Fidelity to an evidence-based model for physical healthcare for patients with severe mental illness

All assessed risk factors were highly prevalent, with daily smoking and/or snuff use being the most common (58.1%). Higher fidelity scores were assessed on the Policies subscale than on the Practices subscale, indicating that evidence-based knowledge regarding the identification and treatment of cardiovascular risk factors was more integrated into established policies and procedures than into the actual implementation of the interventions reaching patients.

Associations between fidelity and patient clinical outcomes were non-significant after adjustment.</p> <p>Specialist healthcare providers demonstrated low adherence to evidence-based practices for cardiovascular risk management. Standardized fidelity measures can pinpoint areas for targeted improvement, and future studies should explore how fidelity levels relate to clinical outcomes.</p> <p>ClinicalTrials.gov Identifier: NCT03271242 (Registration date: 05.09.2017).</p>