Knowledge, attitude, and practice towards post-stroke osteoporosis among healthcare workers in Zhangjiakou, Hebei, China: Running title: KAP towards post-stroke osteoporosis.

Objective: This study aimed to investigate the knowledge, attitude, and practice (KAP) towards post-stroke osteoporosis among healthcare workers in Zhangjiakou City, Hebei, China. Methods: This cross-sectional study was conducted between January and April 2023 among healthcare workers in Zhangjiakou. Their demographic characteristics and KAP towards post-stroke osteoporosis were collected using a web-based questionnaire. Results: A total of 548 valid questionnaires were collected, their knowledge, attitude, and practice scores were 18 [14.0, 20.0] (possible range: 0-23), 30 [27.0, 34.0] (possible range: 7-35), and 37 [30.0, 43.0] (possible range: 10-50), respectively. Correlation analysis revealed positive relationships between knowledge and attitude (r = 0.49, P < 0.01), between attitude and practice (r = 0.56, P < 0.01), as well as between knowledge and practice (r = 0.45, P < 0.01). Conclusion: Healthcare workers in Zhangjiakou had a moderate knowledge, positive attitude, and moderate practice towards post-stroke osteoporosis. The study highlights the imperative to improve knowledge and promote positive attitude to enhance practice and improve patient outcomes in post-stroke osteoporosis management among healthcare workers.