Themes | Category | Synthesised findings |
---|---|---|
 | Extrinsic factors | |
Poor communication/ coordination between different health care providers /sectors [11, 12, 21, 22, 26, 28, 31] | Provider and healthcare system factors | |
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 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 | |
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] | ||
Family and community factor | ||
Mental health condition related disabilities [11, 13, 17, 19, 25, 29,30,31] | Mental health condition as a barrier | Intrinsic Factors |
Consequences associated with the side effects of the antipsychotic medications [19, 21, 25, 29] | ||
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] | ||
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] | ||
multiple-physical comorbidities | ||
Negative effects of certain conditions e.g. pain [17] | ||
Non-concordance with drug therapy [26] | Compliance issues | |
Family and community factor | ||