Asthma UK Centre for Applied Research

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.

Key People

headshot of Hilary Pinnock

Hilary Pinnock

Headshot of Steph Taylor

Stephanie Taylor

Lead: Optimising management of asthma attacks

Lead: Postgraduate Training, Network Coordinator

Professor in Public Health and Primary Care

Based at: University of Edinburgh Based at: Queen Mary University of London
Hilary's Profile Stephanie's Profile
Headshot of Kirstie McClatchey

Kirstie McClatchey

Headshot of Emily Healy

Emily Healy

Research Fellow Research Administrator
Based at: University of Edinburgh Based at: University of Edinburgh
Kirstie's Profile

Emily's Profile

headshot of Emma Kinley

Emma Kinley

Asthma UK Centre for Applied Research PhD Student
Based at: University of Edinburgh
Emma's Profile

Website

IMP2ART programme website

Timeline

01 Oct 2018 – 31 Mar 2024

Contact us

For updates on the project and related news, follow us on Twitter 

@IMP2ART 

Want to know more?

Do you work in a General Practice and would you be interested in finding out more about how your practice can get involved?

Email us

More information

Summary of key papers - Background to the IMP2ART programme

PRISMS project

Final report

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions.  (PRISMS Practical Systematic Review of Self-Management Support for long-term conditions)

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

The PRISMS Taxonomy of Self-Management Support: Derivation of a Novel Taxonomy and Initial Testing of Utility.   

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

Exploring the perspectives of clinical professionals and support staff on implementing supported self-management for asthma in UK general practice: an IMP2ART qualitative study. 

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 

Educational interventions for professionals implementing supported self-management for asthma: a systematic review from the IMP2ART programme.

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 

Previous work in self-management - PRISMS

Read more about our previous work reviewing what makes self-management a success

The ‘PRISMS’ study

Download information leaflets

Study information leaflet for practices interested in participating will be available to download here soon

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.