title: The impact of provider knowledge and attitudes toward national asthma guidelines on self-reported implementation of guidelines.
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.
authors.affiliation: Department of Family Medicine, University at Buffalo, State University of New York, USA. tumiel@buffalo.edu
authors.forename: Laurene M
authors.initials: LM
authors.lastname: Tumiel-Berhalter
authors.forename: Robert
authors.initials: R
authors.lastname: Watkins
mesh_terms: D000328:Adult; D000368:Aged; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001249:Asthma / Q000175:diagnosis* / Q000188:drug therapy*; D001291:Attitude of Health Personnel; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009518:New York; D010366:Peak Expiratory Flow Rate; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000706:statistics & numerical data; D013147:Spirometry
chemical_list: D018927:Anti-Asthmatic Agents; D000893:Anti-Inflammatory Agents