Cochrane · systematic review · CD008567

General physical health advice for people with serious mental illness

Tosh, G, Clifton, AV, Xia, J, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Schizophrenia2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
7
No studies
9
Included studies
NR
No studies 9 · 50%Ungraded 2 · 11.1%Very low 2 · 11.1%Low 5 · 27.8%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

PHYSICAL HEALTH ADVICE versus STANDARD CARE for people with serious mental illness

Population: patients with people with serious mental illness
CD008567.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Physicl health awareness ‐ not reported
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extractedNRNo studies
Physical health behaviour moderate or vigorous physical activity
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extracted1 study · 80 participantsLow
Downgraded: risk of bias, imprecision
Quality of life Lehman Quality of Life Scale. Scale from: 1 to 7
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extracted1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adverse effects Death of participant
PHYSICAL HEALTH ADVICE vs STANDARD CARE
RR 0.98 [0.27, 3.56]2 studies · 487 participantsLow
Downgraded: risk of bias, imprecision
Economic ‐ not reported
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extractedNRNo studies
Leaving the study early
PHYSICAL HEALTH ADVICE vs STANDARD CARE
RR 1.11 [0.92, 1.35]6 studies · 964 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

HEALTH EDUCATION versus HEALTH EMPOWERMENT EDUCATION for people with serious mental illness

Population: people with serious mental illness
CD008567.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Physical health awareness ‐ not reported
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extractedNRNo studies
Physical health behaviour ‐ not measured
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extractedNRNo studies
Quality of Life Lehaman Quality of Life Scale. Scale from: 1 to 7.
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extracted1 study · 51 participantsLow
Downgraded: risk of bias, imprecision
Adverse Effects
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
RR 0 [0, 0]0 studies · 0 participantsUngraded
Economic ‐ not reported
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extractedNRNo studies
Leaving the study early
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
RR 0.56 [0.26, 1.19]1 study · 78 participantsLow
Downgraded: risk of bias, imprecision

HEALTHY LIVING STUDY CIRCLE versus AESTHETIC STUDY CIRCLE for people with serious mental illness

Population: patients with people with serious mental illness
CD008567.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Physical health: Identification of disease state (Metabolic syndrome)
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
RR 1.25 [0.35, 4.49]1 study · 13 participantsLow
Downgraded: risk of bias, imprecision
Physical health behaviour ‐ not measured
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Quality of life ‐ not measured
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Adverse Effects ‐ not reported
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Economic ‐ not reported
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Leaving the study early
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
RR 0 [0, 0]0 studies · 0 participantsUngraded

PHYSICAL HEALTH ADVICE versus STANDARD CARE for people with serious mental illness

CD008567.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Physical health awareness ‐ not reported
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extractedNRNo studies
Physical health behaviour ‐ not reported
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extractedNRNo studies
Quality of Life Lehman Quality of Life Scale. Scale from: 1 to 7.
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extracted1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adverse Effects Death of participant
PHYSICAL HEALTH ADVICE vs STANDARD CARE
RR 1.31 [0.3, 5.8]1 study · 407 participantsLow
Downgraded: risk of bias, imprecision
Economic ‐ not reported
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extractedNRNo studies
Leaving the study early
PHYSICAL HEALTH ADVICE vs STANDARD CARE
RR 1.18 [0.97, 1.43]5 studies · 884 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Service Use: Average percentage uptake of recommended health preventative services (US Preventative Services Task Force guidelines, high=good)
PHYSICAL HEALTH ADVICE vs STANDARD CARE
no estimate extracted1 study · 363 participantsModerate
Downgraded: risk of bias

HEALTH EDUCATION versus HEALTH EMPOWERMENT EDUCATION for people with serious mental illness

Population: people with serious mental illness
CD008567.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Physical health awareness ‐ not reported
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extractedNRNo studies
Physical health behaviour ‐ not measured
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extractedNRNo studies
Quality of Life Lehaman Quality of Life Scale. Scale from: 1 to 7.
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extracted1 study · 51 participantsLow
Downgraded: risk of bias, imprecision
Adverse Effects
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
RR 0 [0, 0]0 studies · 0 participantsUngraded
Economic ‐ not reported
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
no estimate extractedNRNo studies
Leaving the study early
HEALTH EDUCATION vs HEALTH EMPOWERMENT EDUCATION
RR 0.56 [0.26, 1.19]1 study · 78 participantsLow
Downgraded: risk of bias, imprecision

HEALTHY LIVING STUDY CIRCLE versus AESTHETIC STUDY CIRCLE for people with serious mental illness

Population: patients with people with serious mental illness
CD008567.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Physical health: Identification of disease state (Metabolic syndrome)
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
RR 1.25 [0.35, 4.49]1 study · 13 participantsLow
Downgraded: risk of bias, imprecision
Physical health behaviour ‐ not measured
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Quality of life ‐ not measured
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Adverse Effects ‐ not reported
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Economic ‐ not reported
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
no estimate extractedNRNo studies
Leaving the study early
HEALTHY LIVING STUDY CIRCLE vs AESTHETIC STUDY CIRCLE
RR 0 [0, 0]0 studies · 0 participantsUngraded