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Table 2 Included module content related to relevant Theoretical Domains Framework (TDF) domains

From: Developing a theoretically informed education programme within the context of a complex implementation strategy in UK primary care: an exemplar from the IMP2ART trial

Domains

Module 1 content

Module 2 content

Knowledge

Provision of evidence-base (e.g. The National Review of Asthma Deaths (NRAD) 2014 report; principles and importance of supported self-management (SSM)

Evidence and impact of SSM [8]

Recommend clinical guidelines [42]

Skills

Building skills to work as a team to SSM

Consultation skills and spirit of motivational interviewing.

How to co-create a personalised asthma action plan.

aSocial/professional role and identity

Identifying role within their practice and team to SSM

Reflection exercise on ‘patients as partners’

Beliefs about capabilities

Reflection on whether module learning outcomes met

Measure of confidence in supporting patients to manage their asthma

Reflection on whether module learning outcomes met

aBeliefs about consequences

Benefits of SSM to the patients; the general practice; the NHS; and to society

Benefits of SSM to the patients; the general practice; the NHS; and to society

Reinforcement

Provision of a certificate upon completion of the module.

Provision of a certificate upon completion of the module.

Intentions

Development of a 3–5 point team action plan at the end of the module of how the whole-practice team will support self-management in their practice

Identifying actions that can be utilised to support patients to self-manage their asthma

Goals

Development of a 3–5 point team action plan at the end of the module of how the whole-practice team will support self-management in their practice

Identifying actions that can be utilised to support patients to self-manage their asthma

aEnvironmental context and resources

 

Highlighting the available resources to provide SSM e.g. invitation letters for patients; asthma review templates that can be used in consultation; a range of asthma action plans

aSocial influences

Interactive map with key local opinion leaders in their area discussing the importance of SSM

Highlighting of whole-team approach to SSM

Highlighting team approach to SSM

Emotion

Provision of NRAD 2014 report findings

 

aBehavioural regulation

Identifying barriers to SSM

Identifying barriers to effective SSM, and overcoming barriers in practice

  1. aIdentified by McCleary et al. [19] as having some evidence of effectiveness in educational initiatives for self-management support for asthma