Table 2. Knowledge, attitude and practice of ROME criteria (for diagnosis of IBS) among primary care physicians (N=214).

Knowledge/Attitude/Practice Items	Response	Frequ-ency	Perce-ntage
General Awareness about ROME IV criteria
Have you Heard about Rome IV criteria	Yes	186	86.9%
	No	28	13.1%
Do you have the Knowledge of ROME IV criteria to diagnose IBS	Yes	124	57.9%
	No	39	18.2%
	Not sure	51	23.8%
Do you have necessary skill to apply ROME criteria confidently	Yes	115	53.7%
	No	30	14.0%
	Can’t say	69	32.2%
Knowledge about the components of ROME IV criteria
Symptoms of IBS or functional bowel disorder that are addressed in ROME IV criteria	Recurrent abdominal pain	203	94.9%
	Relation of abdominal pain to defecation	187	87.4%
	Associated with change in stool frequency	196	91.6%
	Associated with change in stool appearance	184	86.0%
The symptom onset should be for how much duration to apply ROME criteria?	>6 months (correct Response)	123	57.5%
	<6 months	31	14.5%
	No relation	06	02.8%
	I don’t know	54	25.2%
The criteria should be fulfilled for how much of the time duration?	1 month	05	2.3%
	2 months	09	4.2%
	3 months (correct Response)	88	41.1%
	6 months	56	26.2%
	I don’t know	56	26.2%
Attitude towards ROME IV criteria for diagnosing IBS
In your opinion what proportion of patients do qualify for the ROME criteria to be applied for diagnosing IBS	<25%	40	18.7%
	25 – 50%	71	33.2%
	>50	52	24.3%
	I don’t know	51	23.8%
Do you feel that ROME criteria is effective enough to diagnose IBS	Yes	120	56.1%
	No	31	14.5%
	I don’t Know	63	29.4%
Practice Component
Have you ever Used of ROME IV criteria to diagnose IBS	Yes	147	68.7%
	No	67	31.3%
Do you Frequent use ROME IV criteria to diagnose IBS	Yes, for all cases	63	29.4%
	For selected cases	94	43.9%
	Don’t use at all	57	26.6%
Which cases of IBS do you consider for specialist referral	Long duration of patients	23	10.7%
	All patients	12	05.6%
	None	40	18.7%
	Development of complications	139	65.0%
Are you able to achieve continuity of care for IBS patients	Always	27	12.6%
	Sometimes	91	42.5%
	Rarely	67	31.3%
	Never	29	13.6%
Participated to raise awareness	Yes	92	43.0%
	No	122	57.0%