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Table 2 Characteristics of studies not involving patients as participants

From: Barriers to monitoring and management of cardiovascular and metabolic health of patients prescribed antipsychotic drugs: a systematic review

Study ID & Country

Aim

Design

Data collection method

Setting

Sample size

Participants

Information on the use of antipsychotic by patients

Bergqvist, 2013; Sweden [19]

To explore mental health professionals’ experiences of assisting people with a psychotic disorder to implement lifestyle changes in an effort to prevent metabolic syndrome.

Phenomenology

Interview

Psychiatric outpatient care.

12 health care staff members (9 specialised nurses, 2 Outpatients’ therapists, 1 nursing assistant.

Mental health care staffs

Participants described barriers to monitoring and management of cardiovascular and metabolic side effects

Happell, 2013; Australia [20]

The current study seeks to explore nurse views on screening/monitoring of the physical health of consumers with SMI, in mental health care.

Qualitative exploratory study

Focus group interviewers (6 groups)

Regional mental health care service

38 nurses

Community mental health nurses

Nurses described barriers to monitoring and management of cardiovascular and metabolic side effects amongst their patients

Hultsjö, 2012; Sweden [21]

To describe mental health staff experiences of giving support to prevent type 2 diabetes mellitus (DM) among people with psychosis in community psychiatry.

Qualitative exploratory study

Semi-structured interviews

Community mental health services

12 community healthcare staff

Community mental healthcare staff

Interviews were conducted in the context of antipsychotics increasing risks of cardiovascular and metabolic comorbidities

Hultsjö, 2013; Sweden [21]

To explore and analyse mental healthcare staff’s (MHCS) knowledge and experiences of diabetes care for persons with psychosis

Qualitative exploratory study

Semi-structured interviews

Unclear

12 mental health care staff

Mental health care staff

Participants described barriers to monitoring and management of cardiovascular and metabolic side effects

Hyland, 2003; Australia [31]

To examine the attitudes and practices of case managers working in Area Mental Health Services (AMHS) towards the physical health of people with chronic mental illness.

Mixed method; cross sectional study and interview

Focus group interviews (4 groups)

Multicentre (4 mental health clinics)

111 case managers working in community mental health

Community mental health case managers

Participants described barriers to monitoring and management of cardiovascular and metabolic side effects

Mangurian, 2013; USA [22]

To examined primary care providers’ beliefs about the roles that primary care providers and psychiatrists should play in metabolic monitoring and treatment of metabolic abnormalities among people with severe mental illness.

Cross sectional study

survey

Urban safety net clinic

214 primary health care providers from 23 public community healthClinics.

Primary health care providers

Participants described barriers to monitoring and management of cardiovascular and metabolic side effects amongst their patients

McDonell, 2011; USA [25]

To assess the relative importance of patient, provider, and systemic barriers to metabolic syndrome management for persons with severe mental illness

Cross sectional study

Survey

Not specific

68 medical, mental health, and other stakeholders who care for patients with severe mental illness.

Wide range of healthcare professionals.

All health care providers who participated were involved in delivery of care for adults prescribed antipsychotics

Mwebe, 2017;UK [11]

To explore nurses’ views of their role in the screening and monitoring of the physical care needs of people with serious mental illness in a mental health service provider

Qualitative exploratory study

Semi-structured interviews

Mental health inpatient centre

10 mental health nurses

Mental health nurses

Nurses described barriers to monitoring and management of cardiovascular and metabolic side effects amongst their patients

Robson, 2013; UK [23]

To examine mental health nurses’ attitudes to physical health care and explore associations with their practice and training.

Cross sectional study

Survey

National Health Service (NHS) Mental

Health Trust

Sample of 585 qualified mental health nurses

Mental healthcare staff (Mental health nurses)

Participants described barriers to monitoring and management of cardiovascular and metabolic side effects amongst their patients

Wheeler, 2010;New Zeeland [28]

To invest health practitioners’ views on their role in assessing and managing their clients’ cardiovascular risk profile. We also sought to explore the practitioners’ perceptions of barriers and solutions for the management of cardiovascular risk in people with mental illness.

Qualitative study

Semi-structured interview

Unclear

Sample of 9 participants

Healthcare professionals (psychiatrists/psychiatric trainees, general practitioners, nurse specialists, mental health pharmacists, and consumer advisors.

Healthcare professionals described barriers to monitoring and management of cardiovascular and metabolic side effects