ERS Respiratory Channel

CDN Connection Issue

It appears that your current network does not allow connection to the CDN (Content Delivery Network) required for this service to function properly.

To resolve this issue, please try the following actions :

• Contact your network administrator : Inform them of this restriction so they can adjust the network settings accordingly.

• Use another network : Try connecting from a different network, such as another Wi-Fi network or a mobile connection.

We apologize for the inconvenience and thank you for your understanding.

Abstract

Background: Asthma results in 6.3 million primary care consultations in the UK each year, and supported asthma self-management can improve outcomes.

Aims and Objectives: Within the context of a programme of research aiming to improve the implementation of supported asthma self-management in primary care (IMP2ART, IMPlementing IMProved Asthma self-management as RouTine), we aimed to design and develop theoretically-informed audit and feedback (A&F) that highlighted supported asthma self-management provision and areas for improvement in general practices.

Methods: Aligned to the Medical Research Council (MRC) complex intervention framework, A&F was developed in three phases: 1) Development: literature/theory exploration, prototype A&F design 2) Feasibility: eliciting feedback on the A&F from practice staff (n=9) 3) Pre-piloting: delivering the A&F within the IMP2ART strategy (incorporating patient and professional resources and an asthma review template) and eliciting clinician feedback (n=9).

Results: A&F design was mapped to existing literature and theory (e.g. Theoretical Domains Framework, Behaviour Change Technique Taxonomy). Feedback on the prototype A&F confirmed feasibility but identified refinements (a need to highlight supporting self-management and importance of asthma action plans). Pre-piloting informed integration with other IMP2ART strategies (e.g. patient and professional resources).

Conclusions: A multi-stage development process contributed to the design and delivery of the A&F. Aligned to the MRC framework, the IMP2ART strategy (incorporating the A&F) is now being tested in a cluster-RCT.

Abstract

#{title}