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Volume 13
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10.3390/healthcare13070771
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Article

Knowledge, Attitudes, and Practices of Healthcare Providers Towards Advance Directive for COPD Patients in Riyadh, Saudi Arabia

by
Rayan A. Qutob
1,*,
Abdullah Alaryni
1,
Yousef Alammari
1,
Mohanad Khalid Almaimani
2,
Abdullah Alghamdi
1,
Abdulwahed Abdulaziz Alotay
1,
Mohammad A. Alhajery
1,
Fahad Ali Faqihi
3,
Yassir Daghistani
2,
Khalid I. AlHussaini
1,
Saud Aldeghaither
4,
Amal Alamri
5,
Buthaina Alsharif
5,
Hassan Alshamrani
5 and
Elaf Mubarak
5
1
Department of Internal Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 11623, Saudi Arabia
2
Department of Medicine, University of Jeddah, Jeddah 23218, Saudi Arabia
3
Department of Critical Care Medicine, Dr. Sulaiman Al Habib Medical Group Holding Company, Riyadh 11372, Saudi Arabia
4
Department of Critical Care Medicine, Prince Mohammed Bin Abdulaziz Hospital, Riyadh 14214, Saudi Arabia
5
College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 11623, Saudi Arabia
*
Author to whom correspondence should be addressed.
Healthcare 2025, 13(7), 771; https://doi.org/10.3390/healthcare13070771
Submission received: 19 February 2025 / Revised: 19 March 2025 / Accepted: 24 March 2025 / Published: 30 March 2025
Review Reports Versions Notes

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a significant burden in Saudi Arabia. Improving the attitudes, awareness, and knowledge of healthcare providers toward advance directives and/or advanced care planning (ACP) can increase the use of advance directives. This study aims to investigate healthcare providers’ knowledge, attitudes, and practices concerning advance directives for COPD patients in Riyadh, Saudi Arabia. Methods: This cross-sectional study was employed to assess the knowledge, attitudes, and practices of healthcare providers towards ACP for COPD patients in Riyadh between June and December 2024. The questionnaire was adapted from previous research. Multiple logistic regression was performed to assess the factors associated with good knowledge and positive attitude. Results: A total of 268 participants were included in the analysis. The total mean of knowledge score was 6.96 ± 2.22 out of 12. A total of 161 participants (60.1%) had a poor knowledge score, and 107 participants (39.9%) had a good knowledge score. The total mean of attitude score was 16.23 ± 23.21 out of 26. A total of 148 participants (55.2%) had a poor attitude score and 120 participants (44.8%) had positive attitude. Participants with over 15 years of experience exhibited significantly higher odds of good knowledge (OR = 6.76, 95% CI = 1.03−44.21, p = 0.04). Participants who lived in the Western region had significantly lower odds of good knowledge (OR = 0.32, 95% CI = 0.14–0.71, p = 0.005). Nurses and respiratory therapists had significantly lower odds of having positive attitude (OR = 0.19, 95% CI = 0.09−0.42, p = 0.0001 and OR = 0.34, 95% CI = 0.16–0.75, p = 0.007, respectively). Participants who lived in the Western region had significantly lower odds of having positive attitude (OR = 0.42, 95% CI = 0.19–0.95, p = 0.005). Conclusions: Healthcare providers in Saudi Arabia demonstrated a moderate level of knowledge of ACP for COPD patients. This was accompanied by a moderately positive attitude towards this practice. Future studies should examine effective educational and professional interventions to enhance ACP practices.
Keywords: advance directive; attitude; COPD; healthcare providers; knowledge; practice advance directive; attitude; COPD; healthcare providers; knowledge; practice

Share and Cite

MDPI and ACS Style

Qutob, R.A.; Alaryni, A.; Alammari, Y.; Almaimani, M.K.; Alghamdi, A.; Alotay, A.A.; Alhajery, M.A.; Faqihi, F.A.; Daghistani, Y.; AlHussaini, K.I.; et al. Knowledge, Attitudes, and Practices of Healthcare Providers Towards Advance Directive for COPD Patients in Riyadh, Saudi Arabia. Healthcare 2025, 13, 771. https://doi.org/10.3390/healthcare13070771

AMA Style

Qutob RA, Alaryni A, Alammari Y, Almaimani MK, Alghamdi A, Alotay AA, Alhajery MA, Faqihi FA, Daghistani Y, AlHussaini KI, et al. Knowledge, Attitudes, and Practices of Healthcare Providers Towards Advance Directive for COPD Patients in Riyadh, Saudi Arabia. Healthcare. 2025; 13(7):771. https://doi.org/10.3390/healthcare13070771

Chicago/Turabian Style

Qutob, Rayan A., Abdullah Alaryni, Yousef Alammari, Mohanad Khalid Almaimani, Abdullah Alghamdi, Abdulwahed Abdulaziz Alotay, Mohammad A. Alhajery, Fahad Ali Faqihi, Yassir Daghistani, Khalid I. AlHussaini, and et al. 2025. "Knowledge, Attitudes, and Practices of Healthcare Providers Towards Advance Directive for COPD Patients in Riyadh, Saudi Arabia" Healthcare 13, no. 7: 771. https://doi.org/10.3390/healthcare13070771

APA Style

Qutob, R. A., Alaryni, A., Alammari, Y., Almaimani, M. K., Alghamdi, A., Alotay, A. A., Alhajery, M. A., Faqihi, F. A., Daghistani, Y., AlHussaini, K. I., Aldeghaither, S., Alamri, A., Alsharif, B., Alshamrani, H., & Mubarak, E. (2025). Knowledge, Attitudes, and Practices of Healthcare Providers Towards Advance Directive for COPD Patients in Riyadh, Saudi Arabia. Healthcare, 13(7), 771. https://doi.org/10.3390/healthcare13070771

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