ArticleFrontiers in pharmacology2026
Knowledge, attitudes, and practices of primary care general practitioners regarding COPD inhaler education: a cross-sectional study in Yiwu, China.
Article in Frontiers in pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To understand GPs' (General Practitioners') knowledge, attitudes, and practices concerning inhalation education for COPD patients; to pinpoint key discrepancies between knowledge, attitude, and behavior; to offer evidence for designing multi-level targeted training and implementation strategies that can enhance the quality of inhaler education provided at the grassroots level. Methods: A cross-sectional, web-based study was conducted among GPs in Yiwu, Zhejiang Province, China, from November to December 2025. A validated, self-administered questionnaire assessed KAP across three dimensions (knowledge, attitude, practice). Descriptive statistics, Kruskal-Wallis H test, correlation analysis, and multiple regression were used for data analysis. Results: Among the 213 participating GPs, mean standardized scores (0-100) were 31.2 ± 9.0 for knowledge, 84.1 ± 12.5 for attitude, and 41.0 ± 15.4 for practice. Lower knowledge scores were observed among GPs with junior professional titles (28.4 ± 9.0) and those with less than 5 years of clinical experience (27.1 ± 9.1). Multivariate regression showed that knowledge was independently associated with practice behavior (standardized β = 0.508, P < 0.001). Conclusion: This study indicates that GPs in Yiwu showed positive attitudes but insufficient knowledge and practice in COPD inhaler education, with a clear attitude-practice gap. These findings may support the development of targeted strategies to improve GPs' engagement in inhaler technique education for COPD patients.
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