Evidence map›Paper›PMID 29996886›Full record

ArticleTrials2018

Improving cardiovascular health and quality of life in people with severe mental illness: study protocol for a randomised controlled trial.

Malcolm Battersby, Michael R Kidd, Julio Licinio, Philip Aylward, Amanda Baker, Julie Ratcliffe, Stephen Quinn, David J Castle, Sara Zabeen, A Kate Fairweather-Schmidt and 1 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Malcolm BattersbyMental Health Services, Southern Adelaide Local Health Network (SAHLN), Margaret Tobin Centre, Bedford Park, South Australia, 5042, Australia.
Michael R KiddDepartment of Family & Community Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Julio LicinioSouth Australian Health and Medical Research Institute, North Terrace, Adelaide, South Australia, 5000, Australia.
Philip AylwardDivision of Medicine, Cardiac and Critical Care Services, Southern Adelaide Local Health Network (SALHN), Flinders Cardiac Clinic, Flinders Private Hospital, Bedford Park, South Australia, 5042, Australia.
Amanda BakerNHMRC Centre of Research Excellence in Mental Health and Substance Use, NHMRC Senior Research Fellow, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia.
Julie RatcliffeHealth Economics in the Institute for Choice, School of Business, University of South Australia, City West Campus (WL3-65), GPO Box 2471, Adelaide, South Australia, 5001, Australia.
Stephen QuinnDepartment of Statistics, Data Science and Epidemiology, Swinburne University of Technology, ATC-922, John Street, Hawthorn, VIC, 3122, Australia.
David J CastleSt. Vincent's Hospital Melbourne and The University of Melbourne, PO Box 2900, Fitzroy, VIC, 3065, Australia.
Sara ZabeenFlinders Human Behaviour & Health Research Unit (FHBHRU), Discipline of Psychiatry, College of Medicine and Public Health, Flinders University, Margaret Tobin Centre, GPO Box 2100, Adelaide, South Australia, 5001, Australia.
A Kate Fairweather-SchmidtFlinders Human Behaviour & Health Research Unit (FHBHRU), Discipline of Psychiatry, College of Medicine and Public Health, Flinders University, Margaret Tobin Centre, GPO Box 2100, Adelaide, South Australia, 5001, Australia.
Sharon LawnFlinders Human Behaviour & Health Research Unit (FHBHRU), Discipline of Psychiatry, College of Medicine and Public Health, Flinders University, Margaret Tobin Centre, GPO Box 2100, Adelaide, South Australia, 5001, Australia. sharon.lawn@flinders.edu.au.ORCID http://orcid.org/0000-0002-5464-8887

Funding

National Health and Medical Research Council APP1121334
6 · The paper itself

Abstract

backgroundThe estimated 300,000 adults in Australia with severe mental illness (SMI) have markedly reduced life expectancy compared to the general population, mainly due to physical health comorbidities. Cardiovascular disease (CVD) is the commonest cause of early death and people with SMI have high rates of most modifiable risk factors, with associated quality of life (QoL) reduction. High blood pressure, smoking, dyslipidaemia, diabetes and obesity are major modifiable CVD risk factors. Poor delivery of recommended monitoring and risk reduction is a national and international problem. Therefore, effective preventive interventions to safeguard and support physical health are urgently needed in this population.

methodsThis trial used a rigorous process, including extensive piloting, to develop an intervention that delivers recommended physical health care to reduce CVD risk and improve QoL for people with SMI. Components of this intervention are integrated using the Flinders Program of chronic condition management (CCM) which is a comprehensive psychosocial care planning approach that places the patient at the centre of their care, and focuses on building their self-management capacity within a collaborative approach, therefore providing a recovery-oriented framework. The primary project aim is to evaluate the effectiveness and health economics of the CCM intervention. The main outcome measures examine CVD risk and quality of life. The second aim is to identify essential components, enablers and barriers at patient, clinical and organisational levels for national, sustained implementation of recommended physical health care delivery to people with SMI. Participants will be recruited from a community-based public psychiatric service. DISCUSSION: This study constitutes the first large-scale trial, worldwide, using the Flinders Program with this population. By combining a standardised yet flexible motivational process with a targeted set of evidence-based interventions, the chief aim is to reduce CVD risk by 20%. If achieved, this will be a ground-breaking outcome, and the program will be subsequently translated nationwide and abroad. The trial will be of great interest to people with mental illness, family carers, mental health services, governments and primary care providers because the Flinders Program can be delivered in diverse settings by any clinical discipline and supervised peers.

trial registrationAustralian and New Zealand Clinical Trials Registry, ACTRN12617000474358 . Registered on 31 March 2017.

Indexed as

Quality of LifeRandomized Controlled Trials as TopicCardiovascular DiseasesHumansMental DisordersMotivationOutcome Assessment, Health CareResearch DesignRiskRisk FactorsCardiovascular diseaseChronic care modelChronic condition self-managementFlinders ProgramHealth interventionMental illnessRandomised controlled trial

Identifiers

PMID29996886
PMCPMC6042320

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.