Evaluating the clinical and cost effectiveness of a behaviour change intervention for lowering cardiovascular disease risk for people with severe mental illnesses in primary care (PRIMROSE study): study protocol for a cluster randomised controlled trial

David Osborn, Alexandra Burton, Kate Walters, Irwin Nazareth, Samira Heinkel, Lou Atkins, Ruth Blackburn, Richard I G Holt, Rachael Maree Hunter, Michael King, Louise Marston, Susan Michie, Richard W Morris, Steve Morris, Rumana Z Omar, Robert Peveler, Vanessa Pinfold, Ella Zomer, Thomas Barnes, Tom CraigHazel Gilbert, Ben Grey, Claire Johnston, Judy Leibowitz, Irene Petersen, Fiona Stevenson, Sheila Hardy, Vanessa Robinson

Research output: Contribution to journalArticle (Academic Journal)peer-review

9 Citations (Scopus)
287 Downloads (Pure)

Abstract

Background

People with severe mental illnesses die up to 20 years earlier than the general population, with cardiovascular disease being the leading cause of death. National guidelines recommend that the physical care of people with severe mental illnesses should be the responsibility of primary care; however, little is known about effective interventions to lower cardiovascular disease risk in this population and setting. Following extensive peer review, funding was secured from the United Kingdom National Institute for Health Research (NIHR) to deliver the proposed study. The aim of the trial is to test the effectiveness of a behavioural intervention to lower cardiovascular disease risk in people with severe mental illnesses in United Kingdom General Practices.

Methods/Design

The study is a cluster randomised controlled trial in 70 GP practices for people with severe mental illnesses, aged 30 to 75 years old, with elevated cardiovascular disease risk factors. The trial will compare the effectiveness of a behavioural intervention designed to lower cardiovascular disease risk and delivered by a practice nurse or healthcare assistant, with standard care offered in General Practice. A total of 350 people will be recruited and followed up at 6 and 12 months. The primary outcome is total cholesterol level at the 12-month follow-up and secondary outcomes include blood pressure, body mass index, waist circumference, smoking status, quality of life, adherence to treatments and services and behavioural measures for diet, physical activity and alcohol use. An economic evaluation will be carried out to determine the cost effectiveness of the intervention compared with standard care.

Discussion

The results of this pragmatic trial will provide evidence on the clinical and cost effectiveness of the intervention on lowering total cholesterol and addressing multiple cardiovascular disease risk factors in people with severe mental illnesses in GP Practices.

Trial registration

Current Controlled Trials ISRCTN13762819. Date of Registration: 25 February 2013.

Date and Version Number: 27 August 2014 Version 5.
Original languageEnglish
Number of pages12
JournalTrials
Volume17
Issue number80
DOIs
Publication statusPublished - 12 Feb 2016

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