Translation of an evidence-based asthma intervention: Physician Asthma Care Education (PACE) in the United States and Australia

Patel, Minal R.; Shah, Smita; Cabana, Michael D.; Sawyer, Susan Μ; Toelle, Brett G.; Mellis, Craig; Jenkins, Christine; Brown, Randall W.; Clark, Noreen M.

doi:10.4104/pcrj.2012.00093

Cited by 8 publications

(8 citation statements)

References 19 publications

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“…Few previous studies have been published assessing the effect of implementation of educational programmes targeted on healthcare providers, but the methods and outcomes of these trials are very heterogeneous. 16–23 Moreover, to our knowledge, studies specifically focusing on the use of respiratory health status assessment tools in primary care are generally lacking. An educational programme in Denmark focusing on improving primary care management of COPD showed that, in line with our study, treatment according to guidelines was suboptimal, but that focused education of general practitioners (GPs) could result in marked improvements in COPD management.…”

Section: Discussionmentioning

confidence: 99%

Enhancing the use of Asthma and COPD Assessment Tools in Balearic Primary Care (ACATIB): a region-wide cluster-controlled implementation trial

Román-Rodríguez

Pardo

López

et al. 2016

npj Prim Care Resp Med

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Asthma and chronic obstructive pulmonary disease (COPD) health status assessment tools have demonstrated their value in guiding clinical management. Their use in primary care is still suboptimal. The objective of this study was to assess the effect of an educational intervention programme on the use of the Asthma Control Test (ACT), modified Medical Research Council (mMRC) and COPD Assessment Test (CAT) among primary care settings of the Balearic Islands, Spain. In this region-wide cluster-controlled implementation study, an educational intervention on the use of respiratory health status tools was provided to primary care practices in Mallorca (intervention group). Practices in Ibiza and Menorca functioned as control practices. Written and multimedia materials were provided to all participants to educate their colleagues. Primary outcome was the difference between intervention and control practices in the percentage of practices that increased the use-and recording-of ACT, CAT and mMRC tests between the 6-month period before intervention and the 6-month period after intervention. In the intervention group, 32 out of 45 (71%) centres enhanced the total number of tests, compared with 4 out of 12 (33%) in the non-intervention group (χ 2 ; P = 0.02). Before intervention, 399 test scores were recorded in 88,194 patients (asthma: 57,339; COPD: 30,855). After intervention, 1,576 test scores were recorded in 92,714 patients (asthma: 61,841; COPD: 30,873). An educational intervention programme targeted on primary care physicians enhances the use of respiratory health status tools and promotes behavioural changes. However, the effect is very low and difficult to measure in clinical terms.

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Section: Discussionmentioning

confidence: 99%

Enhancing the use of Asthma and COPD Assessment Tools in Balearic Primary Care (ACATIB): a region-wide cluster-controlled implementation trial

Román-Rodríguez

Pardo

López

et al. 2016

npj Prim Care Resp Med

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“…RE-AIM consists of five dimensions: Reach: participation rate and representativeness of individuals who are willing to participate in a given programme; Efficacy: the success rate of an intervention on important outcomes, when it is implemented as intended; Adoption: percentage and representativeness of organisations that will begin or adopt a programme; Implementation: quality and consistency of programme delivery when the intervention is implemented as intended in the realword settings; and Maintenance: sustainability of intervention effects on individual's behaviour change, as well as the extent to which a programme becomes institutionalised [14]. The RE-AIM evaluation framework was recently applied to assess the translation of an evidence-based intervention in patients with asthma [15]. It categorises several types of chronic illness self-management interventions in the following modalities: one-to-one in-person counselling, group counselling sessions, telephone calls, interactive computer sessions, mailed print and health system policy.…”

Section: Data Synthesis Analysis and Quality Assessmentmentioning

confidence: 99%

Educational programmes in COPD management interventions: A systematic review

Stoilkova

Janssen

Wouters

2013

Respiratory Medicine

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“…The PACE (Physician Asthma Care Education) programme developed by Noreen Clark has also been adapted to the Australian healthcare system. 58 In addition, a pharmacy-based intervention has been trialled and implemented. 59 …”

Section: What Are the Challenges For The Healthcare Organisation In Pmentioning

confidence: 99%

A woman with asthma: a whole systems approach to supporting self-management

Pinnock

Ehrlich

Hoskins

et al. 2014

npj Prim Care Resp Med

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A 35-year-old lady attends for review of her asthma following an acute exacerbation. There is an extensive evidence base for supported self-management for people living with asthma, and international and national guidelines emphasise the importance of providing a written asthma action plan. Effective implementation of this recommendation for the lady in this case study is considered from the perspective of a patient, healthcare professional, and the organisation. The patient emphasises the importance of developing a partnership based on honesty and trust, the need for adherence to monitoring and regular treatment, and involvement of family support. The professional considers the provision of asthma self-management in the context of a structured review, with a focus on a self-management discussion which elicits the patient’s goals and preferences. The organisation has a crucial role in promoting, enabling and providing resources to support professionals to provide self-management. The patient’s asthma control was assessed and management optimised in two structured reviews. Her goal was to avoid disruption to her work and her personalised action plan focused on achieving that goal.

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Translation of an evidence-based asthma intervention: Physician Asthma Care Education (PACE) in the United States and Australia

Abstract: Background: Physician Asthma Care Education (PACE) is a programme developed in the USA to improve paediatric asthma outcomes.

Cited by 8 publications

References 19 publications

Enhancing the use of Asthma and COPD Assessment Tools in Balearic Primary Care (ACATIB): a region-wide cluster-controlled implementation trial

Enhancing the use of Asthma and COPD Assessment Tools in Balearic Primary Care (ACATIB): a region-wide cluster-controlled implementation trial

Educational programmes in COPD management interventions: A systematic review

A woman with asthma: a whole systems approach to supporting self-management

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