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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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Written Asthma Action Plans (WAAPs) in Melbourne general practices: a sequential mixed methods study.

Nabil Sulaiman¹, Rosalie Aroni, Francis Thien

¹Department of Family and Community Medicine, University of Sharjah, Sharjah University City, United Arab Emirates. nsulaiman@sharjah.ac.ae

Primary Care Respiratory Journal : Journal of the General Practice Airways Group

|February 22, 2011

Summary

Ownership of written asthma action plans (WAAPs) remains low, with only 37% of adults and 47% of children possessing them. More effective strategies are needed to increase their prescription by general practitioners (GPs).

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Area of Science:

General Practice
Respiratory Medicine
Health Services Research

Background:

Written asthma action plans (WAAPs) are a key tool for asthma management.
Understanding patient and doctor perspectives on WAAP ownership and utility is crucial for improving asthma care.

Purpose of the Study:

To investigate the ownership and perceived usefulness of written asthma action plans (WAAPs) within general practice settings.
To identify factors associated with WAAP ownership and explore patient and doctor views on their utility.

Main Methods:

A mixed-methods approach combining questionnaires with qualitative focus groups and interviews.
Data collected from 225 adults and 75 children with asthma across 31 general practices.
Statistical analysis of questionnaire data and thematic analysis of qualitative transcripts.

Main Results:

WAAP ownership was low: 37% in adults and 47% in children.
Factors associated with adult WAAP ownership included symptom severity and healthcare utilization.
Few participants recalled receiving or using a WAAP, though some found them useful when combined with verbal advice.

Conclusions:

Low ownership rates highlight a need for improved strategies to promote GP prescription of WAAPs.
While perceived utility exists, barriers to WAAP use and acknowledgment require further investigation.
Enhancing WAAP implementation in general practice is essential for better asthma management.