General physical health advice for people with serious mental illness

Tosh, Graeme, Clifton, Andrew and Bachner, Mick (2011) General physical health advice for people with serious mental illness. Cochrane Database of Systematic Reviews (2). CD008567. ISSN 1464-780X

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There is currently much focus on provision of general physical health advice to people with serious mental illness and there has been increasing pressure for services to take responsibility for providing this. For the comparison of physical healthcare advice versus standard care we identified five studies (total n = 884) of limited quality. For measures of quality of life one trial found no difference (n = 54, 1 RCT, MD Lehman scale 0.00 CI -0.67 to 0.67) but another did (n = 407, 1 RCT, MD Quality of Life Medical Outcomes Scale - mental component 3.7 CI 1.7 to 5.6). There was no difference between groups for the outcome of death (n = 407, 1 RCT, RR 1.3 CI 0.3 to 6.0), for the outcome of uptake of ill-health prevention services, one study found percentages significantly greater in the advice group (n = 363, 1 RCT, MD 36.9 CI 33.1 to 40.7). Economic data were equivocal. Attrition was large (> 30%) but similar for both groups (n = 884, 5 RCTs, RR 1.18 CI 0.97 to 1.43). Comparisons of one type of physical healthcare advice with another were grossly underpowered and equivocal.

Item Type: Article
Additional Information: Intervention Review.
Subjects: B100 Anatomy, Physiology and Pathology
B700 Nursing
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
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Depositing User: EPrint Services
Date Deposited: 25 Aug 2011 12:32
Last Modified: 12 Oct 2019 15:27

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