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

White, Jacquie; Lucas, Joanne; Swift, Louise; Barton, Garry R.; Johnson, Harriet; Irvine, Lisa; Abotsie, Gabriel; Jones, Martin; Gray, Richard J.


Joanne Lucas

Louise Swift

Garry R. Barton

Harriet Johnson

Lisa Irvine

Gabriel Abotsie

Martin Jones

Richard J. Gray


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.

Journal Article Type Article
Acceptance Date Jan 25, 2018
Online Publication Date Mar 15, 2018
Publication Date May 1, 2018
Deposit Date Mar 15, 2018
Publicly Available Date Mar 16, 2019
Journal Psychiatric Services
Print ISSN 1075-2730
Electronic ISSN 1557-9700
Publisher American Psychiatric Publishing
Peer Reviewed Peer Reviewed
Volume 69
Issue 5
Pages 601-604
Keywords Psychiatry and Mental health
Public URL
Publisher URL


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