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Table of Contents
LETTER TO THE EDITOR
Year : 2014  |  Volume : 17  |  Issue : 2  |  Page : 241-242
 

Accounting for attitude in a KAP Study: A comment on knowledge, attitude and practice of stroke in India versus other developed and developing countries


Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India

Date of Web Publication17-May-2014

Correspondence Address:
Sunil Kumar Raina
Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra-176 001, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.132663

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How to cite this article:
Raina SK. Accounting for attitude in a KAP Study: A comment on knowledge, attitude and practice of stroke in India versus other developed and developing countries. Ann Indian Acad Neurol 2014;17:241-2

How to cite this URL:
Raina SK. Accounting for attitude in a KAP Study: A comment on knowledge, attitude and practice of stroke in India versus other developed and developing countries. Ann Indian Acad Neurol [serial online] 2014 [cited 2019 Oct 22];17:241-2. Available from: http://www.annalsofian.org/text.asp?2014/17/2/241/132663


Sir,

Went through an article entitled "Knowledge, attitude, and practice of stroke in India versus other developed and developing countries" published in Ann Indian Acad Neurol (2013; 16:488-93). [1] The authors need to be congratulated for their effort in touching an important aspect neuroepidemiology related to stroke in India. As we all aware awareness about a medical condition is the cornerstone for planning prevention. By referring to the study as a review, the authors have been honest in their interpretation of the methodology used to choose studies included in this study. However, given the vast body of evidence referred to in this article, one would have been happy to see a systematic review as a methodology for conducting this study. Systematic reviews and meta-analyses are a key element of evidence-based healthcare. This would have answered our concerns as to why did the authors select certain studies and not others? What did they do to pool results? This would also have reflected on the inadequate number of studies reflecting on all components of KAP (Knowledge, Attitude and Practice) on stroke across populations.

A review becomes systematic if it is based on a clearly formulated question, identifies relevant studies, appraises their quality and summarizes the evidence by use of explicit methodology.

The authors rightly talk of attitude toward stroke being an almost unexplored area of research. Most of the KAP studies lack in measuring attitude properly (the second part of a standard KAP survey questionnaire. [2] And if studies make an effort to understand attitude, the efforts are inadequate. This study highlights this fact again. Attitude essentially includes three components:

  1. A cognitive or knowledge element,
  2. An affective or feeling element, and
  3. A tendency to action. [3]


The authors tend to do well with the feeling element of the attitude, but have handle "tendency to action" inadequately. This is also reflected in the statement used by the authors; Indian participants were observed to hold an attitude that stroke could occur without any risk factors, simply being an event associated with senility and hence consultation with health personnel was reportedly low. Further it goes on to add that about more than half of the study participants reported that they did not know the appropriate treatment for stroke. Both these statements actually are an extension of awareness or knowledge component only.

 
   References Top

1.Das S, Das SK. Knowledge, attitude and practice of stroke in India versus other developed and developing countries. Ann Indian Acad Neurol 2013;16:488-93.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Raina S. Assessment of knowledge, attitude, and practice in health care delivery. N Am J Med Sci 2013;5:249-50.  Back to cited text no. 2
    
3.Park K. Medicine and social sciences. Park′s Textbook of Preventive and Social Medicine. 21 st ed. Jabalpur: M/s Banarsidas Bhanot; 2011. p. 626.  Back to cited text no. 3
    




 

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