Department of Respiratory Medicine, NHLI at Charing Cross Hospital, Imperial College London, Hammersmith, London, UK.
Patient Educ Couns. 2010 Jul;80(1):141-6. doi: 10.1016/j.pec.2009.09.040. Epub 2009 Oct 29.
Self-management education and the issuing of a written action plan improve outcomes for asthma. Many do not receive a plan and some cannot use the written word. We have developed an electronic pictorial asthma action plan (E-PAAP).
A pictorial action plan was incorporated into a software package. 21 general practices were offered this tool and the software was loaded onto 63 desktop computers (46 GPs and 17 nurses). Usage was assessed and health care professionals questioned as to its use.
190 plans had been printed in a 4-month period (17 for test purposes). The individual usage rate ranged from 0 to 28 plans. Doctors printed 73% (139/190) a mean of 3 per doctor and nurses printed 27% a mean of 2 per nurse (37/190). Excluding the test copies, 116/173(67%) were printed as picture and text together.
Nearly half of all healthcare professionals used the E-PAAP software. Usage was skewed with some individuals using the software significantly more than others. The software package should help overcome problems of access to paper templates, by calculating peak flow action thresholds and by prompting correct completion. Barriers to the use of asthma action plans, such as perceived time constraints, persist.
The development of an electronic asthma action plan facilitates health professional access to a basic template and prompts the user as to correct usage. It is to be hoped that such facilitation enhances the number of action plans issued and in this study GPs were greater users than the nurses.
自我管理教育和书面行动计划的制定可改善哮喘的治疗效果。但是许多患者没有得到行动计划，还有一些患者无法使用书面语言。我们开发了一种电子图片哮喘行动计划（E-PAAP）。
将图片行动计划纳入软件包中。为 21 家普通诊所提供了该工具，并将软件加载到 63 台台式计算机上（46 名全科医生和 17 名护士）。评估了使用情况，并询问了医疗保健专业人员对其使用情况的看法。
在 4 个月的时间内打印了 190 份计划（其中 17 份用于测试目的）。个人使用率范围为 0 到 28 个计划。医生打印了 73％（139/190），平均每位医生打印 3 份，护士打印了 27％（37/190），平均每位护士打印 2 份。不包括测试副本，有 116/173（67％）是将图片和文字一起打印的。
将近一半的医疗保健专业人员使用了 E-PAAP 软件。使用情况存在偏差，一些人比其他人更频繁地使用该软件。该软件包应有助于克服获取纸质模板的问题，通过计算峰流速行动计划的阈值并提示正确完成来实现。阻碍哮喘行动计划使用的因素（例如，感知到的时间限制）仍然存在。
电子哮喘行动计划的开发方便了医疗专业人员访问基本模板，并提示用户正确使用。希望这种便利能增加行动计划的数量，在本研究中，全科医生的使用量大于护士。
