{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:11:02Z","timestamp":1777432262604,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,9,23]],"date-time":"2015-09-23T00:00:00Z","timestamp":1442966400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate the monitoring of metabolic parameters among outpatients maintained on antipsychotic medications in a general hospital setting in Malaysia and to assess the impact of a local monitoring protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>By performing a baseline audit of files from a random sample of 300 patients prescribed antipsychotic medications for at least 1 year; we determined the frequency of metabolic monitoring. The findings informed the design of a new local protocol, on which clinical staff was briefed. We re-evaluated metabolic monitoring immediately after implementation, in a small sample of new referrals and current patients. We explored staff perceptions of the initiative with a follow-up focus group, 6 months post-implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The baseline audit revealed a sub-optimal frequency of metabolic parameter recording. Re-audit, following implementation of the new protocol, revealed improved monitoring but persisting deficits. Dialogue with the clinical staff led to further protocol modification, clearer definition of staff roles and use of a standard recording template. Focus group findings revealed positive perceptions of the initiative, but persisting implementation barriers, including cultural issues surrounding waist circumference measurement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Responding to challenges in achieving improved routine metabolic monitoring of patients maintained on antipsychotics required on-going dialogue with the clinical staff, in order to address both service pressures and cultural concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1039856215604484","type":"journal-article","created":{"date-parts":[[2015,9,23]],"date-time":"2015-09-23T21:32:55Z","timestamp":1443043975000},"page":"67-71","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Improving metabolic monitoring in patients maintained on antipsychotics in Penang, Malaysia"],"prefix":"10.1177","volume":"24","author":[{"given":"Esther SL","family":"Hor","sequence":"first","affiliation":[{"name":"3rd Year Medical Student, School of Medicine and Medical Sciences, University College Dublin (UCD), Belfield, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sivasangari","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Research Officer, Penang General Hospital, Penang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Min","family":"Koay","sequence":"additional","affiliation":[{"name":"Lecturer, Department of Pre-University Studies, Disted College, Penang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arokiamary","family":"Bharathy","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Psychiatry, Penang Medical College, Penang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umadevi","family":"Vasudevan","sequence":"additional","affiliation":[{"name":"Senior Lecturer, Department of Psychiatry, Penang Medical College, Penang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph J","family":"Panickulam","sequence":"additional","affiliation":[{"name":"Senior Lecturer, Department of Psychiatry, Penang Medical College, Penang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"InnTiong","family":"Ng","sequence":"additional","affiliation":[{"name":"Consultant Psychiatrist, Penang General Hospital, Penang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nor Hayati","family":"Arif","sequence":"additional","affiliation":[{"name":"Clinical Director, Department of Psychiatry, Penang General Hospital, Penang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Russell","sequence":"additional","affiliation":[{"name":"Honorary Clinical Associate Professor, Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,23]]},"reference":[{"key":"bibr1-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2011.tb00036.x"},{"key":"bibr2-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171100105X"},{"key":"bibr3-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60460-8"},{"key":"bibr4-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2013.01.005"},{"key":"bibr5-1039856215604484","unstructured":"Ministry of Health of Malaysia. Clinical Practice Guideline for the Management of Schizophrenia in Adults 2009. Putrajaya: Ministry of Health of Malaysia, 2009."},{"key":"bibr6-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1097\/JCP.0b013e3181c1b44a"},{"key":"bibr7-1039856215604484","doi-asserted-by":"publisher","DOI":"10.3109\/10398561003692571"},{"key":"bibr8-1039856215604484","unstructured":"International Diabetes Federation (IDF). The IDF Concensus Worldwide Definition of Metabolic Syndrome. Brussels: IDF, 2006."},{"key":"bibr9-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20130"},{"key":"bibr10-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.111.037994"},{"key":"bibr11-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmp048"},{"key":"bibr12-1039856215604484","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2009.00595.x"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215604484","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1039856215604484","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215604484","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:47:56Z","timestamp":1777376876000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1039856215604484"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,23]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["10.1177\/1039856215604484"],"URL":"https:\/\/doi.org\/10.1177\/1039856215604484","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,23]]}}}