Physical Health Improvement Intervention for People Admitted to Mental Health Service

NCT06996899 | Not Yet Recruiting

• 1 other identifier: H24039
• Study Type: interventional
• Target: 25
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to codesign and implement a physical health improvement behaviour change intervention for people being treated for a mental illness in a mental health inpatient unit of a regional hospital.

Conditions

Physical Health; Mental Illnesses; Chronic Diseases

Keywords

Implementation Research; Health Improvement Profile

Outcome Measures

Primary Outcomes (7)

• Feasibility of Health Improvement Profile

  Each Health Improvement Profile parameter has a column for recording the assessment result, followed by a column indicating the healthy 'green' range or indicating the unhealthy 'red' range (requiring action). The final column indicates the recommended action if the parameter falls into the 'red' range. Baseline assessment, (up to 27 assessment points for males and 26 assessment points for females) using the Health Improvement Profile (HIP) to identify the number of red flags, this is baseline assessment data which falls outside of normal healthy parameters. Baseline assessment will occur at pre intervention (at time of admission to the inpatient unit), during intervention use (at discharge from inpatient facility with a developed Health Improvement Profile) and post intervention (3months post discharge from inpatient facility) to determine physical health improvement against baseline assessment.

  From admission (enrolment) to post discharge period of 3 months (12 weeks)

• Feasibility: Time taken to recruit planned sample

  The time that was taken to recruit the planned sample size of participants

  Immediately after the inclusion of the last participant

• Feasibility: Retention

  Proportion of participants who completed the whole study by all participants who enrolled

  at the follow-up assessment 3 months post discharge from inpatient service

• Feasibility: Drop out rate

  Number of participants who dropped out , did not continue with health improvement profile after discharging from inpatient service

  At the follow-up assessment 3 months post discharge from inpatient service

• Reason for dropping out

  Feedback from participant to identify reason for dropping out

  immediately on drop out notification or at 3 month follow up

• Feasibility: Adherence

  Proportion (percentage %) of recommended actions on the Health Improvement Profile (HIP) which the patient self reports as completing up to 3 months post discharge.

  Immediately on completion of the post discharge period at 3 months (12 weeks)

• Participant feedback

  Participant qualitative feedback using open ended questions on satisfaction with the Health Improvement Profile. Analysed using standardised thematic analysis of the qualitative feedback.

  Immediately after completion of the follow up period of 3 months (12 weeks)

Secondary Outcomes (28)

• Clinician Confidence

  At completion of training, at the project interim point (3 months) and at end of project.

• Client wellbeing

  Immediately at completion of the follow up period (3 months)

• Biometric measure: Body Mass Index (BMI)

  At commencement (admission) to inpatient unit and after completion of follow up period 3 months (12 weeks)

• Biometric measure: Waist circumference

  At commencement (admission) to inpatient unit and after completion of follow up period at 3 months (12weeks)

• Biometric measure: Pulse

  At commencement (admission) to inpatient unit and after completion of follow up period at 3 months (12weeks)

Study Arms (2)

Clinician/Staff users of the Health Improvement Profile

EXPERIMENTAL

Experimental: Staff intervention group Participants will receive education and training on how to conduct comprehensive physical assessments for the 27 health parameters on the Health Improvement Profile (HIP) and how to use these assessment finding to determine the recommended actions (behaviours changes) to develop an individualised profile for the admitted patient.

Other: Clinician Health Improvement Profile user training

Experimental: Client receiving the Health Improvement Profile

EXPERIMENTAL

Experimental: Client intervention group Participants will have a comprehensive physical assessment conducted by a trained clinician (health professional in the mental health inpatient service. The assessments consist of 27 health parameters such as weight, Body Mass Index (BMI), blood pressure, blood glucose, cholesterol levels, and waist circumference, alongside questions on lifestyle factors like smoking, diet, and physical activity, as well as medication use and its side effects. Using the assessment data clients will participate in the development of an individualised Health Improvement Plan (HIP) utilising the recommended behaviour change actions.

