Evidence map›Paper›PMID 42129695›Full record

ArticleBMC psychiatry2026

Barriers to long-acting injectable antipsychotic use for community-dwelling patients with schizophrenia in China: a qualitative process analysis.

Changjie Cui, Yinhua Zhou, Di Wang, Ni Gong, Feng Liang, Wenwen Gao, Zhan He, Haotan Wu, Yu Zhang, Qian Tian and 1 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Changjie Cui *School of Sociology and Anthropology, Sun Yat-sen University, Guangzhou, 510275, China.
Yinhua Zhou *Department of Medical Humanities, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518107, China.
Di Wang *Health Management Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518107, China.
Ni GongSchool of Nursing, Jinan University, Guangzhou, 510632, China.
Feng LiangThe Third People's Hospital of Maoming, Maoming, 525200, China.
Wenwen GaoGuangzhou Likang Social Work Service Center, Guangzhou, 510360, China.
Zhan HeThe Third People's Hospital of Maoming, Maoming, 525200, China.
Haotan WuSchool of Sociology and Anthropology, Sun Yat-sen University, Guangzhou, 510275, China.
Yu ZhangDepartment of Dermato-Venereology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, 518107, China. zhangyu@sysush.com.
Qian TianSchool of Social Sciences, Yunnan Minzu University, Kunming, 650504, China. tianqian@vip.126.com.
Yu ChengSchool of Sociology and Anthropology, Sun Yat-sen University, Guangzhou, 510275, China. chengyu@mail.sysu.edu.cn.

Funding

The National Social Science Fund of China No. 20&ZD122
6 · The paper itself

Abstract

backgroundLong-acting injectable antipsychotics (LAIs) have proven more effective for treating patients with schizophrenia than oral formulations. However, the use of LAIs in China remains low and this phenomenon is still under-researched. This study endeavors to provide a better understanding by systematically amalgamating the difficulties and barriers encountered by patients with schizophrenia in China when accessing LAIs from a process-oriented perspective, thereby making a significant contribution to filling the critical void in the existing literature.

methodsSchizophrenia patients receiving rehabilitation services at community mental health rehabilitation centres in Guangzhou, China, were sampled using a convenience sampling method. Semi-structured qualitative interviews were conducted to explore participants' attitudes and experiences with LAIs treatment, and data were coded and analysed using thematic analysis.

resultsBetween December 18, 2023, and April 23, 2024, 88 participants were recruited, including 33 patients, 33 primary caregivers, 11 community psychiatric management physicians (CPMPs), and 11 psychiatrists. Four major themes emerged from the study: (1) poorly coordinated organisational structures; (2) negative perceptions of patients regarding LAIs; (3) cautious and concern-ridden enrolment decisions; (4) unclear medication side effects. Serving as the foundation of the entire process, the poorly coordinated organisational structures described in Theme 1 provide the context for subsequent themes, which further identify specific process barriers that complicate access to LAIs.

conclusionsThis study explores barriers to LAIs treatment for schizophrenia from a process-oriented perspective, incorporating stakeholder attitudes and providing empirical evidence for clinical practice and policy improvement. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Antipsychotic AgentsHealth Services AccessibilitySchizophreniaAdultChinaDelayed-Action PreparationsFemaleHumansIndependent LivingInjectionsMaleMiddle AgedQualitative ResearchAntipsychotic AgentsDelayed-Action PreparationsCommunity mental health servicesHealth services accessibilityProcess-oriented perspective

Identifiers

PMID42129695
PMCPMC13347875

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.