Understanding primary care priorities for implementing supported self-management of asthma in UK-wide general practice: findings from the IMP2ART trial (ID 537)
Queen Mary University of London
Funding: This abstract presents independent research funded by the National Institute for Health and Care Research under its Programme Grants for Applied Research Programme (Ref: RP-PG-1016-20008). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care
Abstract
Introduction:The IMP2ART (IMPlementing IMProved Asthma self-management as RouTine) programme focuses on delivering strategies to integrate supported asthma self-management into routine practice in UK primary care. Trained respiratory facilitators supported practices to set team goals and plans. Evaluating the impact of such plans is helpful to enhance clinical practices and patient care.
Aims:
To evaluate the content and potential impact of team plans in different contexts and understand how primary care priorities differ between practices.
Methods:
All 73 implementation practices in IMP2ART were offered facilitation for up to one year commencing with a workshop where specific primary care priorities and goals were set, review meetings with facilitators to support progress, and a final assessment after a year.
Results:
57 practices set a team plan, 37 of them using a detailed planning tool. Common goals included raising awareness of IMP2ART amongst the practice and completing education modules, addressing SABA overuse and using audit and feedback to target high risk patients. Of the 19 practices who had conducted a formal review, the majority completed or partially completed their goals. Initial analysis suggests that goals allocated to a specific team member had a higher success rate (9.38% not achieved) compared to unallocated goals (16.67% not achieved) and that more detailed action points were also more likely to be achieved.
Conclusion/Discussion:
Primary care had common goals to improve SSM including using IMP2ART resources and targeting poorly controlled patients. Team Plans may be more likely to be achieved when allocated to a specific team member, possibly due to the increased sense of responsibility. Detailing action points and conducting reviews may be helpful to support implementation of varying practices in primary care. Only nineteen out of fifty-seven practices engaged in review suggesting this may be an important area for focus in future facilitation.
Conflicts of interest: None
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