Other: Health Improvement Profile (HIP)

Interventions

Health Improvement Profile (HIP) OTHER

The Health Improvement Profile (HIP) is a comprehensive physical assessment conducted by a trained clinician which aims to link evidence based interventions for flagged abnormal health parameters. There are 27 health parameters assessed such as weight, Body Mass Index (BMI), blood pressure, blood glucose, cholesterol levels, and waist circumference, alongside questions on lifestyle factors like smoking, diet, and physical activity, as well as medication use and its side effects. Client participant will collaborate with their clinician in developing an individualised Health Improvement Profile which identifies suitable health behaviours interventions to improve physical health. Health behaviours may be associated with diet, exercise, sleep, hygiene (including oral care) and mindfulness.

Also known as: Screening tool, motivational interviewing, behaviour change tool

Experimental: Client receiving the Health Improvement Profile

Clinician Health Improvement Profile user training OTHER

Clinician/staff participants will receive Health Improvement Profile user training on how to conduct the comprehensive physical assessments for 27 health parameters and how to link the evidence based actions to develop an individualised Health Improvement Profile for clients admitted to inpatient service. Training includes online videos simulating assessments and completing the Health Improvement Profile and face to face workshops.

Clinician/Staff users of the Health Improvement Profile

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• This study is being carried out in an inpatient service therefore clinical staff must be registered by their professional governing body with a minimum of 6 months employment at the service or within the region to participate in stages 2 and 3. Graduate clinicians with less than 6 months working experience will be excluded from the study. Clinicians new to the region with less than 6 months working experience in location will be excluded from the study. Clinical roles within the facility include but not limited to:
• Nurses (enrolled or registered)
• Psychiatrists
• Psychologists
• Social Workers
• Clients of the inpatient mental health service eligible to be included in the study must be:
• Over the age of 18 years
• Able to read, understand and speak English
• A current or previous user of the hospital's services
• A current or previous user of the inpatient services
• A carer of someone who is a current or previous user of the inpatient mental health service
• Able to provide consent
• Not an employee
• Not a health professional

Sponsors & Collaborators

• Charles Darwin University: lead

Related Publications (3)

• Werkkala C, Valimaki M, Anttila M, Pekurinen V, Bressington D. Validation of the Finnish Health Improvement Profile (HIP) with patients with severe mental illness. BMC Psychiatry. 2020 Mar 11;20(1):112. doi: 10.1186/s12888-020-02511-5.

  PMID: 32160873 BACKGROUND

• Meepring S, Gray R, Li X, Chien WT, Li Y, Ho GWK, Kritkitrat P, Bressington D. Evaluating the efficacy of the Thai Health Improvement Profile intervention for preventing weight gain in people with early stage psychosis: A randomized controlled trial. Int J Nurs Stud. 2023 Oct;146:104570. doi: 10.1016/j.ijnurstu.2023.104570. Epub 2023 Jul 31.

  PMID: 37597457 BACKGROUND

• White J, Gray R, Jones M. The development of the serious mental illness physical Health Improvement Profile. J Psychiatr Ment Health Nurs. 2009 Jun;16(5):493-8. doi: 10.1111/j.1365-2850.2009.01375.x. Epub 2008 Mar 9.

  PMID: 19538607 BACKGROUND

MeSH Terms

Conditions

Mental Disorders; Chronic Disease

Interventions

Potentially Inappropriate Medication List; Motivational Interviewing

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Quality Assurance, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation; Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Central Study Contacts

Nicole Norman

CONTACT

61 1800061963; nicole.norman@cdu.edu.au

Brona Nic Giolla Easpaig

CONTACT

61 1800061963; b.nicgiollaeaspaig@cdu.edu.au

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator (PhD Candidate), Registered Nurse

Model Details: The one group is all adults admitted to the inpatient mental health service . The parallel group is the clinicians/staff working in the patient mental health service.

Study Record Dates

• First Submitted: December 13, 2024
• First Posted: May 30, 2025
• Study Start (Estimated): July 1, 2026
• Primary Completion (Estimated): July 1, 2027
• Study Completion (Estimated): December 1, 2028
• Last Updated: March 19, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share