PMID- 38063641 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231208 IS - 2227-9032 (Print) IS - 2227-9032 (Electronic) IS - 2227-9032 (Linking) VI - 11 IP - 23 DP - 2023 Nov 30 TI - Knowledge, Attitude and Practice of the Community General Practice Teams on Dysphagia Complicated with Aspiration Pneumonia after Stroke. LID - 10.3390/healthcare11233073 [doi] LID - 3073 AB - This cross-sectional study investigated the knowledge, attitude and practice (KAP) of community general practice (GP) team members on dysphagia complicated with aspiration pneumonia after stroke in Shanghai between October 2022 and November 2022 using a self-administered questionnaire. A total of 551 questionnaires were collected (mean age: 37.59 +/- 8.86 years, 443 (80.40%) females), including 383 (69.51%) physicians. The mean KAP scores were 6.30 +/- 1.54 (possible range: 0-12), 40.32 +/- 5.11 (possible range: 9-45), and 72.54 +/- 13.99 (possible range: 18-90), respectively. Multivariable linear regression analyses suggested that attitude (Coef = 1.29, 95%CI: 1.09-1.50), and holding research funding (Coef = -2.70, 95%CI: -5.00--0.50) were significantly associated with practice toward dysphagia complicated with aspiration pneumonia after stroke of community GP team members. The structural equation model (SEM) indicated that knowledge had a direct influence on attitude (beta = 2.029, p < 0.001) and attitude had a direct impact on practice (beta = 0.710, p < 0.001). Additionally, knowledge exerted both direct (beta = 0.935, p = 0.016) and indirect effects (beta = 1.442, p < 0.001) on practice. In conclusion, this study showed that the community GP team members had poor knowledge, favorable attitudes, and proactive practices. Education and training on the management of dysphagia complicated with aspiration pneumonia after stroke are urgently needed. FAU - He, Daikun AU - He D AUID- ORCID: 0000-0002-0137-5678 AD - Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai 200032, China. AD - Department of General Practice, Jinshan Hospital, Fudan University, Shanghai 201508, China. AD - Center of Emergency and Critical Care Medicine, Jinshan Hospital, Fudan University, Shanghai 201508, China. FAU - Shen, Xueting AU - Shen X AUID- ORCID: 0009-0003-1099-4635 AD - Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai 200032, China. FAU - Wang, Lina AU - Wang L AUID- ORCID: 0000-0003-0551-5882 AD - Department of General Practice, Jinshan Hospital, Fudan University, Shanghai 201508, China. FAU - Pan, Zhigang AU - Pan Z AUID- ORCID: 0000-0002-9733-6170 AD - Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai 200032, China. LA - eng GR - 202040174)/Shanghai Municipal Health Commission/ PT - Journal Article DEP - 20231130 PL - Switzerland TA - Healthcare (Basel) JT - Healthcare (Basel, Switzerland) JID - 101666525 PMC - PMC10706243 OTO - NOTNLM OT - aspiration OT - dysphagia OT - knowledge, attitude and practice(KAP) OT - physicians OT - pneumonia OT - stroke COIS- The authors declare no conflict of interest. EDAT- 2023/12/08 12:42 MHDA- 2023/12/08 12:43 PMCR- 2023/11/30 CRDT- 2023/12/08 10:14 PHST- 2023/08/25 00:00 [received] PHST- 2023/11/21 00:00 [revised] PHST- 2023/11/22 00:00 [accepted] PHST- 2023/12/08 12:43 [medline] PHST- 2023/12/08 12:42 [pubmed] PHST- 2023/12/08 10:14 [entrez] PHST- 2023/11/30 00:00 [pmc-release] AID - healthcare11233073 [pii] AID - healthcare-11-03073 [pii] AID - 10.3390/healthcare11233073 [doi] PST - epublish SO - Healthcare (Basel). 2023 Nov 30;11(23):3073. doi: 10.3390/healthcare11233073.