Physical Health Improvement Intervention for People Admitted to Mental Health Service

Charles Darwin University

Status: Not yet enrolling

Conditions: Physical Health; Chronic Diseases; Mental Illnesses

Treatments: Other: Clinician Health Improvement Profile user training; Other: Health Improvement Profile (HIP)

Study type: Interventional

Funder types: Other

Identifiers

NCT06996899

H24039

Details and patient eligibility

About

This study aims to codesign and implement a physical health improvement behaviour change intervention for people being treated for a mental illness in a mental health inpatient unit of a regional hospital.

Full description

People in regional areas with mental illness suffer high prevalence of preventable chronic health conditions. Multi-morbidity in people with mental illness contributes to a reduced life expectancy of up to 20 years. Many physical diseases are preventable and/or reversable if risk factors are identified early, and the right health promotion tools and interventions are provided. Addressing such a complex issue for people with mental illness requires an approach which is adaptable, has been co-designed with clinicians and consumers and is comprehensive to target individualised health behaviours.

This research uses the Health Improvement Profile (HIP) tool to help clinicians (e.g. nurses, doctors) to assess patients physical health and identify risk factors or early signs of chronic disease. Using the Health Improvement Profile (HIP) tool during admission the clinicians will work with clients to implement the most suitable health promotion tools to help improve physical health.

Using implementation research methodology and following the Consolidated Framework for Implementation Research (CFIR) the study is broken into the following 4 stages:

• Identify
• Adapt - codesign/adapt Health Improvement Profile (HIP) intervention and develop user training
• Implement - into clinical areas to assist developing personalised Health Improvement Profile (HIP)
• Evaluate - using both qualitative and quantitative data to determine feasibility of the Health Improvement Profile (HIP) and implementation in a regional health service

Enrollment: 25 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• This study is being carried out in an inpatient service therefore clinical staff must be registered by their professional governing body with a minimum of 6 months employment at the service or within the region to participate in stages 2 and 3. Graduate clinicians with less than 6 months working experience will be excluded from the study. Clinicians new to the region with less than 6 months working experience in location will be excluded from the study. Clinical roles within the facility include but not limited to:

  • Nurses (enrolled or registered)
  • Psychiatrists
  • Psychologists
  • Social Workers

Clients of the inpatient mental health service eligible to be included in the study must be:

• Over the age of 18 years
• Able to read, understand and speak English
• A current or previous user of the hospital's services
• A current or previous user of the inpatient services
• A carer of someone who is a current or previous user of the inpatient mental health service
• Able to provide consent
• Not an employee
• Not a health professional

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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25 participants in 2 patient groups

Clinician/Staff users of the Health Improvement Profile

Experimental group

Description:

Experimental: Staff intervention group Participants will receive education and training on how to conduct comprehensive physical assessments for the 27 health parameters on the Health Improvement Profile (HIP) and how to use these assessment finding to determine the recommended actions (behaviours changes) to develop an individualised profile for the admitted patient.

Treatment:

Other: Clinician Health Improvement Profile user training

Experimental: Client receiving the Health Improvement Profile

Experimental group

Description:

Experimental: Client intervention group Participants will have a comprehensive physical assessment conducted by a trained clinician (health professional in the mental health inpatient service. The assessments consist of 27 health parameters such as weight, Body Mass Index (BMI), blood pressure, blood glucose, cholesterol levels, and waist circumference, alongside questions on lifestyle factors like smoking, diet, and physical activity, as well as medication use and its side effects. Using the assessment data clients will participate in the development of an individualised Health Improvement Plan (HIP) utilising the recommended behaviour change actions.

Treatment:

Other: Health Improvement Profile (HIP)