Table 5.
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.