Evaluating a volunteer 'Health Champions' intervention supporting people with severe mental illness to manage their physical health: feasibility hybrid randomised controlled trial.

Autor:	Williams J; Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK., McGrath R; South London and Maudsley NHS Foundation Trust, London, UK; and King's Health Partners, London, UK., Ang K; South London and Maudsley NHS Foundation Trust, London, UK; and King's Health Partners, London, UK., Bakolis I; Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK., Healey A; Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK., Arias de la Torre J; Care in Long Term Conditions Research Division, King's College London, UK; CIBER of Epidemiology and Public Health (CIBERESP), Centro de Investigación Biomédica en Red, Madrid, Spain; and Institute of Biomedicine (IBIOMED), Universidad de León, Spain., Mdudu I; Volunteer Service, South London and Maudsley NHS Foundation Trust, London, UK., Gaughran F; National Psychosis Unit, South London and Maudsley NHS Foundation Trust, London, UK; and Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK., Sadler E; Department of Nursing, Midwifery and Health, School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, UK., Pinto da Costa M; South London and Maudsley NHS Foundation Trust, London, UK; and King's College London, UK., Green E; Quality Centre, South London and Maudsley NHS Foundation Trust, London, UK., Stepan N; Mind and Body Programme, King's Health Partners, London, UK., Tredget G; South London and Maudsley NHS Foundation Trust, London, UK; and King's Health Partners, London, UK., Khadjesari Z; Behavioural and Implementation Science (BIS) Research Group, School of Health Sciences, University of East Anglia, UK., Cross S; Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and Mind and Body Programme, King's Health Partners, London, UK., Sevdalis N; Centre for Behavioural and Implementation Science Interventions, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Jazyk:	angličtina
Zdroj:	BJPsych open [BJPsych Open] 2024 Oct 04; Vol. 10 (5), pp. e172. Date of Electronic Publication: 2024 Oct 04.
DOI:	10.1192/bjo.2024.746
Abstrakt:	Background: People with severe mental illness (SMI) have worse physical health than the general population. There is evidence that support from volunteers can help the mental health of people with SMI, but little evidence regarding the support they can give for physical health. Aims: To evaluate the feasibility of an intervention where volunteer 'Health Champions' support people with SMI in managing their physical health. Method: A feasibility hybrid randomised controlled trial conducted in mental health teams with people with SMI. Volunteers delivered the Health Champions intervention. We collected data on the feasibility of delivering the intervention, and clinical and cost-effectiveness. Participants were randomised by a statistician independent of the research team, to either having a Health Champion or treatment as usual. Blinding was not done. Results: We recruited 48 participants: 27 to the intervention group and 21 to the control group. Data were analysed for 34 participants. No changes were found in clinical effectiveness for either group. Implementation outcomes measures showed high acceptability, feasibility and appropriateness, but with low response rates. No adverse events were identified in either group. Interviews with participants found they identified changes they had made to their physical health. The cost of implementing the intervention was £312 per participant. Conclusions: The Health Champion intervention was feasible to implement, but the implementation of the study measures was problematic. Participants found the intervention acceptable, feasible and appropriate, and it led them to make changes in their physical health. A larger trial is recommended, with tailored implementation outcome measures.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu PDF