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

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

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