Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists

BACKGROUND: Chronic obstructive pulmonary disease (COPD) significantly contributes to global morbidity and mortality. Despite increasing COPD prevalence in Saudi Arabia, knowledge of and barriers to adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines among respi...

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Main Authors: Nowaf Y. Alobaidi, Abdulelah M. Aldhahir, Ahmed H. Alasimi, Mohammed A. Almeshari, Ali Altoraibili, Aqeel Al-Abdulsalam, Ahmed Almoraihel, Thamer Alabbad, Elyas Alanazi, Rayan A. Siraj, Jaber S. Alqahtani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications
Series:Annals of Thoracic Medicine
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Online Access:https://journals.lww.com/10.4103/atm.atm_227_24
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author Nowaf Y. Alobaidi
Abdulelah M. Aldhahir
Ahmed H. Alasimi
Mohammed A. Almeshari
Ali Altoraibili
Aqeel Al-Abdulsalam
Ahmed Almoraihel
Thamer Alabbad
Elyas Alanazi
Rayan A. Siraj
Jaber S. Alqahtani
author_facet Nowaf Y. Alobaidi
Abdulelah M. Aldhahir
Ahmed H. Alasimi
Mohammed A. Almeshari
Ali Altoraibili
Aqeel Al-Abdulsalam
Ahmed Almoraihel
Thamer Alabbad
Elyas Alanazi
Rayan A. Siraj
Jaber S. Alqahtani
author_sort Nowaf Y. Alobaidi
collection DOAJ
description BACKGROUND: Chronic obstructive pulmonary disease (COPD) significantly contributes to global morbidity and mortality. Despite increasing COPD prevalence in Saudi Arabia, knowledge of and barriers to adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines among respiratory therapists (RTs) remain limited. This study assessed RT awareness and barriers to adherence to the updated 2023 GOLD guidelines for COPD management in Saudi Arabia. METHODS: A modified cross-sectional online survey (snowball sampling) was distributed via social media from December 2023 to March 2024. The questionnaire covered eight domains: six assessing knowledge of COPD (overview, diagnosis, stable COPD therapy, pharmacological and nonpharmacological management of COPD and exacerbations, and COPD prevention and comorbidity), one on barriers to guideline adherence, and one on attitudes toward guidelines. A knowledge score (out of 39) was calculated. Descriptive statistics, tests for group differences, and regression analyses were conducted. RESULTS: Three hundred and twenty-six RTs (65.6% of males) participated. The average knowledge score was 18.9 ± 5.75 out of 39 (49.9% correct answers), indicating low COPD knowledge. Higher scores were associated with more COPD cases and bedside RT roles. While 53.1% of RTs expressed positive attitudes toward guideline utilization, only 16.9% of RTs reported recent use and 12.9% reported consistent use over the past 6 months. Key barriers included limited time for professional development (40.8%) and inadequate educational resources (37.7%). CONCLUSION: This study reveals a knowledge gap and suboptimal COPD guidelines adherence among RTs in Saudi Arabia. Knowledge level correlated with COPD cases and RT role. Targeted interventions are needed to improve guideline adherence and COPD care.
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spelling doaj-art-f7dc42db99954dffb9dffa8cb7a9716a2025-08-20T02:03:20ZengWolters Kluwer Medknow PublicationsAnnals of Thoracic Medicine1817-17371998-355720210811610.4103/atm.atm_227_24Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapistsNowaf Y. AlobaidiAbdulelah M. AldhahirAhmed H. AlasimiMohammed A. AlmeshariAli AltoraibiliAqeel Al-AbdulsalamAhmed AlmoraihelThamer AlabbadElyas AlanaziRayan A. SirajJaber S. AlqahtaniBACKGROUND: Chronic obstructive pulmonary disease (COPD) significantly contributes to global morbidity and mortality. Despite increasing COPD prevalence in Saudi Arabia, knowledge of and barriers to adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines among respiratory therapists (RTs) remain limited. This study assessed RT awareness and barriers to adherence to the updated 2023 GOLD guidelines for COPD management in Saudi Arabia. METHODS: A modified cross-sectional online survey (snowball sampling) was distributed via social media from December 2023 to March 2024. The questionnaire covered eight domains: six assessing knowledge of COPD (overview, diagnosis, stable COPD therapy, pharmacological and nonpharmacological management of COPD and exacerbations, and COPD prevention and comorbidity), one on barriers to guideline adherence, and one on attitudes toward guidelines. A knowledge score (out of 39) was calculated. Descriptive statistics, tests for group differences, and regression analyses were conducted. RESULTS: Three hundred and twenty-six RTs (65.6% of males) participated. The average knowledge score was 18.9 ± 5.75 out of 39 (49.9% correct answers), indicating low COPD knowledge. Higher scores were associated with more COPD cases and bedside RT roles. While 53.1% of RTs expressed positive attitudes toward guideline utilization, only 16.9% of RTs reported recent use and 12.9% reported consistent use over the past 6 months. Key barriers included limited time for professional development (40.8%) and inadequate educational resources (37.7%). CONCLUSION: This study reveals a knowledge gap and suboptimal COPD guidelines adherence among RTs in Saudi Arabia. Knowledge level correlated with COPD cases and RT role. Targeted interventions are needed to improve guideline adherence and COPD care.https://journals.lww.com/10.4103/atm.atm_227_24chronic obstructive pulmonary diseaseknowledgerespiratory therapysaudi arabia
spellingShingle Nowaf Y. Alobaidi
Abdulelah M. Aldhahir
Ahmed H. Alasimi
Mohammed A. Almeshari
Ali Altoraibili
Aqeel Al-Abdulsalam
Ahmed Almoraihel
Thamer Alabbad
Elyas Alanazi
Rayan A. Siraj
Jaber S. Alqahtani
Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists
Annals of Thoracic Medicine
chronic obstructive pulmonary disease
knowledge
respiratory therapy
saudi arabia
title Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists
title_full Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists
title_fullStr Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists
title_full_unstemmed Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists
title_short Awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists
title_sort awareness and barriers of adherence to chronic obstructive pulmonary disease guidelines among respiratory therapists
topic chronic obstructive pulmonary disease
knowledge
respiratory therapy
saudi arabia
url https://journals.lww.com/10.4103/atm.atm_227_24
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