A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia

ABSTRACT Background: Bronchial provocation test (BPT) is widely used internationally not only to evaluate bronchial responsiveness in conditions especially asthma, but is also utilized as a marker of control, severity and prognosis for asthma. However, the uptake of BPT in certain countries in...

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Main Authors: Khai Lip, Ng, Nai-Chien, Huan, Fatimah Azmah, Mohammad, Nur Husna, Mohd Aminudin, Fatimah A'tirah, Mohamad, Jamalul Azizi, Abdul Rahaman
Format: Article
Language:English
Published: Malaysian Medical Association 2022
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Online Access:http://ir.unimas.my/id/eprint/37761/1/bronchial1.pdf
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spelling my.unimas.ir.377612022-01-17T23:56:50Z http://ir.unimas.my/id/eprint/37761/ A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia Khai Lip, Ng Nai-Chien, Huan Fatimah Azmah, Mohammad Nur Husna, Mohd Aminudin Fatimah A'tirah, Mohamad Jamalul Azizi, Abdul Rahaman R Medicine (General) ABSTRACT Background: Bronchial provocation test (BPT) is widely used internationally not only to evaluate bronchial responsiveness in conditions especially asthma, but is also utilized as a marker of control, severity and prognosis for asthma. However, the uptake of BPT in certain countries including Malaysia remains low. We aimed to explore this lack of knowledge by assessing the current level of awareness and knowledge on BPT amongst doctors in Malaysia. Methods: A nationwide web-based questionnaire targeting doctors was sent through social media (Facebook, WhatsApp and Telegram) and Malaysian Medical Association (MMA) mailing lists between 1 October 2020 – 5 February 2021. Results: In all 415 survey responses were analysed from doctors of various grades namely medical officers to consultants. A total of 404 (97.35%) encountered patients with asthma in their daily practice. According to specialty: 169 (40.72%) were from primary care, 121 (29.16%) internal medicine, 50 (12.05%) pulmonary medicine and 75 (18.07%) others. Only 163 (39.28%) were aware of BPT as a tool to diagnose asthma. 232 (55.90%) and 124 (29.88%) regarded BPT as an important test and felt confident to refer patients for BPT respectively. Of those participants who were not confident to refer: 35.17% were unsure of BPT indications, 33.21% were unsure of centres providing BPT, 8.17% cited logistic reasons, 6.04% were concerned of possible BPT side effects. 387 (93.25%) wanted more training in BPT. The median BPT knowledge score was 20% (1 out of 5). Awareness and knowledge were affected by specialty but not by: region of practice, gender, age and grade from logistic regression analysis. Conclusion: Various national level programs and targeted local interventions are much needed to increase the awareness, knowledge and uptake of BPT in Malaysia. Malaysian Medical Association 2022-01 Article PeerReviewed text en http://ir.unimas.my/id/eprint/37761/1/bronchial1.pdf Khai Lip, Ng and Nai-Chien, Huan and Fatimah Azmah, Mohammad and Nur Husna, Mohd Aminudin and Fatimah A'tirah, Mohamad and Jamalul Azizi, Abdul Rahaman (2022) A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia. Medical Journal of Malaysia, 77 (1). pp. 783-790. ISSN 0300-5283 http://www.e-mjm.org/
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Khai Lip, Ng
Nai-Chien, Huan
Fatimah Azmah, Mohammad
Nur Husna, Mohd Aminudin
Fatimah A'tirah, Mohamad
Jamalul Azizi, Abdul Rahaman
A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia
description ABSTRACT Background: Bronchial provocation test (BPT) is widely used internationally not only to evaluate bronchial responsiveness in conditions especially asthma, but is also utilized as a marker of control, severity and prognosis for asthma. However, the uptake of BPT in certain countries including Malaysia remains low. We aimed to explore this lack of knowledge by assessing the current level of awareness and knowledge on BPT amongst doctors in Malaysia. Methods: A nationwide web-based questionnaire targeting doctors was sent through social media (Facebook, WhatsApp and Telegram) and Malaysian Medical Association (MMA) mailing lists between 1 October 2020 – 5 February 2021. Results: In all 415 survey responses were analysed from doctors of various grades namely medical officers to consultants. A total of 404 (97.35%) encountered patients with asthma in their daily practice. According to specialty: 169 (40.72%) were from primary care, 121 (29.16%) internal medicine, 50 (12.05%) pulmonary medicine and 75 (18.07%) others. Only 163 (39.28%) were aware of BPT as a tool to diagnose asthma. 232 (55.90%) and 124 (29.88%) regarded BPT as an important test and felt confident to refer patients for BPT respectively. Of those participants who were not confident to refer: 35.17% were unsure of BPT indications, 33.21% were unsure of centres providing BPT, 8.17% cited logistic reasons, 6.04% were concerned of possible BPT side effects. 387 (93.25%) wanted more training in BPT. The median BPT knowledge score was 20% (1 out of 5). Awareness and knowledge were affected by specialty but not by: region of practice, gender, age and grade from logistic regression analysis. Conclusion: Various national level programs and targeted local interventions are much needed to increase the awareness, knowledge and uptake of BPT in Malaysia.
format Article
author Khai Lip, Ng
Nai-Chien, Huan
Fatimah Azmah, Mohammad
Nur Husna, Mohd Aminudin
Fatimah A'tirah, Mohamad
Jamalul Azizi, Abdul Rahaman
author_facet Khai Lip, Ng
Nai-Chien, Huan
Fatimah Azmah, Mohammad
Nur Husna, Mohd Aminudin
Fatimah A'tirah, Mohamad
Jamalul Azizi, Abdul Rahaman
author_sort Khai Lip, Ng
title A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia
title_short A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia
title_full A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia
title_fullStr A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia
title_full_unstemmed A nationwide survey on awareness and knowledge about Bronchial Provocation Test (BPT) amongst doctors in Malaysia
title_sort nationwide survey on awareness and knowledge about bronchial provocation test (bpt) amongst doctors in malaysia
publisher Malaysian Medical Association
publishDate 2022
url http://ir.unimas.my/id/eprint/37761/1/bronchial1.pdf
http://ir.unimas.my/id/eprint/37761/
http://www.e-mjm.org/
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score 13.211869