Evaluating the Impact of GP and Practice Nurse Training in Self Regulations Skills on Patient Outcomes
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This study will address the key question of developing shared understanding and negotiating mutually acceptable outcomes between people with asthma and healthcare professionals by applying theoretical knowledge of self regulation and communication skills learning and practice to asthma consultations. This study will facilitate integration of best practice into normal care using the BTS/SIGN asthma guidelines as the basis for structured care. This intervention has been show to be effective in the US. We aim to show that it can be effective in the UK setting in a cluster randomised control trial. We aim to modify and evaluate the intervention in such a way that it can be easily offered across UK primary care settings, with the possibility of significant benefits for patients. The intervention is based on the principle of empowering patients to manage their condition themselves, is consistent with the aims of Asthma UK, and, for this reason, we believe that Asthma UK may wish to be associated with this project.
Condition or disease
Behavioral: modification of an interactive seminar
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Ages Eligible for Study:
18 Years to 55 Years (Adult)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Registered with SPPIRe
List size > 5000
An asthma register
At least 1 GP and 1 Practice nurse commit to training
Commitment to ensuring questionnaire data is collected from 40 patients with poorly controlled asthma seen by either the GP or nurse
Must be registered with recruited practices
Asthma diagnosis in excess of 12 months receiving regular preventative asthma therapy
Using in excess of twelve beta2 agonists during a twelve month period and/or experiencing an acute exacerbation of asthma requiring oral steroids in the last 12 months
Not registered with SPIRRe
Not reaching the inclusion criteria
Not wishing to take part.
If they have well controlled asthma and do not experience any poor control.
Patients with physician-diagnosed predominantly irreversible airways disease.