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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