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. 2023 Aug 21;29(1):2242583. doi: 10.1080/13814788.2023.2242583

Table 5.

Correlation between GP perceived degree of adherence and perceived extent of various barriers.

Item number Description KR 1: emollients KR 2: TC potency class KR 3: evaluation period KR 4: anamnesis KR 5: TCS instructions Overall (all KRs)
Mean correlation (SD)
Knowledge related barriers, rs
 2 Lack of awareness/familiarity −.42 −.69 −.47 −.50 −.52 −.52 .10
Attitude related barriers, rs
Lack of agreement
  3 Lack of agreement with content: general −.61 −.67 −.68 −.54 −.59 −.62 .06
  4 Lack of agreement with content: certain parts −.44 −.42 −.53 −.45 −.46 −.46 .04
  5 Lack of applicability: general −.53 −.45 −.52 −.51 −.36 −.47 .07
  6 Lack of applicability: to patient −.28 −.31 −.57 −.43 −.42 −.40 .11
  7 Lack of self-efficacy −.46 −.45 −.19 −.39 −.64 −.43 .16
  8 Lack of outcome expectancy −.52 −.59 −.54 −.42 −.58 −.53 .07
  9 Lack of motivation −.53 −.47 −.61 −.51 −.58 −.54 .05
  10 Inertia previous practice −.47 −.44 −.39 −.54 −.60 −.49 .08
External barriers, rs
Patient factors
  11 Patient preferences −.13 −.25 −.54 −.11 −.27 −.26 .17
  12 Patient ability/behaviour −.05 −.09 −.07 −.09 −.07 −.07 .02
Guideline factors
  13 Lack of clarity −.51 −.55 −.30 −.33 −.42 −.42 .11
  14 Lack of up-to-dateness −.55 −.41 −.62 −.51 −.56 −.53 .08
  15 Complexity −.52 −.47 −.43 −.58 −.48 −.50 .06
Environmental factors
  16 Lack of time/ time pressure −.35 −.23 −.48 −.53 −.34 −.39 .12
  17 Lack of resources/ materials −.34 −.25 −.08 −.30 −.22 −.24 .10
  18 Organisational constraints −.45 −.22 −.36 −.47 −.30 −.36 .10
  19 Contradictory with policy of other HCPs −.45 −.24 −.18 −.39 −.10 −.27 .15
  20 Conflicts in cooperation with other HCPs −.30 −.21 −.15 −.31 −.03 −.20 .12
  21 Lack of reimbursement −.36 −.29 −.17 −.35 −.22 −.28 .08

KR: key recommendation, TCS: topical corticosteroids, SD: standard deviation, HCP: healthcare professionals. Spearman’s rank correlation represents the correlation between each perceived barrier and adherence. A negative correlation implies that a greater perceived extent of a barrier is associated with less perceived adherence.