Measurements are performed on patient and staff level. An overview of all measurements at baseline, six and twelve months is given in Table 4.Table 4LION trial measurement overviewBaseline6 months12 monthsMeasurements on patient level Routine Outcome Monitoring General informationBirth year, gender, diagnoses, year of first psychosisXMedication useXX Physical measuresHeightXXXWeightXXXWaist circumferenceXXXBlood pressure (systolic, diastolic, pulse)XXX Lab testLipids (Total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides)XXXGlucose metabolism (glucose, HbA1c)XXX Psychological measuresb CDSSXXPANSSXXHoNOSXXMANSAXX Cost-effectivenessa Dutch care consumption questionnaireXXXSF6DXXX Web tool TLM Lifestyle habitsDaily physical activity (SQUASH)XXXFood frequency questionnaire (adapted to patient population)XXX Additional measure by research assistantPhysical activity (pedometers) and body fatnessc XXXMeasurements on staff level General informationBirth year, gender, level of education, number of years working in psychiatry, functionX Staff questionnaireKnowledge on diet and physical activity, attitude towards lifestyle changes in patients, self-efficacy in addressing lifestyle issues with patientsXXDaily physical activity (SQUASH)XXFood frequency questionnaireXX a Measures are not part of standard ROM screening but added to ROM screening for the purpose of this study. b The conducted psychosocial measures within the ROM protocol could vary per team, not all teams conduct every psychosocial measure. c Only conducted by one of the five health care organisations (GGZ Friesland)