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 (À0.78 kg/m 2 , P < .001) and bodyweight (À1.13 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.

Chinese Health Improvement Profile for people with severe mental illness: A cluster‐randomized, controlled trial

“…Our recently‐published HIP‐T quasi experimental study involving 105 people with schizophrenia in Thailand (Meepring et al . ) showed a statistically‐significant reduction of average BMI (3.5% change, P < 0.001), while a post‐hoc subgroup analysis of patients ( n = 25) with early psychosis (i.e. not more than 1‐year onset of the illness) found a potentially clinically significant improvement (Levi et al .…”

“…If the CHIP intervention is started at the first point of contact with people with a SMI, this might serve to offset the build-up of cardiometabolic risk factors, rather than intervening once a related physical illness has been identified (Mitchell & De Hert 2015). Our recently-published HIP-T quasi experimental study involving 105 people with schizophrenia in Thailand (Meepring et al 2016) showed a statistically-significant reduction of average BMI (3.5% change, P < 0.001), while a post-hoc subgroup analysis of patients (n = 25) with early psychosis (i.e. not more than 1-year onset of the illness) found a potentially clinically significant improvement (Levi et al 2012) of >5% reduction of BMI (P = 0.01, Cohen's d = 0.32).…”

“…Over 12 months, we observed significant increases in participants' self-reported amounts of exercise (19 participants increased their levels of exercise to recommended limits). We also completed a quasiexperimental before-and-after study of the HIP in 105 SMI patients in Thailand (Meepring et al 2016). We observed improvements in body mass index (BMI; À0.78 kg m À2 , P < 0.001), with 23 patients (22%) shifting to a healthier BMI classification at 1-year follow up.…”

“…We also completed a quasi‐experimental before‐and‐after study of the HIP in 105 SMI patients in Thailand (Meepring et al . ). We observed improvements in body mass index (BMI; −0.78 kg m −2 , P < 0.001), with 23 patients (22%) shifting to a healthier BMI classification at 1‐year follow up.…”

Model of Potential Strengthening and Family Roles in Improving Family Members for ODGJ Adaptability

“…However, it cannot be fully applied to the case of improving the role of families who have family members with ODGJ (People With Mental Disorders) in the Pamekasan District. The research that has been carried out relating to Family Empowerment is Ardian research (Meepring, 2016), which shows the significant influence of family empowerment to families coping with type 2 diabetes mellitus. It is still necessary to improve the family's ability in aspects of physical independence, therapeutic competence, and knowledge of health conditions.…”