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Area of Science:

  • Public Health
  • Implementation Science
  • Respiratory Medicine

Background:

  • Asthma is a prevalent chronic condition with significant public health implications.
  • Supported self-management, including personalized asthma action plans and regular reviews, is recommended but underutilized in practice.
  • The IMP2ART (Implementing Improved Asthma Self-Management as Routine) strategy aims to address this implementation gap.

Purpose of the Study:

  • To evaluate the effectiveness of the IMP2ART strategy in increasing the provision of asthma action plans.
  • To determine if the IMP2ART strategy reduces unscheduled healthcare utilization for asthma in UK primary care.
  • To assess the impact on asthma outcomes and quality of life.

Main Methods:

  • A cluster randomized controlled trial involving 144 UK general practices.
  • Practices were randomized to either the IMP2ART implementation strategy or a control group receiving usual care.
  • Data on unscheduled care, asthma action plan ownership, reviews, prescribing, and patient-reported outcomes were collected.

Main Results:

  • The IMP2ART strategy led to increased asthma action plan ownership at 12 months.
  • A reduction in unscheduled care was observed in the second year post-randomization in the intervention group.
  • Secondary outcomes showed improvements in asthma reviews and patient-reported measures.

Conclusions:

  • The IMP2ART strategy is an effective approach to implement supported asthma self-management in routine primary care.
  • Facilitated implementation of asthma action plans can reduce unscheduled consultations and improve patient outcomes.
  • This study provides evidence for integrating supported self-management into standard asthma care pathways.