MRC Cardiovascular Screening and Mental Health Project: Pilot of screening intervention

ISRCTN ISRCTN58625025
DOI https://doi.org/10.1186/ISRCTN58625025
Secondary identifying numbers G0301032
Submission date
10/08/2005
Registration date
08/09/2005
Last edited
16/07/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr David Osborn
Scientific

UCL Department of Mental Health Sciences
Royal Free & University College Medical School
Hampstead Campus
Rowland Hill Street
London
NW3 2PF
United Kingdom

Phone +44 (0)20 7472 6177
Email d.osborn@medsch.ucl.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeScreening
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymCaSMH
Study objectivesThe intervention of a proactive nurse facilitator (PNF) will increase:
1. The rates of cardiovascular disease (CVD) risk factor screening uptake
2. Referral rates for risk reduction strategies (lifestyle and/or drug interventions) for people with severe mental illness (SMI) compared to 'treatment as usual'.
Ethics approval(s)Added 28/08/09: Camden and Islington Community Local Research Ethics Committee, letter of approval dated 05/07/2005, ref 05/Q0511/67.
Health condition(s) or problem(s) studiedCardiovascular disease; severe mental illness
InterventionAll participating CMHTs will receive a CVD education pack for CMHT staff.
Half of participating CMHTs will be randomly assigned to receive the intervention - the services and expertise of a physical health nurse (or 'proactive nurse facilitator' - PNF) who will work within the CMHT for six months. The nurse will work proactively with existing NHS services to ensure that
a. All the CMHT's clients with SMI are offered screening for CVD risk factors and
b. That all clients who are identified as having CVD risk factors are offered appropriate risk reduction interventions (lifestyle and/or drug treatments)
Half of the CMHTs will be randomly assigned to the control group - their clients will receive 'usual care' from their GP and CMHT.
(NB: Camden & Islington Community LREC reference: 05/Q0511/67)
Intervention typeOther
Primary outcome measure1. The proportion of service users who were (a) offered and (b) took up CVD screening.
2. The proportion of service users with CVD risk factors who were (a) offered and (b) took up appropriate referrals for risk reduction interventions (lifestyle and/or drug treatment).
3. These proportions will be compared between the intervention arm of the study (PNF services) and the control arm of the study (usual care).
Secondary outcome measuresWaiting times for CVD screening via GP or CMHT; waiting times for referrals to CVD risk reduction interventions; service user satisfaction with CVD screening and interventions; feasibility of collecting outcome data and appropriateness of outcome measures (to inform the design of future randomised controlled trials [RCTs]); economic evaluation of PNF service.
Overall study start date15/08/2005
Completion date31/05/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit75 Years
SexBoth
Target number of participantsEvaluation phase: 150-180 service users
Key inclusion criteria1. Mental health service users under the care of adult community mental health teams (CMHTs) in Camden & Islington who are participating in the exploratory trial
2. Age 18 to 75 years
3. Diagnosed with severe mental illness (i.e. schizophrenia, bipolar affective disorder, schizoaffective disorder, persistent delusional disorder, or any other non-organic chronic psychosis)
4. Able to speak and understand English or willing to have an interpreter present during trial appointments
Key exclusion criteria1. Age < 18 or >75 years
2. Primary diagnosis of learning disability, depressive illness, personality disorder, substance misuse (drugs or alcohol), dementia or other organic brain disease
3. Any individual whose current mental or physical state prevents them taking part in trial procedures or for whom participation would have a detrimental effect on their mental health
Date of first enrolment15/08/2005
Date of final enrolment31/05/2006

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

UCL Department of Mental Health Sciences
London
NW3 2PF
United Kingdom

Sponsor information

University College London (UK)
University/education

Royal Free & University College Medical School
Hampstead Campus
Rowland Hill Street
London
NW3 2PF
England
United Kingdom

ROR logo "ROR" https://ror.org/02jx3x895

Funders

Funder type

Research council

Medical Research Council (MRC) (UK), Brain Sciences Initiative Trial Platform Grant Ref: G0301032 ID: 68170

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 10/03/2010 Yes No