Prevalence of physical health conditions and health risk behaviours in people with severe mental illness in South Asia: protocol for a cross-sectional study (IMPACT SMI survey).


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
10 10 2020
Historique:
entrez: 11 10 2020
pubmed: 12 10 2020
medline: 15 5 2021
Statut: epublish

Résumé

People with severe mental illness (SMI) die on average 10-20 years earlier than the general population. Most of these deaths are due to physical health conditions. The aim of this cross-sectional study is to determine the prevalence of physical health conditions and their associations with health-risk behaviours, health-related quality of life and various demographic, behavioural, cognitive, psychological and social variables in people with SMI attending specialist mental health facilities in South Asia. We will conduct a survey of patients with SMI attending specialist mental health facilities in Bangladesh, India and Pakistan (n=4500). Diagnosis of SMI will be confirmed using the Mini-international neuropsychiatric interview V.6.0. We will collect information about physical health and related health-risk behaviours (WHO STEPwise approach to Surveillance (STEPS)); severity of common mental disorders (Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder scale (GAD-7)) and health-related quality of life (EQ-5D-5L). We will measure blood pressure, height, weight and waist circumference according to WHO guidelines. We will also measure glycated haemoglobin, lipid profile, thyroid function, liver function, creatinine and haemoglobin. Prevalence rates of physical health conditions and health-risk behaviours will be presented and compared with the WHO STEPS survey findings in the general population. Regression analyses will explore the association between health-risk behaviours, mental and physical health conditions. The study has been approved by the ethics committees of the Department of Health Sciences University of York (UK), Centre for Injury Prevention and Rehabilitation (Bangladesh), Health Ministry Screening Committee and Indian Council of Medical Research (India) and National Bioethics Committee (Pakistan). Findings will be disseminated in peer-reviewed articles, in local and international conferences and as reports for policymakers and stakeholders in the countries involved. ISRCTN88485933; 3 June 2019.

Identifiants

pubmed: 33040004
pii: bmjopen-2020-037869
doi: 10.1136/bmjopen-2020-037869
pmc: PMC7549451
doi:

Banques de données

ISRCTN
['ISRCTN88485933']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e037869

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Gerardo A Zavala (GA)

Department of Health Sciences, University of York, York, UK gzavala@gmail.com.

Krishna Prasad-Muliyala (K)

Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangaluru, India.

Faiza Aslam (F)

Institute of Psychiatry (IOP), Rawalpindi Medical University, Rawalpindi, Pakistan.

Deepa Barua (D)

ARK Foundation, Dhaka, Bangladesh.

Asiful Haidar (A)

ARK Foundation, Dhaka, Bangladesh.

Catherine Hewitt (C)

Department of Health Sciences, University of York, York, UK.

Rumana Huque (R)

ARK Foundation, Dhaka, Bangladesh.

Sonia Mansoor (S)

Institute of Psychiatry (IOP), Rawalpindi Medical University, Rawalpindi, Pakistan.

Pratima Murthy (P)

Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangaluru, India.

Asad T Nizami (AT)

Institute of Psychiatry (IOP), Rawalpindi Medical University, Rawalpindi, Pakistan.

Najma Siddiqi (N)

Department of Health Sciences, University of York, York, UK.
Bradford District Care NHS Foundation Trust, Bradford, UK.
Hull York Medical School, York, UK.

Siham Sikander (S)

Global Health Department, Health Services Academy, Islamabad, Pakistan.

Kamran Siddiqi (K)

Department of Health Sciences, University of York, York, UK.
Hull York Medical School, York, UK.

Jan Rasmus Boehnke (JR)

Department of Health Sciences, University of York, York, UK.
School of Health Sciences, University of Dundee, Dundee, UK.

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