Survey On Doctors of Neuroscience: Level of Knowledge, Attitude, Practice About Speech and Language Therapy Service in Dhaka City

Abstract

Speech and Language Therapy (SLT) is a vital component in the rehabilitation of patients with neurological disorders. However, in Bangladesh, the level of knowledge, attitude, and practice (KAP) among doctors of neuroscience regarding SLT services remains largely unexplored. The study aimed to assess the level of knowledge, attitude, and practice about Speech and Language Therapy services among doctors of neuroscience in Dhaka city. A descriptive cross-sectional survey was conducted among 23 doctors of neuroscience working in selected hospitals of Dhaka city, including the National Institute of Neurosciences & Hospital, Enam Medical College & Hospital, and Anwar Khan Modern Medical College. A structured KAP questionnaire, adapted from previous studies and modified to suit the local context, was used for data collection. Data were collected through face-to-face interviews after obtaining ethical approval and written consent from participants. The inclusion criteria comprised practicing doctors of neuroscience (neurologists, neurosurgeons, pediatric neurologists/neurosurgeons, and neuroradiologists). Non-practicing doctors and other physicians were excluded. Descriptive statistical analysis was performed using SPSS version 20, with results presented in the form of tables, bar graphs, and pie charts. Associations between demographic variables and KAP scores were analyzed using chi-square tests. Among the 23 respondents, 78% were male and 22% female. The majority were neurologists (74%), with 52% having more than 10 years of job experience. While 60.9% had adequate knowledge of SLT services, 87% exhibited positive attitudes, and 87% demonstrated good practice levels. However, most associations between demographic characteristics and KAP levels were statistically non-significant. The findings revealed that although most doctors displayed a positive attitude toward SLT, knowledge and practice levels—especially in terms of referral and collaboration—were insufficient. The study highlights the need for increased awareness and collaboration between Speech and Language Therapists and doctors of neuroscience in Bangladesh. Strengthening interdisciplinary communication and implementing educational initiatives could improve referral practices and enhance patient rehabilitation outcomes.