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Intervention Review

Physical health care monitoring for people with serious mental illness

  1. Graeme Tosh1,*,
  2. Andrew Clifton2,
  3. Shereen Mala3,
  4. Mick Bachner4

Editorial Group: Cochrane Schizophrenia Group

Published Online: 17 MAR 2010

Assessed as up-to-date: 18 JAN 2010

DOI: 10.1002/14651858.CD008298.pub2

How to Cite

Tosh G, Clifton A, Mala S, Bachner M. Physical health care monitoring for people with serious mental illness. Cochrane Database of Systematic Reviews 2010, Issue 3. Art. No.: CD008298. DOI: 10.1002/14651858.CD008298.pub2.

Author Information

  1. 1

    East Midlands Workforce Deanery, General Adult Psychiatry, Nottingham, UK

  2. 2

    Northumbria University, School of Health, Community & Education Studies, Newcastle-upon-Tyne, UK

  3. 3

    Nottinghamshire Healthcare, Mansfield, Notts, UK

  4. 4

    Rampton Hospital, Nottinghamshire, UK

*Graeme Tosh, General Adult Psychiatry, East Midlands Workforce Deanery, Nottingham, UK. graemetosh@hotmail.com.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 17 MAR 2010

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This is not the most recent version of the article. View current version (17 JAN 2014)

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary

Background

Current guidance suggests that we should monitor the physical health of people with serious mental illness and there has been a significant financial investment over recent years to provide this.

Objectives

To assess the effectiveness of physical health monitoring as a means of reducing morbidity, mortality and reduction in quality of life in people with serious mental illness.

Search methods

We searched the Cochrane Schizophrenia Group Trials Register (October 2009) which is based on regular searches of CINAHL, EMBASE, MEDLINE and PsycINFO.

We updated this search October 2012 and added 61 new trials to the awaiting assessment section.

Selection criteria

All randomised or quasi-randomised clinical trials focusing on physical health monitoring versus standard care or comparing i) self monitoring vs monitoring by health care professional; ii) simple vs complex monitoring; iii) specific vs non-specific checks iv) once only vs regular checks or v) comparison of different guidance.

Data collection and analysis

The authors (GT, AC, SM) independently screened search results and identified three studies as possibly fulfilling the review's criteria. On examination, however, all three were subsequently excluded.

Main results

We did not identify any randomised trials which assessed the effectiveness of physical health monitoring in people with serious mental illness.

Authors' conclusions

There is no evidence from randomised trials to support current guidance and practice. Guidance and practice are based on expert consensus, clinical experience and good intentions rather than high quality evidence.

Note: the 61 citations in the awaiting classification section of the review may alter the conclusions of the review once assessed.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary

Physical health care monitoring for people with serious mental illness

In recent years there has been an increasing focus on the physical health of people who suffer from mental illness, it has been recognised that these individuals are at greater risk of physical health problems for a variety of reasons. There are now a number of different guidelines telling us how we should monitor physical health in this population. We searched for randomised trials that looked at the effectiveness of physical health monitoring in preventing deterioration of physical health and maintaining quality of life. Despite the amount of guidance available we found no relevant studies. Consequently there is no evidence from randomised controlled trials that physical health monitoring in people with severe mental illness is useful in preventing deterioration in physical health and maintaining quality of life. This, however, does not mean that physical health monitoring does not affect the physical health of people with severe mental illness.