: To determine the effects of the HIP programme on: cost effectiveness, mental wellbeing, cardiovascular risk, physical health care attitudes and knowledge of MHNs and to determine the acceptability of the HIP Programme in the NHS. Consented nurses (and patients) will be randomised to receive the HIP Programme or treatment as usual. Outcomes will be measured at baseline and 12 months with a process observation after 12 months to include evaluation of patients' and professionals' experience and observation of any effect on care plans and primary-secondary care interface communication. Outcomes will be analysed on an intention-to-treat (ITT) basis. Discussion: The results of the trial and process observation will provide information about the effectiveness of the HIP Programme in supporting MHNs to address physical comorbidity in serious mental illness. Given the current unacceptable prevalence of physical comorbidity and mortality in the serious mental illness population, it is hoped the HIP trial will provide a timely contribution to evidence on organisation and delivery of care for patients, clinicians and policy makers. Trial Registration ISRCTN: ISRCTN41137900


White, J., Gray, R. J., Swift, L., Barton, G. R., & Jones, M. (2011). The serious mental illness health improvement profile [HIP]: study protocol for a cluster randomised controlled trial. Trials, 12(167),

Journal Article Type Article
Acceptance Date Jul 4, 2011
Online Publication Date Jul 4, 2011
Publication Date Jul 4, 2011
Journal TRIALS
Print ISSN 1745-6215
Electronic ISSN 1745-6215
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 12
Issue 167
Keywords CATIE;Schizophrenia trial;Well-being programme;Physical health base-line;Antipsychotic-drugs;Cardiovascular risk;Updated guidelines;Metabolic syndrome;Service evaluation;Management
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