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U.S. healthcare providers' knowledge, attitudes, beliefs, and perceptions concerning Chronic Fatigue Syndrome

机译：美国医疗保健提供者关于慢性疲劳综合症的知识，态度，信念和看法

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Background Chronic fatigue syndrome (CFS) is a debilitating illness with particular difficulties for healthcare providers because there are no diagnostic signs or laboratory tests and because management aims to merely improve symptoms. Further complicating management, healthcare providers' awareness concerning CFS has not been rigorously assessed. The present study aimed to ascertain United States (U.S.) healthcare providers' awareness of CFS and to assess their knowledge, attitudes, and beliefs (KAB) related to diagnosis and management of the illness. This information forms the foundation for developing CFS educational strategies. Methods We combined convenience and probability samples to measure CFS KAB among healthcare providers. In the convenience sample, 1,255 healthcare providers (81% response rate) from 13 professional conferences completed a 12-item form. Descriptive statistics were reported for 9 KAB item responses and chi-square tests were performed for examining their association with giving a diagnosis of CFS. We used principal component analysis to construct multidimensional subscales and perform a general linear model to examine factors associated with subscales. The probability sample involved data on 15 CFS-specific questions from 2006 and 2007 DocStyles web-based panel surveys collected from 2,750 physicians (average response rate 55%). We calculated descriptive and chi-square statistics. The significance was set at two-tailed with the alpha level of 0.05. Results Healthcare providers in both samples were aware of CFS and exhibited a high level of knowledge. Overall, 96% of respondents in the DocStyles (probability) sample had heard about CFS. Healthcare providers in the conference (convenience) sample demonstrated good KAB scores; physicians' scores were highest on KAB scales and lowest in perception. Nurses' scores were lowest in knowledge. More than 40% of physicians reported ever giving a CFS diagnosis and in the DocStyles (probability) sample more than 80% of physicians correctly identified CFS symptoms. Physicians reported professional journals, the Internet, and continuing education programs as the top 3 sources from which they obtain CFS information. Conclusions Findings from these combined samples fill a gap in the evidence-base of U.S. healthcare providers' and knowledge, attitudes, and beliefs concerning CFS. Importantly, respondents in both samples expressed similar knowledge, attitudes, beliefs and perceptions. Awareness was high and negative attitudes were low. The primary areas for future education should address diagnosis and management of CFS and should be delivered through those venues providers indicated they primarily use. Data from this study provide a benchmark for evaluation the success of these future efforts.
机译：背景技术慢性疲劳综合症（CFS）是一种使人衰弱的疾病，对医疗保健提供者来说尤其困难，因为没有诊断迹象或实验室检查，而且管理的目的只是改善症状。进一步使管理复杂化的是，尚未严格评估医疗保健提供者对CFS的意识。本研究旨在确定美国（美国）医疗服务提供者对CFS的认识，并评估他们与疾病诊断和管理有关的知识，态度和信念（KAB）。这些信息构成了制定CFS教育策略的基础。方法我们结合方便性和概率样本来测量医疗保健提供者中的CFS KAB。在便利性样本中，来自13个专业会议的1,255名医疗保健提供者（81％的答复率）填写了12个项目的表格。报告了9个KAB项目反应的描述性统计数据，并进行卡方检验以检查它们与CFS诊断的关联。我们使用主成分分析来构建多维子量表，并执行一般的线性模型来检查与子量表相关的因素。该概率样本涉及从2006年和2007年DocStyles基于Web的面板调查中收集的15个CFS特定问题的数据，该调查来自2750名医生（平均答复率为55％）。我们计算了描述性和卡方统计量。显着性设置为两尾，α水平为0.05。结果在两个样本中，医疗保健提供者都了解CFS，并且具有很高的知识水平。总体而言，DocStyles（概率）样本中的96％的受访者听说过CFS。会议（便利）样本中的医疗保健提供者显示了良好的KAB分数;医师的得分在KAB量表上最高，在知觉上最低。护士的知识得分最低。超过40％的医生报告曾经做出过CFS诊断，在DocStyles（概率）样本中，超过80％的医生正确地识别了CFS症状。医师报告专业期刊，互联网和继续教育计划是他们从中获取CFS信息的三大来源。结论从这些合并样本中获得的发现填补了美国医疗保健提供者以及关于CFS的知识，态度和信念的证据基础方面的空白。重要的是，两个样本中的受访者都表达了相似的知识，态度，信念和看法。意识高，消极态度低。未来教育的主要领域应涉及对粮安委的诊断和管理，并应通过其主要使用的场所提供。这项研究的数据为评估这些未来工作的成功提供了基准。

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