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Table 3 Themes, Categories and synthesised findings in relation to barriers to monitoring and management of cardiovascular and metabolic health of patients prescribed antipsychotic medicines

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

Themes Category Synthesised findings
Social context and support [14,15,16, 27, 29]   Extrinsic factors
Lack of support from family/friends [12, 13, 21, 24]
Poor communication/ coordination between different health care providers /sectors [11, 12, 21, 22, 26, 28, 31] Provider and healthcare system factors
Insufficient physician time [14, 20, 22, 23, 25, 26, 29]
Fragmentation of care [12, 20, 25, 27]
Patient- health-care professional relationship and communication [12, 21]
Issue of lack of clarity for responsibility for conducting physical health care [20, 21]
Lack of resources to manage healthy life style [11, 12, 17, 24, 27, 28] Lack of resources
Lack of equipment or suitable space [26,27,28]
Staff turnover [26, 27]
Lack of qualified staff to manage physical health issues [25]
Primary care providers are not paid enough [25]
Lack of insurance [21]
Cost of running interventions or groups [26]
Lack of access to qualified psychiatric follow-up [16, 22, 25] The Intervention site and the intervention characteristics
Intensity of the applied intervention [15, 19]
Leadership is not making managing physical health issues among patients with SMI a priority [21, 25, 26]
Difficulty traveling to specialised service [26]
Transportation problems [12]
Poor patient attendance [26]
Social context and support [14,15,16, 27, 29] Family and community factor
Lack of support from family/friends [12, 13, 21, 24]
Mental health condition related disabilities [11, 13, 17, 19, 25, 29,30,31] Mental health condition as a barrier Intrinsic Factors
Severity of psychotic symptoms [17, 21, 22, 24, 25, 30, 31]
Consequences associated with the side effects of the antipsychotic medications [19, 21, 25, 29]
Stigma/Isolation/estrangement [12, 14, 20, 27, 28]
Motivation level among participants regarding general health issues [16,17,18, 21, 23,24,25,26,27] Psychological factors
Participants views and behaviour toward specific intervention [15, 23, 26, 27, 29]
Participants’ views and behaviour regarding screening, monitoring of general health issues [11, 26, 31]
Stress [12, 18, 26]
Participants’ knowledge about healthy lifestyle [21, 22, 26, 30] knowledge and skills
Participants’ knowledge about the medicines side effects [23, 27]
Lack of knowledge and training among health-care providers to manage physical health issues [14, 19, 20, 25, 26, 28]
Functional limitation [12, 24] multiple-physical comorbidities
Negative effects of certain conditions e.g. pain [17]
Non-concordance with drug therapy [26] Compliance issues
Social context and support [14,15,16, 27, 29] Family and community factor
Lack of support from family/friends [12, 13, 21, 24]