Evaluating a Pilot Structured Education Service in Asthma patients based in Croydon Borough, a community approach in South-West London. (ID 671)
Croydon Health Services NHS Trust
Abstract
Background:
Asthma is a chronic lung disease affecting people of all ages. It is caused by inflammation and muscle tightening around the airways, which makes it difficult to breathe. The WHO Package of Essential Noncommunicable Disease Interventions (PEN) was developed to help improve NCD management in primary health care in low-resource settings. [1]
Growing evidence suggests that implementing a Personalised Asthma Action Plan reduces hospitalisation. While delivering evidence-based care requires active patient engagement, there remains a limited understanding of Asthma self-management strategies among many individuals.
Method:
The Croydon Respiratory Team (CRT) offers an integrated respiratory service that connects care between the acute hospital and the community. In partnership with the Health Innovation Network (HIN) and supported by the Better Care Fund, CRT developed and delivered a programme consisting of two interactive 3-hour sessions held one week apart. The programme focused on self-management, peer learning, and behaviour change, and was delivered by a multidisciplinary team in accessible community venues. multidisciplinary team comprising a respiratory practitioner and an administrative staff member.
RESULTS
A total of 122 patients were referred, 43 enrolled, and 41 patients completed the program. The Asthma Quality of Life Questionnaire and Satisfaction Questionnaire were collected.
Overall, the participants were satisfied with the course (4.87 scores) and increased (median 43.28%) their understanding of Asthma to a better approach to a personalised asthma action plan, resulting in improved asthma control score by a median of 90%, which resulted in a 52% decrease in hospital re-admission.
Factors such as patient demographics, geographic location, literacy levels, and access to healthcare contribute to this variability and present challenges to effective self-management implementation.
CONCLUSIONS
The empirical findings in this study demonstrate a low level of patient understanding of Asthma, and self-management can be improved through structured education.
RECOMMENDATIONS
Future delivery should explore a hybrid model using digital technology, with further investigation into the barriers and enablers of tech-based support.
References: . Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-22
Funding: Funded by Better Care Fund in collaboration with Health Innovation Network
Conflicts of interest: nil
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