{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:02:17Z","timestamp":1785315737585,"version":"3.55.0"},"reference-count":15,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec id=\"S0007125025000285_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is a significant mortality gap between the general population and people with psychosis. Completion rates of regular physical health assessments for cardiovascular risk in this group are suboptimal. Point-of-care testing (POCT) for diabetes and hyperlipidaemia \u2013 providing an immediate result from a finger-prick \u2013 could improve these rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000285_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the impact on patient\u2013clinician encounters and on physical health check completion rates of implementing POCT for cardiovascular risk markers in early intervention in psychosis (EIP) services in South East England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000285_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A mixed-methods, real-world evaluation study was performed, with 40 POCT machines introduced across EIP teams in all eight mental health trusts in South East England from March to May 2021. Clinician training and support was provided. Numbers of completed physical health checks, HbA\n                      <jats:sub>1c<\/jats:sub>\n                      and lipid panel blood tests completed 6 and 12 months before and 6 months after introduction of POCT were collected for individual patients. Data were compared with those from the South West region, which acted as a control. Clinician questionnaires were administered at 2 and 8 months, capturing device usability and impacts on patient interactions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000285_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Post-POCT, South East England saw significant increases in HbA\n                      <jats:sub>1c<\/jats:sub>\n                      testing (odds ratio 2.02, 95% CI 1.17\u20133.49), lipid testing (odds ratio 2.38, 95% CI 1.43\u20133.97) and total completed health checks (odds ratio 3.61, 95% CI 1.94\u20137.94). These increases were not seen in the South West. Questionnaires revealed improved patient engagement, clinician empowerment and patients\u2019 preference for POCT over traditional blood tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000285_as5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>POCT is associated with improvements in the completion and quality of physical health checks, and thus could be a tool to enhance holistic care for individuals with psychosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2025.28","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T07:57:12Z","timestamp":1744358232000},"page":"311-316","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Introduction of point-of-care blood testing in early intervention in psychosis services: effects on physical health screening"],"prefix":"10.1192","volume":"228","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0268-0929","authenticated-orcid":false,"given":"Monty","family":"Lyman","sequence":"first","affiliation":[{"name":"University of Oxford"},{"name":"Oxford Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack B.","family":"Fanshawe","sequence":"additional","affiliation":[{"name":"University of Oxford"},{"name":"Oxford Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Brewin","sequence":"additional","affiliation":[{"name":"University of Oxford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R.","family":"Fanshawe","sequence":"additional","affiliation":[{"name":"University of Oxford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7299-8939","authenticated-orcid":false,"given":"Philip J.","family":"Turner","sequence":"additional","affiliation":[{"name":"University of Oxford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Glogowska","sequence":"additional","affiliation":[{"name":"University of Oxford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Smith","sequence":"additional","affiliation":[{"name":"Oxford University Hospitals NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Amani","sequence":"additional","affiliation":[{"name":"Dorset Healthcare University NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Hayward","sequence":"additional","affiliation":[{"name":"University of Oxford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4972-8786","authenticated-orcid":false,"given":"Belinda","family":"Lennox","sequence":"additional","affiliation":[{"name":"University of Oxford"},{"name":"Oxford Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"S0007125025000285_ref4","volume-title":"Psychosis and Schizophrenia in Adults: Prevention and Management (Clinical Guideline CG178)","year":"2014"},{"key":"S0007125025000285_ref11","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S0007125025000285_ref9","unstructured":"9 NHS England (South). 2015-16 South Region EIP Programme Report. NHS England, 2017 (https:\/\/time4recovery.com\/wp-content\/uploads\/2016\/05\/2015-16-South-Region-EIP-Programme-Report-Final.pdf)."},{"key":"S0007125025000285_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(17)30078-0"},{"key":"S0007125025000285_ref3","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-020-00463-7"},{"key":"S0007125025000285_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.psycom.2022.100070"},{"key":"S0007125025000285_ref8","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.110"},{"key":"S0007125025000285_ref15","doi-asserted-by":"publisher","DOI":"10.1177\/1932296816678263"},{"key":"S0007125025000285_ref12","unstructured":"12 NHS England. NHS Mental Health Implementation Plan 2019\/20\u20132023\/24. NHS England, 2019 (https:\/\/www.longtermplan.nhs.uk\/wp-content\/uploads\/2019\/07\/nhs-mental-health-implementation-plan-2019-20-2023-24.pdf)."},{"key":"S0007125025000285_ref6","unstructured":"6 National Institute for Health and Care Excellence. Adult Mental Health: Serious Mental Illness, Community, Acute and Crisis Care. NICE, 2024 (https:\/\/stpsupport.nice.org.uk\/adult-mental-health\/index.html)."},{"key":"S0007125025000285_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03067-8"},{"key":"S0007125025000285_ref10","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"S0007125025000285_ref5","volume-title":"National Clinical Audit of Psychosis \u2013 National Report for the Core Audit 2018","year":"2018"},{"key":"S0007125025000285_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-014-0499-z"},{"key":"S0007125025000285_ref14","unstructured":"14 Office for National Statistics. Explore Local Statistics: South East. ONS, 2024 (https:\/\/explore-local-statistics.beta.ons.gov.uk\/areas\/E12000008-south-east\/indicators#get-the-data)."}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125025000285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T08:35:20Z","timestamp":1785314120000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125025000285\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,11]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S0007125025000285"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2025.28","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}