Emma Jane Kinley

Project: Delivery of Support Self-Management in Asthma reviews: A Mixed Methods Observational Study Nested in the IMP²ART Programme of work

This PhD will use mixed-methods to observe and understand how healthcare professionals deliver supported self-management during asthma reviews in the implementation group of the IMP²ART cluster randomised trial.

The IMPlementing IMProved Asthma self-management as RouTine (IMP²ART) programme of work aims to facilitate the provision of supported self-management in routine primary care by developing practical strategies to enable practise to prioritise supported self-management:

1. Providing resources for patients
2. Motivating and training healthcare professionals (HPSs_ to deliver supported self-management through the use of online training modules
3. Providing organisational resources such as IMP²ART review template designed to support patient-centred consultations

Promoting patient-centred asthma reviews that focus on motivating patients to successfully self-manage their own asthma is central to the mechanism by which IMP²ART is expected to work. Therefore the aim of this study is to observe asthma reviews to assess whether Health Care Professionals (usually nurses) in the implementation arm of the trial are using patient-centred/motivational strategies within consultations to promote asthma self-management, and whether there are any between-group differences in consultation styles and clinician/patient perception of their asthma review.

Video-recording of a sample of consultations in both the implementation group and control group will be undertaken to assess differences in patterns of communication between patients and clinicians.

Insights from observing asthma reviews will inform future roll out of the IMP²ART implementation strategy specifically adding weight to the evidence that healthcare professionals should be provided with specific training skills to implement a motivating and patient centred asthma review. It will also inform the design of templates widely used in management of long-term conditions in practice.

About me

I was Student Representative at the Asthma UK Centre for Applied Research for 2020.

I have previously completed a BSc in Criminology & Psychology at Liverpool John Moore’s University, followed by an MSc in Health Psychology at the University of Stirling. I have a particular interest in behaviour change, health care interventions and how health care is delivered to patients and the positive and negative impacts these experiences may have on an individual’s abilities to understand and self-manage their own care.

My previous role as Project Officer within NHS Lothian’s Long Term Conditions team, gave me the rewarding opportunity to be involved in the coordination, delivery and analysis of 27 quality improvement projects targeted at health care professional interaction with individuals and how to better manage their health conditions.

Video

Watch a video describing Emma's study and its results

Research outputs

Publications

• Kinley, E, Skene, I, Steed, E, Pinnock, H, McClatchey, K. Delivery of supported self-management in remote asthma reviews: A systematic rapid realist review. Health Expect. 2022; 1- 15. doi:10.1111/hex.13441
• Morrissey, M., Shepherd, E., Kinley, E., McClatchey, K., & Pinnock, H. (2021). Effectiveness and perceptions of using templates in long-term condition reviews: a systematic synthesis of quantitative and qualitative studies. Br J Gen Pract 2021 Mar 8

Posters

• Kinley, E., Pinnock, H., McClatchey, K., Steed, L. Delivery of Supported Self-Management in Asthma Reviews: A Mixed Methods Observational Study Nested in the IMP²ART Programme of Work.
• Kinley, E., Pinnock, H., McClatchey, K., Steed, L. Delivery of Supported Self-Management in Remote Asthma Reviews: A Systematic Rapid Realist Review. Winning poster: Scientific Research Best Poster Award, Primary Care Respiratory Society Conference 2021