title: Determining what practising clinicians believe about long-acting injectable antipsychotic medication.
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 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 The effect of outdated views regarding long-acting injectable (LAI) antipsychotics contributes to a gap between actual practice and what is thought to be desirable.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.
authors: Knowledge Centre, Waitemata District Health Board and Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand. wayne.miles@waitematadhb.govt.nz
authors: S Wayne
authors: SW
authors: Miles
authors: Amanda
authors: A
authors: Wheeler
authors: Kate
authors: K
authors: Davies
mesh_terms: D014150:Antipsychotic Agents / Q000008:administration & dosage*; D001291:Attitude of Health Personnel; D003692:Delayed-Action Preparations; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007267:Injections; D009520:New Zealand; D010818:Practice Patterns, Physicians'; D011570:Psychiatry
chemical_list: D014150:Antipsychotic Agents; D003692:Delayed-Action Preparations