Implementation of a clinical practice guideline for schizophrenia in a specialist mental health center: an observational study

Table 1 Service user outcome and process adherence metric selection via modified Delphi process

Outcome Measures	Importance	Validity	Scientific soundness	Usability	Feasibility	Ranking
CGI-SCH	HIGH	HIGH	MED	MED	HIGH	1
Degree of involvement in vocational rehabilitation	HIGH	HIGH	MED	MED	HIGH
Brief Psychiatric Rating Scale	MED	HIGH	MED	MED	MED
Degree of Independent Living	HIGH	HIGH	MED	LOW	MED
PANSS	MED	MED	MED	MED	LOW
Service user Satisfaction Survey Responses	HIGH	LOW	LOW	MED	MED
Development of Metabolic Syndrome/Diabetes	HIGH	HIGH	MED	MED	MED
GAF Score	MED	MED	MED	MED	MED
Process Adherence Measures
Percentage of Service users on Multiple Antipsychotics (excluding clozapine)	MED	HIGH	MED	HIGH	MED	1
Percentage of service users who have metabolic monitoring at recommended intervals	HIGH	HIGH	HIGH	HIGH	LOW	2
Percentage of service users referred for supported employment/vocational services	HIGH	MED	HIGH	HIGH	HIGH	3
Percentage of service users referred to CBT for psychosis	HIGH	MED	HIGH	HIGH	HIGH	4
Percentage of service users on recommended dosages (within therapeutic range) of antipsychotic medication	MED	MED	MED	HIGH	LOW
Percentage of service users with a summary of previous medication trials	MED	MED	MED	HIGH	MED
Percentage of first-episode service users who have had a MRI brain	MED	LOW	LOW	HIGH	HIGH
Percentage of service users that have an annual physical exam	MED	LOW	LOW	HIGH	HIGH

ISSN: 1472-6963