Project: IMP²ART
IMPlementing IMProved Asthma self-management as RouTine
IMP²ART aims to help general practices embed supported self-management into routine asthma care.
Supported self-management helps - but is not yet routine
We know that people with asthma are well placed to manage their condition themselves - and that this is most successful when there is a combination of the following in place to help:
- patient education
- professional training
- organisational support
We call an approach that addresses all three of these components, ‘supported self-management’.
We want to help general practices to embed supported self-management into routine asthma care
In our preliminary IMP²ART work we explored the best way to ensure the three components of supported self-management are implemented in general practices across the United Kingdom.
Patients told us that they learn over time how to self-manage. Habits form around frequently performed behaviours; experience and self-management advice informs less common tasks. Suggested initiatives included improving access to care from a trusted professional, and using technology.
General practitioners, nurses and staff told us how they organise asthma care in their practices and discussed the best ways of fitting supported self-management into their routines. They told us that nurses provide self-management support within routine reviews, and that lack of time was a problem. They suggested that technological solutions (such as templates, digital action plans) would be useful but needed to integrate with their computer systems.
Develop, refine and test
In the current IMP²ART work, we are going to develop, refine and test an appropriate implementation strategy to help general practices across the UK to embed supported self-management into routine asthma care.
This will include:
- Developing effective resources to support patients
- Providing in-house and online training for professionals
- Helping practices to change their organisation to prioritise supported self-management
Following the development of the implementation strategy, we will test the strategy in a UK-wide trial.
We hope to see supported self-management become a routine part of asthma care across the UK.
Get involved
The IMP2ART programme is currently recruiting general practices to participate in their UK-wide randomised controlled trial. Find out more on the programme website.
Publications and research outputs
The IMP2ART programme has produced a number of key outputs including papers, oral publications, posters and information leaflets. These can be found on the IMP2ART website.
IMP2ART Publications and research outputs
Key Staff
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Hilary Pinnock |
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Stephanie Taylor |
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Lead: Optimising management of asthma attacks Lead: Postgraduate Training, Network Coordinator |
Professor in Public Health and Primary Care |
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| Based at: University of Edinburgh | Based at: Queen Mary University of London | ||
| Hilary's Profile | Stephanie's Profile | ||
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Kirstie McClatchey |
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Vicky Hammersley |
| Research Fellow | Programme Manager | ||
| Based at: University of Edinburgh | Based at: University of Edinburgh | ||
| Kirstie's Profile | |||
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Viv Marsh |
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Atena Barat |
| Facilitation Coordinator | Research Fellow | ||
| Based at: University of Edinburgh | Based at: Queen Mary University of London | ||
| Viv's Profile | |||
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Momoko Phelan |
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Brigitte Delaney |
| Administrator | Research Fellow | ||
| Based at: Queen Mary University of London | Based at: University of Sheffield | ||
| Brigitte's Profile | |||
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Emily Healy |
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Lauren Hartley |
| Research Administrator |
Administrator |
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| Based at: University of Edinburgh |
Based at: University of Sheffield |
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| Emily's Profile |
PhD students
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Emma Kinley |
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Barbara Searle |
| IMP2ART and Asthma UK Centre for Applied Research PhD Student | IMP2ART and Asthma UK Centre for Applied Research PhD Student | ||
| Based at: University of Edinburgh | Based at: Queen Mary University of London | ||
| Emma's Profile | Barbara's Profile |
Timeline
01 Oct 2018 – 31 Mar 2024
Contact us
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More information
Summary of key papers - Background to the IMP2ART programme
PRISMS project
Final report
Taylor SJC, Pinnock H, Epiphaniou E, Pearce G, Parke H, et al.
Health Serv Deliv Res 2014; 2:54
Asthma meta-review
Systematic meta-review of supported self-management for asthma: a healthcare service perspective.
Pinnock H, Parke HL, Panagioti M, Daines L, Pearce G, Epiphaniou E, Bower P, Sheikh A, Griffiths CJ, Taylor SJC, for the PRISMS group
BMC Medicine 2017;15:64
Implementation Systematic Review
Implementing supported self-management for asthma: a systematic review of implementation studies.
Pinnock H, Epiphaniou E, Pearce G, Parke HL, Greenhalgh T, Sheikh A, Griffiths CJ, Taylor SJC.
MC Medicine 2015; 13:127
PRISMS taxonomy
Pearce G, Parke H, Pinnock H, Epiphaniou E, Bourne CLA, Sheikh A, Taylor SJC.
J Health Serv Res Policy 2016 21: 73-82
IMP2ART Programme Development Grant
Morrow S, Daines L, Wiener-Ogilvie S, Steed EA, McKee L, Caress A-L, Taylor SJC, Pinnock H on behalf of the IMP2ART team.
npjPrim Care Respir Med 2017;27:45
McCleary N, Andrews A, Captieux M, Buelo A, Morrow S, Wiener-Ogilvie S, Fletcher M, Steed E, Taylor SJC, Pinnock H, on behalf of the IMP2ART team
npjPrim Care Respir Med 2017;50;61
Funding
NIHR Programme Grant for Applied Research. This article represents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Reference Number RP-PG-1016-20008). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.