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
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.
White, J., Lucas, J., Swift, L., Barton, G. R., Johnson, H., Irvine, L., …Gray, R. J. (2018). Nurse-facilitated health checks for persons with severe mental illness: A cluster-randomized controlled trial. Psychiatric services : a journal of the American Psychiatric Association, 69(5), 601-604. https://doi.org/10.1176/appi.ps.201700258