BACKGROUND: Adults with @entity717 have substantial health inequalities and poor access to health care. We assessed whether practice nurse-delivered health checks could improve the health of adults with @entity717 compared with standard care. METHODS: In this cluster-design, single-blind, randomised controlled trial, we included general practices in Scotland, UK. From June to December, 2011, we randomly assigned (1:1) these general practices to either health checks plus standard care (health-checks group), or standard care only (control group), and we recruited the @entity1 from these practices. Randomisation was done with stratification by number of GPs per practice and number of registered @entity1 with @entity717 (<20 or >= 20). Two research assistants were masked to allocation, and undertook the review of 9 month medical records and interviews. @entity1 and carers were not masked. The intervention was one health check designed especially for @entity1 with @entity717 delivered by a practice nurse. The objective was improvement in health and health care 9 months after randomisation, and the primary outcome was the incidence of newly detected health needs being met by this timepoint. Whether needs were met was established by the investigators being masked to group allocation. The analysis was by intention to treat. This trial is registered with Current Controlled Trials, number ISRCTN43324841. FINDINGS: Between June 26 and Dec 20, 2011, we recruited 38 practices. 85 @entity1 (from 16 practices) were randomly assigned to intervention and 67 (from 17 practices) to standard care; five of the identified practices did not supply any @entity1 . 83 intervention and 66 standard care @entity1 completed the trial. More newly detected health needs were met in the intervention group than in the control standard care group (median 1 [range 0-8], 76  4% met [SD 36  5] vs 2 [0-11], 72  6% met [35  4]; odds ratio [OR] 1  73 [95% CI 0  93-3  22], p=0  085), although this difference was not significant. Significantly more health monitoring needs were met in the intervention group than standard care (median 2 [0-20], 69  9% [SD 34  2] vs 2 [0-22], 56  8% [29  4], OR 2  38 [95% CI 1  31-4  32, p=0  0053]). The probability that health checks are cost effective was between 0  6 and 0  8, irrespective of the cost-effectiveness threshold level. Costs per @entity1 were -  71  48 for health checks and -  20  56 for standard care. The difference (-  50  92) was not significant [95% CI -434 to 362]. No adverse events were attributable to the intervention. INTERPRETATION: Health checks given by practice nurses to adults with @entity717 produced health-care improvements that were more conducive to longer-term health than standard care given to this population. The intervention dominated standard care, being both cheaper and more effective. Health-check programmes might therefore be indicated for adults with @entity717 . FUNDING: Scottish Government Change Fund, NHS Greater Glasgow and Clyde Research and Development.

Practice nurse health checks for adults with XXXX : a cluster-design, randomised controlled trial.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient', 'Participants', 'people'] @entity717 :: ('MESH:D009069', 'Disease') :: ['intellectual disabilities']
@entity717 :: (MESH:D009069,Disease) :: ['intellectual disabilities']
