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Open Access 01-12-2022 | Bronchial Asthma | Research

Developing a theoretically informed education programme within the context of a complex implementation strategy in UK primary care: an exemplar from the IMP²ART trial

Authors: Kirstie McClatchey, Viv Marsh, Liz Steed, Steve Holmes, Stephanie J. C. Taylor, Sharon Wiener-Ogilvie, Julia Neal, Rhian Last, Ann Saxon, Hilary Pinnock, for the IMP2ART Programme Group

Published in: Trials | Issue 1/2022

Abstract

Background

IMPlementing IMProved Asthma self-management as RouTine (IMP²ART) 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.

Methods

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 IMP²ART strategy.

Results

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.

Conclusions

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 IMP²ART UK-wide cluster randomised controlled trial.

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Title: Developing a theoretically informed education programme within the context of a complex implementation strategy in UK primary care: an exemplar from the IMP2ART trial
Authors: Kirstie McClatchey
Viv Marsh
Liz Steed
Steve Holmes
Stephanie J. C. Taylor
Sharon Wiener-Ogilvie
Julia Neal
Rhian Last
Ann Saxon
Hilary Pinnock
for the IMP2ART Programme Group
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Bronchial Asthma
Care
Published in: Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI: https://doi.org/10.1186/s13063-022-06147-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Developing a theoretically informed education programme within the context of a complex implementation strategy in UK primary care: an exemplar from the IMP²ART trial

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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