Asthma UK Centre for Applied Research, Usher Institute, Old Medical School, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Institute for Population Health Sciences, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Trials. 2022 Apr 23;23(1):350. doi: 10.1186/s13063-022-06147-6.
IMPlementing IMProved Asthma self-management as RouTine (IMPART) is a programme of work developing and evaluating a strategy for implementing supported asthma self-management in UK primary care. The strategy encompasses patient-facing resources, professional education, and organisational approaches to embed supported self-management. This paper reports the development of a theoretically informed interprofessional education programme which aims to raise awareness of and enable healthcare professionals to deliver effective supported self-management.
Aligned with the Medical Research Council (MRC) Complex Intervention Framework, the multidisciplinary team developed educational content in three phases: (1) developmental phase, identifying educational and behaviour change theory to guide development, in consultation with a professional advisory group; (2) feasibility pilot phase, testing the education using a 'think-aloud' method; and (3) pre-pilot phase, delivering the education within the IMPART strategy.
The developmental phase identified educational and behaviour change theory and the need to provide two education modules: (1) a team module to raise awareness of supported asthma self-management for the whole team and (2) an individual study module for those who conduct asthma reviews with patients. The feasibility pilot highlighted content and design features in need of refinement and the pre-pilot identified substantial changes to the delivery strategy for the education modules.
A multi-stage development process, aligned with the MRC Framework, contributed to the module design and delivery. Prior explorative work, multi-disciplinary team discussions, and professional advisory group consultation, informed the initial development, and in-practice testing and pre-pilot stages enabled refinement. In our experience, there were important benefits of working together as an educationalist/researcher team. The education programme, a core component of the implementation strategy, is now being tested in the IMPART UK-wide cluster randomised controlled trial.
IMPlementing IMProved Asthma self-management as RouTine（IMPART）是一个工作方案，旨在开发和评估在英国初级保健中实施支持性哮喘自我管理的策略。该策略包括面向患者的资源、专业教育和组织方法，以嵌入支持性自我管理。本文报告了一个理论指导的跨专业教育计划的发展，该计划旨在提高医疗保健专业人员对有效支持性自我管理的认识并使他们能够实施该计划。
与医学研究委员会（MRC）复杂干预框架一致，多学科团队在三个阶段开发教育内容：（1）发展阶段，在与专业咨询小组协商的基础上，确定教育和行为改变理论以指导发展；（2）可行性试点阶段，使用“思考 aloud”方法测试教育；（3）预试点阶段，在 IMPART 策略中提供教育。
发展阶段确定了教育和行为改变理论以及提供两个教育模块的需求：（1）一个团队模块，提高整个团队对支持性哮喘自我管理的认识；（2）一个个人学习模块，供那些与患者进行哮喘评估的人员使用。可行性试点阶段突出了需要改进的内容和设计特征，预试点阶段确定了对教育模块的交付策略的重大改变。
与 MRC 框架一致的多阶段发展过程有助于模块设计和交付。初步探索性工作、多学科团队讨论和专业咨询小组咨询为初始开发提供了信息，实践测试和预试点阶段则实现了改进。根据我们的经验，作为教育工作者/研究人员团队一起工作具有重要的好处。该教育计划是实施策略的核心组成部分，目前正在 IMPART 英国范围内的群组随机对照试验中进行测试。
