Quality-of-life and self-perceived inequity in people with severe mental illness: the SOFIA pilot study.

TL;DR

The SOFIA pilot trial tested coordinated general practice care for severe mental illness in Denmark, finding limited improvements in quality of life but statistically significant reductions in two self-perceived inequity domains (feeling unheard and powerlessness) in the group receiving coordinated care plus a needs-based QoL tool.

Key findings

• No significant difference in needs-based quality of life between intervention and control groups
• CCP+ group showed improvements in two inequity domains: not being seen/heard and powerlessness
• No significant improvements in health-related quality of life (EQ-5D-5L) or other inequity domains
• Larger trials with longer follow-up needed to establish long-term effectiveness

Why this matters at the bedside

Suggests that structured, coordinated GP consultations may partially address psychological aspects of inequity in severe mental illness care, though broader improvements in quality of life and health outcomes remain uncertain and warrant larger confirmatory trials.