Physical health among people with severe mental illness (SMI) is a global concern. However, many people with SMI do not receive regular comprehensive health checks. There is currently no validated physical health check instrument systematically used in Finnish mental health services. Therefore, this study aims to validate and establish the potential clinical utility of the translated Health Improvement Profile (HIP) tool for Finnish patients with SMI and compare differences in physical health risk items across genders. The content validity of the two-way translated Finnish HIP (HIP-F) was evaluated by five nurses and four patients with SMI using cognitive debriefing (to assess the clarity and relevance of each item and the recommended actions of the HIP tool). The potential clinical utility was assessed using a pilot test involving 47 patients. The prevalence of red-flagged (risk) items in the whole sample, across female and male participants, and the frequencies of any type of missing item response were calculated and analysed using descriptive statistics. A chi-square test was used to determine differences in frequencies of red-flagged items across genders. Based on the cognitive debriefing, the HIP-F was found to have moderate content validity regarding the clarity and relevance of the items and recommended actions (the average scale level content validity index, S-CVI/Ave, 0.74). In the pilot test, some missing item responses were identified, but in the sample, nurses identified 399 areas of health and health behaviour risks (mean 8.6 per patient) using the HIP-F. The most frequently red-flagged items were body mass index (BMI) and waist circumference (83.0%), smoking status (48.9%) and lipid levels (46.8%). Female patients had a higher frequency of red-flagged items than males in BMI (92.6% vs. 70.0%, p = 0.04) and waist circumference (96.3% vs. 65.0%, p = 0.01). The results demonstrate that the Finnish HIP has moderate content validity and preliminary clinical utility for evaluating the physical health and health behaviours of people with SMI. The HIP-F findings help to sign-post evidence-based interventions for identified areas of concern. Additional nurse training may be necessary to realise the potential clinical utility of the tool in Finland.

中文翻译：

---

严重精神疾病患者的芬兰健康改善档案（HIP）验证。

患有严重精神疾病（SMI）的人的身体健康是全球关注的问题。但是，许多患有SMI的人没有接受定期的全面健康检查。当前，芬兰的精神卫生服务中没有系统地使用经过验证的身体健康检查工具。因此，本研究旨在验证和建立针对芬兰SMI患者的健康改善状况（HIP）翻译工具的潜在临床效用，并比较不同性别的身体健康风险项目的差异。五名护士和四名SMI患者使用认知汇报评估了双向翻译的芬兰HIP（HIP-F）的内容效度（以评估每个项目的清晰度和相关性以及HIP工具的建议措施）。使用涉及47位患者的中试测试评估了潜在的临床效用。使用描述性统计数据计算并分析了整个样本中女性和男性参与者中带有红色标记（风险）的项目的流行率以及任何类型的缺失项目响应的频率。卡方检验用于确定跨性别标记的红色物品的频率差异。基于认知汇报，发现HIP-F在项目和建议措施的清晰度和相关性方面具有中等程度的内容效度（平均量表水平内容效度指数，S-CVI / Ave，0.74）。在试点测试中，发现了一些遗漏的项目响应，但在样本中，护士使用HIP-F确定了399个健康和健康行为风险区域（每位患者平均8.6）。最常出现红色标志的项目是体重指数（BMI）和腰围（83.0％），吸烟状况（48。9％）和血脂水平（46.8％）。女性患者的BMI（92.6％vs. 70.0％，p = 0.04）和腰围（96.3％vs. 65.0％，p = 0.01）高于男性。结果表明，芬兰HIP具有中等程度的内容效度和初步临床实用性，可用于评估SMI患者的身体健康和健康行为。HIP-F的发现有助于为已确定的关注领域签署基于证据的干预措施。为了实现该工具在芬兰的潜在临床实用性，可能需要额外的护士培训。结果表明，芬兰HIP具有中等程度的内容效度和初步临床实用性，可用于评估SMI患者的身体健康和健康行为。HIP-F的发现有助于为已确定的关注领域签署基于证据的干预措施。为了实现该工具在芬兰的潜在临床实用性，可能需要额外的护士培训。结果表明，芬兰HIP具有中等程度的内容效度和初步临床实用性，可用于评估SMI患者的身体健康和健康行为。HIP-F的发现有助于为已确定的关注领域签署基于证据的干预措施。为了实现该工具在芬兰的潜在临床实用性，可能需要额外的护士培训。