Evidence map›Paper›PMID 29388908›Full record

ArticleBJPsych open2018

Qualitative systematic review of barriers and facilitators to patient-involved antipsychotic prescribing.

Rebecca Pedley, Caitlin McWilliams, Karina Lovell, Helen Brooks, Kelly Rushton, Richard J Drake, Barnaby Rumbold, Vicky Bell, Penny Bee

Abstract read
In one paragraph

Article in BJPsych open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Experiential and Medical Knowledge of Shared Decision-Making: Exploring Clinician and Service User Perspectives in NHS Community Mental Health Services.Health expectations : an international journal of public participation in health care and health policy · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rebecca PedleyDivision of Nursing,Midwifery and Social Work,School of Health Sciences,Faculty of Biology,Medicine and Health,The University of Manchester,Manchester Academic Health Science Centre,Room 6.306 Jean McFarlane Building,Oxford Road,Manchester,M13 9PL.
Caitlin McWilliamsDivision of Nursing,Midwifery and Social Work,School of Health Sciences,Faculty of Biology,Medicine and Health,The University of Manchester,Manchester Academic Health Science Centre,Oxford Road,Manchester,M13 9PL.
Karina LovellDivision of Nursing,Midwifery and Social Work,School of Health Sciences,Faculty of Biology,Medicine and Health,The University of Manchester,Manchester Academic Health Science Centre,Oxford Road,Manchester,M13 9PL.
Helen BrooksDepartment of Psychological Sciences,Institute of Psychology,Health and Society,University of Liverpool,Liverpool,L69 3BX.
Kelly RushtonDivision of Nursing,Midwifery and Social Work,School of Health Sciences,Faculty of Biology,Medicine and Health,The University of Manchester,Manchester Academic Health Science Centre,Oxford Road,Manchester,M13 9PL.
Richard J DrakeDivision of Psychology and Mental Health,School of Health Sciences,Faculty of Biology,Medicine and Health,The University of Manchester,Manchester Academic Health Science Centre,Oxford Road,Manchester,M13 9PL.
Barnaby RumboldMillbrook Independent Hospital,Wythenshawe,Manchester,M23 2RX.
Vicky BellDivision of Nursing,Midwifery and Social Work,School of Health Sciences,Faculty of Biology,Medicine and Health,The University of Manchester,Manchester Academic Health Science Centre,Oxford Road,Manchester,M13 9PL.
Penny BeeDivision of Nursing,Midwifery and Social Work,School of Health Sciences,Faculty of Biology,Medicine and Health,The University of Manchester,Manchester Academic Health Science Centre,Oxford Road,Manchester,M13 9PL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite policy and practice mandates for patient involvement, people with serious mental illness often feel marginalised in decisions about antipsychotic medication. Aims To examine stakeholder perspectives of barriers and facilitators to involving people with serious mental illness in antipsychotic prescribing decisions.

methodSystematic thematic synthesis.

resultsSynthesis of 29 studies identified the following key influences on involvement: patient's capability, desire and expectation for involvement, organisational context, and the consultation setting and processes.

conclusionsOptimal patient involvement in antipsychotic decisions demands that individual and contextual barriers are addressed. There was divergence in perceived barriers to involvement identified by patients and prescribers. For example, patients felt that lack of time in consultations was a barrier to involvement, something seldom raised by prescribers, who identified organisational barriers. Patients must understand their rights to involvement and the value of their expertise. Organisational initiatives should mandate prescriber responsibility to overcome barriers to involvement. Declaration of interest None.

Identifiers

PMID29388908
PMCPMC6020265

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.