TY - JOUR
T1 - Perceived adherence and associated barriers to the national atopic dermatitis guideline
T2 - A survey among general practitioners
AU - Ragamin, Aviël
AU - van Halewijn, Karlijn F.
AU - Schuttelaar, Marie L.A.
AU - Lugtenberg, Marjolein
AU - Pasmans, Suzanne G.M.A.
AU - Elshout, Gijs
AU - Schappin, Renske
N1 - Funding Information:
The authors thank all participating GPs.
Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - Background: General practitioners (GPs) have an important role in managing patients with atopic dermatitis (AD). Although pivotal, adherence to dermatological guidelines in general practice has not been assessed. Objectives: To assess GPs’ perceived adherence and barriers to the Dutch AD guideline. Methods: A survey was conducted among 391 GPs in the Netherlands between December 2021 and May 2022. GPs rated their perceived adherence and perceived barriers concerning five key recommendations of the AD guideline, following an existing framework. The correlation between perceived adherence and barriers was investigated using Spearman’s rank correlation.Results: A total of 213 GPs (54%) participated. Perceived adherence rates varied across recommendations (43.7% to 98.1%). Lowest adherence was reported for recommendations concerning topical corticosteroids (TCS). Across all recommendations, patient factors (65.6%; SD 11.6) and lack of applicability to specific patient groups (29.5%; SD 10.5) were reported most frequently as barriers. The overall correlation between adherence and barriers was strongest for knowledge (ρ.55; SD.10) and attitude-related factors (range: ρ.40--.62). Conclusion: GPs’ perceived adherence and barriers vary substantially across recommendations of the AD guideline. In particular, GPs reported lower adherence to recommendations concerning TCS. Next to patient-related factors, strong correlations between adherence perceived by GPs and knowledge and attitude-related barriers suggest the importance of addressing these factors as well to improve adherence.
AB - Background: General practitioners (GPs) have an important role in managing patients with atopic dermatitis (AD). Although pivotal, adherence to dermatological guidelines in general practice has not been assessed. Objectives: To assess GPs’ perceived adherence and barriers to the Dutch AD guideline. Methods: A survey was conducted among 391 GPs in the Netherlands between December 2021 and May 2022. GPs rated their perceived adherence and perceived barriers concerning five key recommendations of the AD guideline, following an existing framework. The correlation between perceived adherence and barriers was investigated using Spearman’s rank correlation.Results: A total of 213 GPs (54%) participated. Perceived adherence rates varied across recommendations (43.7% to 98.1%). Lowest adherence was reported for recommendations concerning topical corticosteroids (TCS). Across all recommendations, patient factors (65.6%; SD 11.6) and lack of applicability to specific patient groups (29.5%; SD 10.5) were reported most frequently as barriers. The overall correlation between adherence and barriers was strongest for knowledge (ρ.55; SD.10) and attitude-related factors (range: ρ.40--.62). Conclusion: GPs’ perceived adherence and barriers vary substantially across recommendations of the AD guideline. In particular, GPs reported lower adherence to recommendations concerning TCS. Next to patient-related factors, strong correlations between adherence perceived by GPs and knowledge and attitude-related barriers suggest the importance of addressing these factors as well to improve adherence.
UR - http://www.scopus.com/inward/record.url?scp=85168428620&partnerID=8YFLogxK
U2 - 10.1080/13814788.2023.2242583
DO - 10.1080/13814788.2023.2242583
M3 - Article
C2 - 37603039
AN - SCOPUS:85168428620
SN - 1381-4788
VL - 29
JO - European Journal of General Practice
JF - European Journal of General Practice
IS - 1
M1 - 2242583
ER -