Know-Do Gap

The knowing-doing gap is the central tension addressed by the Limitless Model. The central finding was a gap between knowing GINA recommendations and applying them in practice. All participants had heard of GINA, but fewer than half had formal training. The knowing-doing gap is framed as motivational and psychological rather than informational. The study interprets weak KAP correlations through health belief model constructs such as perceived susceptibility, severity, benefits, and barriers. The findings indicate that higher awareness alone may not reliably produce behaviour change. People procrastinate because mindset and motivation have not been addressed, not because they lack information. Physicians sometimes reverted to habitual prescribing despite having studied GINA during training. PharmDs were trained in GINA but had limited ability to implement it because of prescribing constraints. The tendency to rely on established habits was stronger among highly experienced clinicians. Knowledge without aligned beliefs and motivation often fails to produce changed behavior.