Questionnaires used to assess barriers of clinical guideline use among physicians are not comprehensive, reliable, or valid: a scoping review Journal Articles uri icon

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  • OBJECTIVE: This study described the number and characteristics of questionnaires used to assess barriers of guideline use among physicians. STUDY DESIGN AND SETTING: A scoping review was conducted. MEDLINE and EMBASE were searched from 2005 to June 2016. English-language studies that administered a questionnaire to assess barriers of guideline use among practicing physicians were eligible. Summary statistics were used to report study and questionnaire characteristics. Questionnaire content was assessed with a checklist of 57 known barriers. RESULTS: Each of the 178 included studies administered a unique questionnaire. The number of questionnaires increased yearly from 2005 to 2015. Few were pilot-tested (50, 28.1%) or tested for psychometric properties (3, 1.7%). Two were based on theory. None probed for the full range of known barriers. Ten included a free-text option. The majority assessed professional barriers (177, 99.4%) but few of the 14 factors within this domain. Questionnaire characteristics did not change over time. CONCLUSION: Organizations administered questionnaires that were not reliable or valid and did not comprehensively assess barriers and may have selected interventions unlikely to promote guideline use. Research is needed to construct a questionnaire that is practical, adaptable, and robust and leads to the selection of interventions that support guideline use.


  • Willson, Melina L
  • Vernooij, Robin WM
  • Gagliardi, Anna R
  • Armstrong, Melissa
  • Bernhardsson, Susanne
  • Brouwers, Melissa Christine
  • Bussières, André
  • Fleuren, Margot
  • Gali, Kari
  • Huckson, Sue
  • Jones, Stephanie
  • Lewis, Sandra Zelman
  • James, Roberta
  • Marshall, Catherine
  • Mazza, Danielle

publication date

  • June 2017