Aishling Sheridan1, Aisling Jennings2, Shirley Keane3, Averil Power2, Paul Kavanagh4. 1. Department of Public Health North East, Health and Wellbeing Division, Health Service Executive, Dublin, Ireland. Aishling.sheridan@hse.ie. 2. Asthma Society of Ireland (2017), Dublin, Ireland. 3. Primary Care Strategy and Planning, Health Service Executive, Dublin, Ireland. 4. Department of Public Health North East, Health and Wellbeing Division, Health Service Executive, Dublin, Ireland.
Abstract
OBJECTIVE: To describe the impact of a nurse-led telephone self-management support (SMS) service for people with asthma and COPD in Ireland. METHODS: A cross-sectional survey of all (442) SMS users, July 2016 to May 2017, described user demographics, self-reported experience, process and outcome. Population utilisation was estimated and compared across groups. Factors associated with key outcomes were identified. RESULTS: The response rate was 162 (36.7%). Utilisation varied across population groups. Reported satisfaction was high, and 56.0% of users without a written action plan reported developing one. Most users reported positive cognitive and affective outcomes indicating effective patient activation. Information pack receipt was independently associated with better outcomes (odds ratio = 11.4 (95% CI, 2.0, 216.6), p < 0.05). CONCLUSION: A nurse-led telephone SMS intervention positively impacted self-management for people with asthma and COPD in Ireland. PRACTICE IMPLICATIONS: Roll-out of SMS should include staff training to promote positive service user experience and should include routine monitoring and evaluation to assure equitable reach and quality of key evidence-based care processes.
OBJECTIVE: To describe the impact of a nurse-led telephone self-management support (SMS) service for people with asthma and COPD in Ireland. METHODS: A cross-sectional survey of all (442) SMS users, July 2016 to May 2017, described user demographics, self-reported experience, process and outcome. Population utilisation was estimated and compared across groups. Factors associated with key outcomes were identified. RESULTS: The response rate was 162 (36.7%). Utilisation varied across population groups. Reported satisfaction was high, and 56.0% of users without a written action plan reported developing one. Most users reported positive cognitive and affective outcomes indicating effective patient activation. Information pack receipt was independently associated with better outcomes (odds ratio = 11.4 (95% CI, 2.0, 216.6), p < 0.05). CONCLUSION: A nurse-led telephone SMS intervention positively impacted self-management for people with asthma and COPD in Ireland. PRACTICE IMPLICATIONS: Roll-out of SMS should include staff training to promote positive service user experience and should include routine monitoring and evaluation to assure equitable reach and quality of key evidence-based care processes.
Entities:
Keywords:
Asthma; Chronic obstructive airways disease; Outcome and process assessment (health care); Patient education; Self-management; Telemedicine
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