Delivery of supported self-management in asthma reviews: a mixed methods observational study nested in the IMP2ART programme of work

Clinical Research Results Abstract Research Idea Abstract Research Question: Nested within the IMPlementing IMProved Asthma self-management as RouTine (IMP2ART) programme, this work aims to observe asthma review consultations to assess healthcare professional’s (HCPs) delivery of patient-centred care and behaviour change strategies to promote asthma self-management.Background: Supported self-management reduces the risk of asthma attacks, improves asthma control, and improves quality of life. Despite this, asthma results in approximately 6.3 million UK primary care consultations and 1,400 deaths each year. During routine asthma consultations, health professional communication and behaviour can influence a person's skills, knowledge and confidence to manage their own condition.Methodology: A mixed-method observational study will be conducted. Video recordings of a sub-sample of the IMP2ART UK-wide cluster-RCT practices (implementation n»5; control n»5) will be undertaken. Data collection will include face-to-face, telephone and video consultations.Analytical methods will include:- ALFA Toolkit Multi-Channel Video Observation to code and quantify types of speech.- Patient Centred Observation Form & The Behaviour Change Counselling Index to assess patient-centeredness and behaviour change techniques used by clinicians.- Clinician perceptions of asthma reviews will be explored using follow-up semi-structured interviews and analysed using thematic analysis.Questions to discuss: We anticipate that the IMP2ART strategies will enable health care professionals to embed supported self-management more effectively within asthma consultations. Will the insights from observing asthma reviews add to the evidence that health care professionals should be provided with specific training skills to implement a motivating and patient-centred asthma review? Service Development & Evaluation Abstract Declaration of Interest This PhD studentship is funded by the Chief Scientist Office (AUKCAR/19/01) and carried out with the support of the Asthma UK Centre for Applied Research [AUK-AC-2018-01]. References and Clinical Trial Registry Information