Evidence map›Paper›PMID 33107428›Full record

ArticleBJPsych open2020

Effect of point of care blood testing on physical health check completion in mental health services: mixed-methods evaluation.

Joseph Butler, Simone de Cassan, Margaret Glogowska, Thomas R Fanshawe, Phil Turner, Debbie Walton, Daniel Lasserson, Robert Bale, Belinda Lennox, Gail Hayward

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.5field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Increasing uptake of physical health checks for people living with severe mental illness: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Pooled it
  4. Article
  5. 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

10 authors at 4 institutions in 1 country.

Joseph ButlerDepartment of Psychiatry, University of Oxford, UK.ORCID https://orcid.org/0000-0002-8226-6763
Simone de CassanOxford Health NHS Foundation Trust, UK.
Margaret GlogowskaNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Thomas R FanshaweNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Phil TurnerNational Institute for Health Research Community Healthcare Healthcare MedTech and In Vitro Diagnostics Co-operative, Nuffield Department of Primary Care Health Sciences, University of Oxford, UK.ORCID https://orcid.org/0000-0001-7299-8939
Debbie WaltonAdult and Older Adult Mental Health, Oxford Health NHS Foundation Trust, UK.
Daniel LassersonInstitute of Applied Health Research, University of Birmingham; and Department of Acute Medicine, City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, UK.
Robert BaleAdult Mental Health Services, Oxford Health NHS Foundation Trust, UK.
Belinda LennoxOxford Health NHS Foundation Trust; Department of Psychiatry, University of Oxford, UK.ORCID https://orcid.org/0000-0002-4972-8786
Gail HaywardNational Institute for Health Research Community Healthcare MedTech and In Vitro Diagnostics Co-operative, Nuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Oxford Health NHS Foundation Trust · GBUniversity of Oxford · GBNational Institute for Health Research · GBSandwell & West Birmingham Hospitals NHS Trust · GB

Funding

Department of Health NIHR300105
6 · The paper itself

Abstract

backgroundPhysical health outcomes in severe mental illness are worse than in the general population. Routine physical health check completion in this group is poor.

aimsTo quantitatively and qualitatively evaluate the impact of point of care (POC) blood testing on physical health check completion in community mental health services.

methodIn a prospective cohort design, we equipped an early intervention service (EIS) and a community mental health team (CMHT) with a POC blood testing device for 6 months. We compared rates of blood test and full physical health check completion in the intervention teams with a matched EIS and CMHT, historically and during the intervention. We explored attitudes to POC testing using thematic analysis of semi-structured interviews with patients and clinicians.

resultsAlthough the CMHT scarcely used the POC device and saw no change in outcomes, direct comparison of testing rates in the intervention period showed increased physical health check completion in the EIS with the device (rate ratio RR = 5.18; 95% CI 2.54-12.44; P < 0.001) compared with usual care. The rate was consistent with the EIS's increasing rate of testing over time (RR = 0.45; 95% 0.09-2.08; P = 0.32). Similar trends were seen in blood test completion. POC testing was acceptable to patients but clinicians reported usability, provision and impact on the therapeutic relationship as barriers to uptake.

conclusionsPOC testing was beneficial and acceptable to patients and may increase physical health check uptake. Further research, accounting for clinician barriers, is needed to evaluate its clinical and cost-effectiveness.

Indexed as

community mental health teamscomorbidityoutcome studiesPsychotic disordersqualitative research

Identifiers

PMID33107428
PMCPMC7745242
OpenAlexW3094549607

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.