IMP²ART aims to help general practices embed supported self-management into routine asthma care.
We know that people with asthma are well placed to manage their condition themselves - and that this is most successful when there is a combination of 1. patient education, 2. professional training and 3. organisational support in place to help.
We call an approach that addresses all three of these components, ‘supported self-management’.
In our preliminary IMP²ART work we explored the best way to ensure the three components of supported self-management are implemented in general practices across the United Kingdom.
Patients told us that they learn over time how to self-manage. Habits form around frequently performed behaviours; experience and self-management advice informs less common tasks. Suggested initiatives included improving access to care from a trusted professional, and using technology.
General practitioners, nurses and staff told us how they organise asthma care in their practices and discussed the best ways of fitting supported self-management into their routines. They told us that nurses provide self-management support within routine reviews, and that lack of time was a problem. They suggested that technological solutions (such as templates, digital action plans) would be useful but needed to integrate with their computer systems.
In the current IMP²ART work, we are going to develop, refine and test an appropriate implementation strategy to help general practices across the UK to embed supported self-management into routine asthma care.
This will include:
Following the development of the implementation strategy, we will test the strategy in a UK-wide trial.
We hope to see supported self-management become a routine part of asthma care across the UK.
01 Oct 2018 – 31 Mar 2024
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Taylor SJC, Pinnock H, Epiphaniou E, Pearce G, Parke H, et al. 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) Health Serv Deliv Res 2014; 2:54]
Pinnock H, Parke HL, Panagioti M, Daines L, Pearce G, Epiphaniou E, Bower P, Sheikh A, Griffiths CJ, Taylor SJC, for the PRISMS group Systematic meta-review of supported self-management for asthma: a healthcare service perspective. BMC Medicine 2017;15:64
Pinnock H, Epiphaniou E, Pearce G, Parke HL, Greenhalgh T, Sheikh A, Griffiths CJ, Taylor SJC. Implementing supported self-management for asthma: a systematic review of implementation studies. BMC Medicine 2015; 13:127
Pearce G, Parke H, Pinnock H, Epiphaniou E, Bourne CLA, Sheikh A, Taylor SJC. The PRISMS Taxonomy of Self-Management Support: Derivation of a Novel Taxonomy and Initial Testing of Utility. J Health Serv Res Policy 2016 21: 73-82
Morrow S, Daines L, Wiener-Ogilvie S, Steed EA, McKee L, Caress A-L, Taylor SJC, Pinnock H on behalf of the IMP2ART team. Exploring the perspectives of clinical professionals and support staff on implementing supported self-management for asthma in UK general practice: an IMP2ART qualitative study. npjPrim Care Respir Med 2017;27:45
McCleary N, Andrews A, Captieux M, Buelo A, Morrow S, Wiener-Ogilvie S, Fletcher M, Steed E, Taylor SJC, Pinnock H, on behalf of the IMP2ART team. Educational interventions for professionals implementing supported self-management for asthma: a systematic review from the IMP2ART programme. In press: npjPrim Care Respir Med
Read more about our previous work reviewing what makes self-management a success
Study information leaflet for practices interested in participating will be available to download here soon
NIHR Programme Grant for Applied Research
This article represents independent reserach funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Reference NUmber RP-PG-1016-20008). The views expressed are those of the author(s) and not necessarily tghose of the NHS, the NIHR or the Department of Health.