Implementation of asthma clinical practice guidelines in primary care: A cross-sectional study based on the Knowledge-to-Action Cycle.

{"article_title":"Implementation of asthma clinical practice guidelines in primary care: A cross-sectional study based on the Knowledge-to-Action Cycle.","author":"Gagn\ufffd ME, Boulet LP","journal_title":"The Journal of asthma : official journal of the Association for the Care of Asthma","issn":"1532-4303","isbn":"","publication_date":"2018 Mar","volume":"55","issue":"3","first_page":"310","page_count":"","accession_number":"28548896","doi":"10.1080\/02770903.2017.1323919","publisher":"Informa Healthcare","doctype":"Journal Article","subjects":"Quebec; Asthma; Attitude of Health Personnel; Guideline Adherence; Physicians, Primary Care psychology; Practice Guidelines as Topic; Adult; Female; Humans; Male; Middle Aged; Perception; Practice Patterns, Physicians'; Primary Health Care; Quebec; Surveys and Questionnaires","interest_area":["Pulmonology"," Immunology Allergy & Inflammation"," Internal\/Family Medicine"],"abstract":"Objective: Based on the Knowledge-to-Action Cycle, we assessed the self-reported implementation and perception of asthma clinical practice guideline (CPG) recommendations in primary care physicians (PCPs), along with the barriers and facilitators to CPG use in primary care. Methods: We conducted a cross-sectional study. Using the extended Asthma Physicians' Practice Assessment Questionnaire \ufffd , PCPs self-reported the following: their knowledge of 15 key asthma CPG recommendations, the perceived usefulness of each of these recommendations, their motivation to apply these recommendations, and their agreement with the content of these recommendations. Participants also reported the barriers and facilitators to CPG use in primary care. Results: Out of the 46 potential participants, 43 physicians completed the questionnaire (response rate: 93%). Results underlined care gaps regarding the provision of asthma education and written action plans, inhaler technique demonstrations, and assessment of patients' concerns. Results showed that the majority of physicians knew the key asthma CPG recommendations, but their motivation to implement them and the perceived usefulness of these recommendations varied from one proposal to another. Main barriers to the implementation of these recommendations were related to time and resources. PCPs stressed the importance of teamwork for enhancing the use of asthma CPGs in primary care. Conclusions: Our results suggest that the implementation of asthma CPGs remains suboptimal in primary care. Interventions addressing the identified barriers and providing facilitators to asthma CPG implementation, such as continuing education, could be implemented and evaluated to sustain asthma CPG use in primary care settings.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=28548896&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Gagn\u00e9 ME, Boulet LP","Journal_Info":"Publisher: Informa Healthcare Country of Publication: England NLM ID: 8106454 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-4303 (Electronic) Linking ISSN: 02770903 NLM ISO Abbreviation: J Asthma Subsets: MEDLINE","Publication_Type":"Journal Article","Published_Date":"2018-03-01","Source":"The Journal of asthma : official journal of the Association for the Care of Asthma [J Asthma] 2018 Mar; Vol. 55 (3), pp. 310-317. Date of Electronic Publication: 2017 May 26.","Languages":"English","Electronic_ISSN":"1532-4303","MeSH_Terms":"Asthma* , Attitude of Health Personnel* , Guideline Adherence* , Practice Guidelines as Topic*, Physicians, Primary Care\/*psychology, Adult ; Female ; Humans ; Male ; Middle Aged ; Perception ; Practice Patterns, Physicians' ; Primary Health Care ; Quebec ; Surveys and Questionnaires","Subjects":"Adult, Female, Humans, Male, Middle Aged, Perception, Practice Patterns, Physicians', Primary Health Care, Quebec, Surveys and Questionnaires, Asthma, Attitude of Health Personnel, Guideline Adherence, Physicians, Primary Care psychology, Practice Guidelines as Topic","Title_Abbreviations":"The Journal of asthma : official journal of the Association for the Care of Asthma","Volume":"55"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"28548896","RelevancyScore":"821","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"821.173461914063"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=28548896&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=28548896&authtype=shib&custid=ns346513&group=main&profile=eds"}