The impact of provider knowledge and attitudes toward national asthma guidelines on self-reported implementation of guidelines

Journal Name: 
J.Asthma.
Authors: 
Tumiel-Berhalter,L.M.
Watkins,R.
Abstract: 
This study determines the impact of provider knowledge and attitude on implementation of guidelines: spirometry, peak flows, patient assessments, action plans, severity assessment, and anti-inflammatories. A self-administered survey conducted in academic family practice sites in Buffalo, NY assessed knowledge, self-reported use, and perceived usefulness. Knowledge was associated with regular use of peak flows (p = 0.048) and anti-inflammatories (p = 0.01). Positive attitude was associated with regular use of spirometry (p = 0.03), peak flows (p < or = 0.001), patient assessments (p = 0.02), action plans (p = 0.046), anti-inflammatories (p < or = 0.001), and severity assessment (p < or = 0.001). Perceived usefulness is critical to implementing asthma guidelines. Interventions to improve provider adherence must address attitude
10
2006
Volume: 
43
Pages: 
625-628
Keywords: 
adherence, Adult, Aged, Anti-Asthmatic Agents, Anti-Inflammatory Agents, Asthma, Attitude, Attitude of Health Personnel, Diagnosis, Drug Therapy, Family, Family Practice, Female, Guideline Adherence, Guidelines, Health Knowledge,Attitudes,Practice, Humans, intervention, knowledge, Male, Medicine, Middle Aged, New York, patient, Peak Expiratory Flow Rate, Practice Guidelines as Topic, Primary Health Care, provider, Spirometry, statistics & numerical data, survey, therapeutic use, Universities