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Table 5 Details of the elements within the asthma action plan implementation model

From: Developing novel evidence-based interventions to promote asthma action plan use: a cross-study synthesis of evidence from randomised controlled trials and qualitative studies

Education for health professionals, for example:

·

Initiatives to facilitate change in their asthma attitudes, beliefs and/or behaviours such as professionals actively encouraging patient/carer involvement in asthma decision-making and/or valuing the personal experience of those living with asthma.

·

Education encouraging professionals to customise asthma action plans with patients/carers and enabling professionals to understand that professionals and patients/carers may have different models of asthma and its management.

Education for patients/carers, for example:

·

Education targeted to the patient’s/carer’s stage in the ‘learning to manage’ process. Includes instruction on medications, recognition of symptoms, avoiding triggers within the context of asthma self-management and the more holistic issues of living with asthma.

·

Education to encourage patients/carers to actively participate in the joint development/review of their asthma action plans and enabling them to participate in shared decision-making.

Encouraging partnership working, for example:

·

Continuity of asthma care to provide on-going opportunities for asthma education and promoting patient/carer empowerment.

·

Professionals encouraging good working relationships with patients/carers (for example, by promoting active involvement and shared decision-making within asthma consultations such joint development of action plans).

·

Initiatives to encourage patients/carers and professionals to understand different models of asthma management.

Effective communication, for example:

·

Professionals actively seeking and listening to patients/carers asthma experiences, their management strategies and asthma anxieties. Professionals offering additional opportunities for patient asthma review.

·

Professionals responding to the above, for example, through targeting of patient/carers asthma education, encouraging joint development of tailored asthma action plans.

  1. Note: Information on elements derived from our qualitative synthesis [10].