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  • Determining what practising clinicians believe about long-acting injectable antipsychotic medication

    Author(s)
    Miles, S Wayne
    Wheeler, Amanda
    Davies, Kate
    Griffith University Author(s)
    Wheeler, Amanda
    Year published
    2011
    Metadata
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    Abstract
    Objective. To explore the factors that influence clinician prescribing choice when using depot anti-psychotics. Methods. A two-phase qualitative exploration of the attitudes to and knowledge about risperidone long-acting injection (RLAI) in a group of New Zealand psychiatrists. The first phase was conducted shortly after the treatment was funded (n = 16), the second phase was a year or so later (n = 35). Data was gathered using a focus group technique with scenario stimulus. The data were examined using thematic analysis. Results. Themes fitted the broad categories of who RLAI was used for, how it was best used, what were ...
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    Objective. To explore the factors that influence clinician prescribing choice when using depot anti-psychotics. Methods. A two-phase qualitative exploration of the attitudes to and knowledge about risperidone long-acting injection (RLAI) in a group of New Zealand psychiatrists. The first phase was conducted shortly after the treatment was funded (n = 16), the second phase was a year or so later (n = 35). Data was gathered using a focus group technique with scenario stimulus. The data were examined using thematic analysis. Results. Themes fitted the broad categories of who RLAI was used for, how it was best used, what were the efficacy determinants and what adverse effect monitoring occurred. For many areas of exploration there was a gap between actual practice and what the psychiatrist thought might be best practice. There was considerable variance in details regarding the administration of the treatment including dose, titration and efficacy monitoring. Conclusions. The results confirm the utility of quantitative exploration in understanding prescribing choice. The effect of outdated views regarding long-acting injectable (LAI) antipsychotics contributes to a gap between actual practice and what is thought to be desirable. The study targeted RLAI but findings are likely to also pertain to other LAI anti-psychotics.
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    Journal Title
    International Journal of Psychiatry in Clinical Practice
    Volume
    15
    Issue
    2
    DOI
    https://doi.org/10.3109/13651501.2011.562301
    Subject
    Clinical sciences
    Mental health services
    Publication URI
    http://hdl.handle.net/10072/40895
    Collection
    • Journal articles

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