Lee, Ping Yein and Cheong, Ai Theng and Ghazali, Sazlina Shariff and Salim, Hani and Wong, Jasmine and Hussein, Norita and Ramli, Rizawati and Pinnock, Hilary and Liew, Su May and Hanafi, Nik Sherina and Abu Bakar, Ahmad Ihsan and Ahad, Azainorsuzila Mohd and Pang, Yong Kek and Chinna, Karuthan and Khoo, Ee Ming (2021) Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals. NPJ Primary Care Respiratory Medicine, 31 (1). ISSN 2055-1010, DOI https://doi.org/10.1038/s41533-021-00250-y.
Full text not available from this repository.Abstract
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.
| Item Type: | Article |
|---|---|
| Funders: | UK Government |
| Uncontrolled Keywords: | African-American adults;Action plan;Patient;Communication;Perceptions;Adherence;Literacy;People;Recall;Lay |
| Subjects: | R Medicine R Medicine > RC Internal medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 31 May 2022 07:06 |
| Last Modified: | 31 May 2022 07:06 |
| URI: | http://eprints.um.edu.my/id/eprint/34627 |
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