Caitlin Fehily, Ama Ampofo, Jade Ryall, Joanna Latter, Belinda Jackson, Emily Hielscher, Sumathi Govindasamy, Tara Clinton-McHarg, Julia Dray, Lucy Leigh, Jenny Bowman
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{"title":"确定有精神健康状况的人的身体健康问题：一项随机对照试验。","authors":"Caitlin Fehily, Ama Ampofo, Jade Ryall, Joanna Latter, Belinda Jackson, Emily Hielscher, Sumathi Govindasamy, Tara Clinton-McHarg, Julia Dray, Lucy Leigh, Jenny Bowman","doi":"10.1016/j.amepre.2025.108083","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>PhysiCards© have been co-designed to support an interactive, person-led approach to help people with mental health conditions identify and respond to cardiovascular disease (CVD) and other physical health concerns. This study aimed to test the efficacy of the PhysiCards© in assisting people accessing support from a mental health community managed organisation to identify and take action to address CVD and other physical health concerns.</p><p><strong>Study design: </strong>Parallel-group randomised controlled trial.</p><p><strong>Setting/participants: </strong>Participants (>=18 years; N=154) were accessing Flourish Australia services in New South Wales.</p><p><strong>Intervention: </strong>Participants were randomly allocated to a control condition (physical health concerns discussed in line with usual support) or intervention condition (usual care and offered PhysiCards©) delivered in a single session.</p><p><strong>Main outcome measures: </strong>assessed through support worker records of allocation delivery, and participant self-report telephone surveys at baseline, and 1-week and 4-month follow-ups (September 2022 to January 2024). Analysis was conducted in 2025. Primary outcomes were identifying at least one concern participants wanted support for that was a: physical health concern, CVD prevention concern, 'new' (not previously raised with a health professional) physical health concern, and new CVD prevention concern.</p><p><strong>Secondary outcomes: </strong>discussing a concern with a health professional, confidence to raise concerns and acceptability of PhysiCards©.</p><p><strong>Results: </strong>Intervention group participants were significantly more likely to identify a: physical health concern they wanted support for (OR 16.7, 95% CI 5.14-54.24, p<.001), CVD-related concern (OR 7.89, 95% CI 2.91-21.39, p<.001), and new health concern (OR 7.40, 95% CI 2.28-24.05, p<.001). PhysiCards© were rated as highly acceptable. There was no significant difference in discussing concerns with a health professional or confidence in raising concerns.</p><p><strong>Conclusions: </strong>PhysiCards© were efficacious in supporting people to identify CVD and other physical health concerns. Future research is needed to consider additional strategies to enhance their impact on care-seeking.</p><p><strong>Trial registration: </strong>prospectively registered: https://osf.io/r8m97.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108083"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Identifying physical health concerns of people with a mental health condition: an RCT.\",\"authors\":\"Caitlin Fehily, Ama Ampofo, Jade Ryall, Joanna Latter, Belinda Jackson, Emily Hielscher, Sumathi Govindasamy, Tara Clinton-McHarg, Julia Dray, Lucy Leigh, Jenny Bowman\",\"doi\":\"10.1016/j.amepre.2025.108083\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>PhysiCards© have been co-designed to support an interactive, person-led approach to help people with mental health conditions identify and respond to cardiovascular disease (CVD) and other physical health concerns. This study aimed to test the efficacy of the PhysiCards© in assisting people accessing support from a mental health community managed organisation to identify and take action to address CVD and other physical health concerns.</p><p><strong>Study design: </strong>Parallel-group randomised controlled trial.</p><p><strong>Setting/participants: </strong>Participants (>=18 years; N=154) were accessing Flourish Australia services in New South Wales.</p><p><strong>Intervention: </strong>Participants were randomly allocated to a control condition (physical health concerns discussed in line with usual support) or intervention condition (usual care and offered PhysiCards©) delivered in a single session.</p><p><strong>Main outcome measures: </strong>assessed through support worker records of allocation delivery, and participant self-report telephone surveys at baseline, and 1-week and 4-month follow-ups (September 2022 to January 2024). Analysis was conducted in 2025. Primary outcomes were identifying at least one concern participants wanted support for that was a: physical health concern, CVD prevention concern, 'new' (not previously raised with a health professional) physical health concern, and new CVD prevention concern.</p><p><strong>Secondary outcomes: </strong>discussing a concern with a health professional, confidence to raise concerns and acceptability of PhysiCards©.</p><p><strong>Results: </strong>Intervention group participants were significantly more likely to identify a: physical health concern they wanted support for (OR 16.7, 95% CI 5.14-54.24, p<.001), CVD-related concern (OR 7.89, 95% CI 2.91-21.39, p<.001), and new health concern (OR 7.40, 95% CI 2.28-24.05, p<.001). PhysiCards© were rated as highly acceptable. 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Identifying physical health concerns of people with a mental health condition: an RCT.
Introduction: PhysiCards© have been co-designed to support an interactive, person-led approach to help people with mental health conditions identify and respond to cardiovascular disease (CVD) and other physical health concerns. This study aimed to test the efficacy of the PhysiCards© in assisting people accessing support from a mental health community managed organisation to identify and take action to address CVD and other physical health concerns.
Study design: Parallel-group randomised controlled trial.
Setting/participants: Participants (>=18 years; N=154) were accessing Flourish Australia services in New South Wales.
Intervention: Participants were randomly allocated to a control condition (physical health concerns discussed in line with usual support) or intervention condition (usual care and offered PhysiCards©) delivered in a single session.
Main outcome measures: assessed through support worker records of allocation delivery, and participant self-report telephone surveys at baseline, and 1-week and 4-month follow-ups (September 2022 to January 2024). Analysis was conducted in 2025. Primary outcomes were identifying at least one concern participants wanted support for that was a: physical health concern, CVD prevention concern, 'new' (not previously raised with a health professional) physical health concern, and new CVD prevention concern.
Secondary outcomes: discussing a concern with a health professional, confidence to raise concerns and acceptability of PhysiCards©.
Results: Intervention group participants were significantly more likely to identify a: physical health concern they wanted support for (OR 16.7, 95% CI 5.14-54.24, p<.001), CVD-related concern (OR 7.89, 95% CI 2.91-21.39, p<.001), and new health concern (OR 7.40, 95% CI 2.28-24.05, p<.001). PhysiCards© were rated as highly acceptable. There was no significant difference in discussing concerns with a health professional or confidence in raising concerns.
Conclusions: PhysiCards© were efficacious in supporting people to identify CVD and other physical health concerns. Future research is needed to consider additional strategies to enhance their impact on care-seeking.
Trial registration: prospectively registered: https://osf.io/r8m97.
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