- Title
- Using a knowledge translation framework to identify health care professionals’ perceived barriers and enablers for personalised severe asthma care
- Creator
- Majellano, Eleanor C.; Clark, Vanessa L.; McLoughlin, Rebecca F.; Gibson, Peter G.; McDonald, Vanessa M.
- Relation
- PLoS ONE Vol. 17, Issue 6, no. e0269038
- Publisher Link
- http://dx.doi.org/10.1371/journal.pone.0269038
- Publisher
- Public Library of Science (PLoS)
- Resource Type
- journal article
- Date
- 2022
- Description
- Background Whilst multidimensional assessment enables the detection of treatable traits in severe asthma and has the potential to improve patient outcomes, healthcare disparities exist, and little is known about the factors influencing optimal management in severe asthma. This study aimed to explore perceived barriers, and enablers to implementing personalised care in severe asthma, from the healthcare professionals’ perspective. Methods A descriptive, qualitative study involving a single focus group (n = 7) and semi-structured interviews (n = 33) with multidisciplinary healthcare professionals involved in severe asthma care was conducted. A hybrid thematic and content analysis was undertaken to identify themes, which were then deductively mapped to the Theoretical Domains Framework (TDF). Results Overall, three emergent themes were identified: (1) Barriers- (2) Enablers- to optimal management; (3) Desired model of care. Across all TDF domains, 6 constructs influenced development and implementation of optimal care: (1) belief about consequences, (2) environmental context and resources, (3) belief about capabilities, (4) social/professional role and identity, (5) goals and (6) knowledge. Conclusion Implementation of personalised care in severe asthma is complex and non-linear. The use of a theory-based approach effectively demonstrated how a variety of behaviours could be targeted to optimise and promote personalised care in different clinical setting.
- Subject
- severe asthma; perceived barriers; enablers; personalised care; SDG 3; SDG 10; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1458472
- Identifier
- uon:45437
- Identifier
- ISSN:1932-6203
- Rights
- © 2022 Majellano et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
Goal 10: Reduced Inequalities
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