title: Effects of the Thai Health Improvement Profile intervention on the physical health and health behaviours of people with schizophrenia: A quasi-experimental study.
abstract: Physical health problems and unhealthy lifestyle behaviours are common in people with severe mental illness (SMI), leading to high levels of mortality.There is some evidence that nurse-led interventions involving comprehensive health checks may be effective in improving physical health in people with SMI. This quasi-experimental before-and-after study investigated the impacts of the Thai Health Improvement Profile (HIP-T) on the physical health and health behaviours of people with schizophrenia over 1-year. All 105 service-users who volunteered to participate completed the study. There were significant reductions in mean BMI (-0.78 kg/m2, P < .001) and bodyweight (-1.13 kg, P < .001) at post-test. There was also a significant decrease in the total number of "red-flagged" HIP-T items, suggesting lowered potential health risks (P < .001). Overall, 23 patients (22%) were found to have moved to a healthier BMI classification after 1-year. The findings suggest that the HIP-T intervention has potential for improving the physical health of people with SMI when integrated into routine community mental health care.
authors.affiliation: Mental Health and Psychiatric Nursing Division, Nursing Department, Naresuan University, Phitsanulok, Thailand.
authors.forename: Soontareeporn
authors.initials: S
authors.lastname: Meepring
authors.affiliation: Mental Health Care Research Group, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
authors.forename: Wai Tong
authors.identifier: http://orcid.org/0000-0001-5321-5791
authors.initials: WT
authors.lastname: Chien
authors.affiliation: Health Services Research Centre, Hamad Medical Corporation, Doha, Qatar.|Department of Nursing, La Trobe University, Melbourne, Victoria, Australia.
authors.forename: Richard
authors.initials: R
authors.lastname: Gray
authors.affiliation: Mental Health Care Research Group, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
authors.forename: Daniel
authors.identifier: http://orcid.org/0000-0003-0951-2208
authors.initials: D
authors.lastname: Bressington
mesh_terms: D000328:Adult; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications / Q000523:psychology / Q000628:therapy; D040242:Risk Reduction Behavior; D012559:Schizophrenia / Q000150:complications / Q000628:therapy*; D012565:Schizophrenic Psychology; D013785:Thailand
keywords: BMI; health behaviours; physical health; schizophrenia; severe mental illness