Barriers to implementing asthma self-management in Malaysian primary care: qualitative study exploring the perspectives of healthcare professionals

被引:6
|
作者
Lee, Ping Yein [1 ]
Cheong, Ai Theng [2 ]
Ghazali, Sazlina Shariff [2 ]
Salim, Hani [3 ]
Wong, Jasmine [2 ]
Hussein, Norita [4 ]
Ramli, Rizawati [4 ]
Pinnock, Hilary [3 ]
Liew, Su May [4 ]
Hanafi, Nik Sherina [4 ]
Abu Bakar, Ahmad Ihsan [4 ]
Ahad, Azainorsuzila Mohd [5 ]
Pang, Yong Kek [6 ]
Chinna, Karuthan [7 ]
Khoo, Ee Ming [4 ]
机构
[1] Univ Malaya, Fac Med, UM eHlth Unit, Kuala Lumpur, Malaysia
[2] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Family Med, Serdang, Selangor, Malaysia
[3] Univ Edinburgh, Usher Inst, NIHR Global Hlth Res Unit Resp Hlth RESPIRE, Edinburgh, Midlothian, Scotland
[4] Univ Malaya, Fac Med, Dept Primary Care Med, Kuala Lumpur, Malaysia
[5] Minist Hlth Malaysia, Klin Kesihatan Lukut, Port Dickson, Negeri Sembilan, Malaysia
[6] Univ Malaya, Fac Med, Dept Med, Kuala Lumpur, Malaysia
[7] Taylors Univ, Fac Hlth & Med Sci, Sch Med, Subang Jaya, Selangor, Malaysia
关键词
AFRICAN-AMERICAN ADULTS; ACTION PLAN; PATIENT; COMMUNICATION; PERCEPTIONS; ADHERENCE; LITERACY; PEOPLE; RECALL; LAY;
D O I
10.1038/s41533-021-00250-y
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Asthma self-management is a crucial component of asthma management. We sought to explore healthcare professionals' (HCPs') perceptions on barriers to asthma self-management implementation in primary care. We recruited 26 HCPs from six public primary care clinics in a semi-urban district of Malaysia in 2019. The analysis was done inductively. HCPs described barriers that resonated with the "COM-B" behaviour change framework. Capability-related issues stemmed from a need for specific self-management skills training. Opportunity-related barriers included the need to balance competing tasks and limited, poorly tailored resources. Motivation-related barriers included lack of awareness about self-management benefits, which was not prioritised in consultations with perceived lack of receptiveness from patients. These were compounded by contextual barriers of the healthcare organisation and multilingual society. The approach to implementation of asthma self-management needs to be comprehensive, addressing systemic, professional, and patient barriers and tailored to the local language, health literacy, and societal context.
引用
收藏
页数:8
相关论文
共 50 条
  • [1] Barriers to implementing asthma self-management in Malaysian primary care: qualitative study exploring the perspectives of healthcare professionals
    Ping Yein Lee
    Ai Theng Cheong
    Sazlina Shariff Ghazali
    Hani Salim
    Jasmine Wong
    Norita Hussein
    Rizawati Ramli
    Hilary Pinnock
    Su May Liew
    Nik Sherina Hanafi
    Ahmad Ihsan Abu Bakar
    Azainorsuzila Mohd Ahad
    Yong Kek Pang
    Karuthan Chinna
    Ee Ming Khoo
    [J]. npj Primary Care Respiratory Medicine, 31
  • [2] BARRIERS TO HEALTHCARE PROFESSIONALS ENCOURAGING SELF-MANAGEMENT IN ASTHMA AND COPD
    Younis, I.
    Roberts, N. J.
    Partridge, M. R.
    [J]. THORAX, 2009, 64 : A93 - A93
  • [3] Perspectives of patients and healthcare professionals on mHealth for asthma self-management
    Simpson, Andrew J.
    Honkoop, Persijn J.
    Kennington, Erika
    Snoeck-Stroband, Jiska B.
    Smith, Ian
    East, Jessica
    Coleman, Courtney
    Caress, Ann
    Chung, Kian Fan
    Sont, Jacob K.
    Usmani, Omar
    Fowler, Stephen J.
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2017, 49 (05)
  • [4] Healthcare professionals’ perspectives on facilitators of and barriers to CKD management in primary care: a qualitative study in Singapore clinics
    Chandrika Ramakrishnan
    Ngiap Chuan Tan
    Sungwon Yoon
    Sun Joon Hwang
    Marjorie Wai Yin Foo
    Muthulakshmi Paulpandi
    Shi Ying Gun
    Jia Ying Lee
    Zi Ying Chang
    Tazeen H. Jafar
    [J]. BMC Health Services Research, 22
  • [5] Healthcare professionals' perspectives on facilitators of and barriers to CKD management in primary care: a qualitative study in Singapore clinics
    Ramakrishnan, Chandrika
    Tan, Ngiap Chuan
    Yoon, Sungwon
    Hwang, Sun Joon
    Foo, Marjorie Wai Yin
    Paulpandi, Muthulakshmi
    Gun, Shi Ying
    Lee, Jia Ying
    Chang, Zi Ying
    Jafar, Tazeen H.
    [J]. BMC HEALTH SERVICES RESEARCH, 2022, 22 (01)
  • [6] Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care
    Zhu, Xiaoli
    Lee, Eng Sing
    Lim, Phoebe X. H.
    Chen, Yee Chui
    Chan, Frederick H. F.
    Griva, Konstadina
    [J]. INTERNATIONAL WOUND JOURNAL, 2023, 20 (07) : 2764 - 2779
  • [7] Exploring the perspectives of healthcare professionals on providing supported asthma self-management for Bangladeshi and Pakistani people in the UK
    Ahmed, Salina
    Pinnock, Hilary
    Steed, Liz
    [J]. PLOS ONE, 2024, 19 (06):
  • [8] Exploring the perspectives of clinical professionals and support staff on implementing supported self-management for asthma in UK general practice: an IMP2ART qualitative study
    Morrow, Susan
    Daines, Luke
    Wiener-Ogilvie, Sharon
    Steed, Liz
    Mckee, Lorna
    Caress, Ann-Louise
    Taylor, Stephanie J. C.
    Pinnock, Hilary
    [J]. NPJ PRIMARY CARE RESPIRATORY MEDICINE, 2017, 27
  • [9] Exploring the perspectives of clinical professionals and support staff on implementing supported self-management for asthma in UK general practice: an IMP2ART qualitative study
    Susan Morrow
    Luke Daines
    Sharon Wiener-Ogilvie
    Liz Steed
    Lorna McKee
    Ann-Louise Caress
    Stephanie J. C. Taylor
    Hilary Pinnock
    [J]. npj Primary Care Respiratory Medicine, 27
  • [10] A qualitative study of the barriers facing primary healthcare professionals in identifying occupational asthma
    Walters, Gareth
    Barber, Christopher Michael
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2021, 58