Evidence map›Paper›PMID 31854292›Full record

Trial reportHealth technology assessment (Winchester, England)2019

Sexual health promotion in people with severe mental illness: the RESPECT feasibility RCT.

Elizabeth Hughes, Natasha Mitchell, Samantha Gascoyne, Thirimon Moe-Byrne, Amanda Edmondson, Elizabeth Coleman, Lottie Millett, Shehzad Ali, Ceri Dare, Catherine Hewitt and 6 more

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health technology assessment (Winchester, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Observational
  6. Article
  7. [Osteomyelitis in adults].Radiologie (Heidelberg, Germany) · 2025
    Review
  8. Article
  9. Review
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  11. Article
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  14. Still 'being bothered about Billy': managing the physical health of people with severe mental illness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  15. Review
  16. 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

16 authors at 5 institutions in 1 country.

Elizabeth HughesCentre for Applied Research in Health, School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.ORCID 0000-0002-4480-0806
Natasha MitchellDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0002-6904-2976
Samantha GascoyneDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0001-7763-2776
Thirimon Moe-ByrneDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0002-2827-9715
Amanda EdmondsonCentre for Applied Research in Health, School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.ORCID 0000-0002-0224-1997
Elizabeth ColemanDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0003-4210-1865
Lottie MillettDivision of Psychiatry, University College London, London, UK.ORCID 0000-0002-0212-4109
Shehzad AliDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0002-8042-3630
Ceri DareExpert by experience, UK.ORCID 0000-0002-6762-506X
Catherine HewittDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0002-0415-3536
Sonia JohnsonDivision of Psychiatry, University College London, London, UK.ORCID 0000-0002-2219-1384
Carrie LlewellynDepartment of Primary Care and Public Health, University of Sussex, Brighton, UK.ORCID 0000-0002-9107-8473
Catherine MercerInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-4220-5034
Fiona NolanSchool of Health and Social Care, University of Essex, Colchester, UK.ORCID 0000-0002-6633-341X
Charlotte WalkerExpert by experience, UK.
Judith WatsonDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0003-0694-3854
University of York · GBUniversity College London · GBUniversity of Huddersfield · GBUniversity of Essex · GBUniversity of Sussex · GB

Funding

Department of Health HTA/14/172/01
6 · The paper itself

Abstract

backgroundPeople with serious mental illness have sexual health needs, but there is limited evidence regarding effective interventions to promote their sexual health.

objectivesTo develop a sexual health promotion intervention for people with serious mental illness, and to conduct a feasibility trial in order to establish the acceptability and parameters for a fully powered trial.

designA two-armed randomised controlled, open feasibility study comparing usual care alone with usual care plus the adjunctive intervention.

settingFive community mental health providers in Leeds, Barnsley, Brighton and London.

participantsAdults aged ≥ 18 years with serious mental illness and receiving care from community mental health teams.

interventionsA remote, web-based computer randomisation system allocated participants to usual care plus the RESPECT (Randomised Evaluation of Sexual health Promotion Effectiveness informing Care and Treatment) intervention (three sessions of 1 hour) (intervention arm) or usual care only (control arm). The intervention was an interactive manualised package of exercises, quizzes and discussion topics focusing on knowledge, motivation and behavioural intentions to adopt safer sexual behaviours.

main outcome measuresFeasibility parameters including establishing the percentage of people who were eligible, consented and were retained in each arm of the trial, retention for the intervention, as well as the completeness of the data collection. Data were collected on knowledge, motivation to adopt safer sexual behaviour, sexual behaviour, sexual stigma, sexual health service use and quality of life. Data were collected at baseline and then at 3 months and 6 months post randomisation.

resultsOf a target of 100 participants, 72 people participated in the trial over 12 months. Of the 36 participants randomised to the intervention arm, 27 received some of the intervention (75.0%). At 3 months, 59 of the 72 participants completed follow-up questionnaires (81.9%) (30 participants from the intervention arm and 29 participants from the control arm). Only the first 38 participants were followed up at 6 months. However, data were collected on 29 out of 38 participants (76.3% retention): 13 in the intervention arm and 16 in the control arm. No adverse events were reported. Participant feedback confirmed that both the design and the intervention were acceptable. The economic analysis indicated high completion rates and completeness of data among participants who continued the trial.

conclusionsDespite the limitations, the findings suggest that it is both acceptable and feasible to undertake a sexual health promotion study for people with serious mental illness. FUTURE WORK: A fully powered randomised controlled trial would be required to establish the clinical effectiveness of the intervention.

trial registrationCurrent Controlled Trials ISRCTN15747739.

fundingThis project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in

Indexed as

Health Knowledge, Attitudes, PracticeHealth PromotionMotivationSafe SexSexual HealthAdultCommunity Mental Health ServicesCost-Benefit AnalysisFeasibility StudiesFemaleHumansMaleMental DisordersQuality of LifeSurveys and QuestionnairesTechnology Assessment, BiomedicalFEASIBILITY RANDOMISED CONTROLLED TRIALQUALITATIVE RESEARCHSEVERE MENTAL ILLNESSSEXUAL HEALTH

Identifiers

PMID31854292
PMCPMC6936169
OpenAlexW2921728712

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.