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

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 Malaysi...

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Main Authors: Ng, khai Lip, Huan, Nai Chien, Mohammad, Fatimah Azmah, Mohd Aminudin, Nur Husna, Muhammad, Fatimah A'tirah, Abdul Rahaman, Jamalul Azizi
Format: Article
Published: European Respiratory Society 2021
Online Access:http://psasir.upm.edu.my/id/eprint/95816/
https://www.e-mjm.org/2022/v77n1
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spelling my.upm.eprints.958162023-04-04T04:05:39Z http://psasir.upm.edu.my/id/eprint/95816/ A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia Ng, khai Lip Huan, Nai Chien Mohammad, Fatimah Azmah Mohd Aminudin, Nur Husna Muhammad, Fatimah A'tirah Abdul Rahaman, Jamalul Azizi 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. Materials and 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. European Respiratory Society 2021 Article PeerReviewed Ng, khai Lip and Huan, Nai Chien and Mohammad, Fatimah Azmah and Mohd Aminudin, Nur Husna and Muhammad, Fatimah A'tirah and Abdul Rahaman, Jamalul Azizi (2021) A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia. European Respiratory Journal, 77 (1). pp. 33-40. ISSN 0903-1936; ESSN: 1399-3003 https://www.e-mjm.org/2022/v77n1
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description 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. Materials and 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 Ng, khai Lip
Huan, Nai Chien
Mohammad, Fatimah Azmah
Mohd Aminudin, Nur Husna
Muhammad, Fatimah A'tirah
Abdul Rahaman, Jamalul Azizi
spellingShingle Ng, khai Lip
Huan, Nai Chien
Mohammad, Fatimah Azmah
Mohd Aminudin, Nur Husna
Muhammad, Fatimah A'tirah
Abdul Rahaman, Jamalul Azizi
A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia
author_facet Ng, khai Lip
Huan, Nai Chien
Mohammad, Fatimah Azmah
Mohd Aminudin, Nur Husna
Muhammad, Fatimah A'tirah
Abdul Rahaman, Jamalul Azizi
author_sort Ng, khai Lip
title A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia
title_short A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia
title_full A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia
title_fullStr A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia
title_full_unstemmed A nationwide survey on awareness and knowledge about Bronchial Provocation Test amongst doctors in Malaysia
title_sort nationwide survey on awareness and knowledge about bronchial provocation test amongst doctors in malaysia
publisher European Respiratory Society
publishDate 2021
url http://psasir.upm.edu.my/id/eprint/95816/
https://www.e-mjm.org/2022/v77n1
_version_ 1762394230666297344
score 13.211869

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