A STUDY ON ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICE (KAP) OF ADR MONITORING AND REPORTING AMONG CRMI CONDUCTED IN A TERTIARY CARE TEACHING HOSPITAL

Abstract

Objective: Adverse drug reactions (ADRs) are a significant cause of morbidity and mortality worldwide, yet underreporting is a persistent challenge. Compulsory Rotating Medical Interns (CRMI) are frontline healthcare providers whose contribution to pharmacovigilance is critical. The aim of this study was to assess the knowledge, attitude and practice (KAP) for ADR monitoring and reporting among CRMI students and to identify barriers and strategies for improvement.

Methods: This was a cross-sectional descriptive study conducted at a tertiary care teaching hospital in the month of September 2025 among CRMI students. A structured and validated KAP questionnaire was distributed electronically, after obtaining informed consent, and used to collect data on knowledge (10 items), attitude (6 items), and practice (6 items). Data was entered on Microsoft excel and statistical analysis was performed using Python. Descriptive and inferential tests were used to explore associations.

Results: A total of 90 interns responded to this study, with equal gender distribution. Interns scored>80% in knowledge domain,>4 in attitude domain and>60% in practice domain. Female interns had higher knowledge (p=0.023) and higher knowledge was significantly correlated with ADR reporting (p=0.021). While most interns had moderate knowledge and positive attitudes toward ADR reporting, actual reporting practices were poor.

Conclusion: Although interns recognized the importance of ADR reporting, their practice remains suboptimal. Common barriers included lack of awareness of reporting systems, uncertainty regarding causality and fear of consequences. Structured pharmacovigilance training and institutional support mechanisms are essential to bridge the knowledge–practice gap.