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Table 5 Impact on knowledge, attitude and perceived external barriers

From: Improving occupational physicians’ adherence to a practice guideline: feasibility and impact of a tailored implementation strategy

  t0 t1 p-value a
  N freq (%) N freq (%)  
Knowledge-related barriers      
Lack of awareness/familiarity 31 5 (16.1%) 31 0 (0%) .03
Attitude-related barriers      
Lack of agreement      
 Lack of evidence 31 2 (6.5%) 31 0 (0%) .16
 Lack of applicability in general 31 15 (48.4%) 31 8 (25.8%) .09
 Lack of applicability to individual patients 31 14 (45.2%) 31 5 (16.1%) .01
Lack of self-efficacy 31 11 (35.5%) 31 0 (0%) <.01
Lack of outcome expectancy 31 0 (0%) 31 0 (0%) 1
Inertia of previous practice/lack of motivation 31 16 (51.6%) 31 8 (25.8%) .04
External barriers      
Patient factors      
 Patient preferences/demands 31 6 (19.4%) 29 1 (3.4%) .22
 Patient ability and behavior 31 17 (54.8%) 30 10 (33.3%) .09
Guideline factors      
 Guideline recommendation factors 31 5 (16.1%) 31 2 (6.5%) .38
Environmental factors      
 Time pressure/lack of time 30 14 (46.7%) 31 15 (48.4%) 1
 Lack of resources/materials 29 3 (10.3%) 30 2 (6.7%) .63
 Organizational constraints 31 10 (32.3%) 31 3 (9.7%) .07
 Lack of reimbursement 31 7 (22.6%) 29 3 (10.3%) .29
  1. Mean percentage of occupational physicians who agree with the perceived barriers in adhering to the guideline ‘Mental Health Problems’ before (t0) and after (t1) the guideline training.
  2. aMcNemar test for paired samples.