SynthesisBMC health services research2026
Exploring the effectiveness of physical health check interventions for people with severe mental illness: a systematic review of qualitative and quantitative evidence.
Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople living with severe mental illness (SMI) have a life expectancy up to twenty years shorter than the general population. Among the causes for this health inequity is the increased risk of cardiovascular and metabolic conditions. Physical health checks were introduced to proactively care for the physical health of people with SMI. However, uptake to health checks in the United Kingdom are suboptimal and health inequities remain. The effectiveness of interventions on outcomes of physical health checks has yet to be properly examined, along with what supports or hinders their implementation. This review aimed to assess the effectiveness of health check interventions for changing physical health markers in the SMI population.
methodsStudies examining the impact of outpatient and community interventions on cardiovascular and metabolic health markers of adults with SMI were collated. Five databases were searched (Web of Science, CENTRAL, PsychInfo, SCOPUS, Medline). The Mixed Methods Appraisal Tool critically appraised studies and analysis followed the Joanna Briggs Institute Convergent Segregated approach to Mixed-Methods Systematic Reviews.
resultsEight articles (7 quantitative, 1 qualitative), totalling 1,828 participants, were included. Five found significantly positive effects on primary outcome(s). Successful studies improved health checks by integrating an extra layer of care (i.e. additional multidisciplinary teams) to existing services, whereas unsuccessful ones looked to improve checks within existing services. However, no marker was significantly improved across a majority of interventions. Four studies addressed barriers/facilitators to implementation success, revealing five themes.
conclusionsCurrent evidence is limited for understanding effective interventions on physical health checks, due to inconsistent core outcomes and reporting of interventions. Knowledge of implementation is significantly limited. The difference in outcomes across implementation strategies suggests a focus on equity over quality might be beneficial in the short-term. No studies embedded co-production within the development of physical health check interventions, highlighting a priority area for future research.
trial registrationhttps://doi.org/10.17605/OSF.IO/UWC2M .
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.