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

05 Aug 2021
Respiratory conditions
  • Asthma
Respiratory topics
  • Disease management
Type of resource
Dublin 2021
Emma Kinley, University of Edinburgh, United Kingdom
Clinical Research Results Delivery of supported self-management in asthma reviews: a mixed methods observational study nested in the IMP2ART programme of workAim The Practical Systematic Review of Self-Management Support (PRISMS) meta-review (Taylor et al., 2014) confirmed the importance of supported self-management as an essential component of high-quality care for people living with LTCs. Supported self-management reduces the risk of attacks, improves asthma control, and improves quality of life (Pinnock et al, 2017). Despite this, asthma results in »6.3 million UK primary care consultations and »1,400 deaths each year. 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) patient-centred/motivational strategies to promote asthma self-management.MethodsA mixed-method observational study will be conducted. Video recordings of a sub-sample of the IMP2ART UK-wide cluster-RCT practices (implementation n»10; control n»10) will be undertaken. Analytical methods will include:- Time Interval Medical Event Recorder (TIMER) & The Roter interaction analysis system (RIAS) to code and quantify types of speech. - Patient Centered Observation Form (PCOF) & The Behaviour Change Counselling Index (BECCI) 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.ResultsWe anticipate that the IMP2ART strategies will enable HCPs to embed supported self-management more effectively within asthma consultations.ConclusionsInsights from observing asthma reviews will add to the evidence that HCPs should be provided with specific training skills to implement a motivating and patient-centred asthma review. This study will contribute to the IMP2ART process evaluation, adding to recommendations of how supported self-management of asthma should be delivered in practice.References: Pinnock, H., Parke, H. L., Panagioti, M., Daines, L., Pearce, G., Epiphaniou, E., ... & Taylor, S. J. (2017). Systematic meta-review of supported self-management for asthma: a healthcare perspective. BMC medicine, 15(1), 64.Taylor, S. J., Pinnock, H., Epiphaniou, E., Pearce, G., Parke, H. L., Schwappach, A., ... & Sheikh, A. (2014). A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS–Practical systematic Review of Self-Management Support for long-term conditions. Implementation Science/Service Development Research Ideas on Respiratory Conditions and Tobacco Dependency Abstract Declaration of Interest Funded by Asthma UK Centre Applied Research, Chief Scientist Office, Scotland. References and Clinical Trial Registry Information