About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Nurses (enrolled or registered)
Psychiatrists
Psychologists
Social Workers
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Health Improvement Profile (HIP)
Other interventionThe 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.
Clinician Health Improvement Profile user training
Other interventionClinician/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.
Treatment groups
Trial outcomes
Primary outcomes
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.
Feasibility: Time taken to recruit planned sample
The time that was taken to recruit the planned sample size of participants
Feasibility: Retention
Proportion of participants who completed the whole study by all participants who enrolled
Feasibility: Drop out rate
Number of participants who dropped out , did not continue with health improvement profile after discharging from inpatient service
Secondary outcomes
Clinician Confidence
Participant qualitative feedback using open ended questions on confidence for clinicians undertaking the physical assessments and developing care plans
Client wellbeing
Participant qualitative feedback using open ended questions via interview or focus group, on self general overall self reported wellbeing physically and mentally (no quantitative scale to be used), this is qualitative feedback on client wellbeing participating in the HIP project.
Biometric measure: Body Mass Index (BMI)
BMI (kg/m2) is calculated by dividing a person weight in kilograms by the square of their height in metres Outside of normal parameters (red flagged) Underweight \<18.50 Overweight ≥25.00
Biometric measure: Waist circumference
Measured in centimetres (cm) - measured by applying the tap measure midway between the top of the hip bone and bottom of ribs, in line with the belly button, wrap measuring tap around your waist. Outside of normal measure (red flagged) Female \>80cm Male \>94cm
Locations
Sponsors and contacts
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