“A breath of fresh air” for tackling chronic disease in Ireland? An evaluation of a self-management support service for people with chronic respiratory diseases
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To describe the impact of a nurse-led telephone self-management support (SMS) service for people with asthma and COPD in Ireland.
A cross-sectional survey of all (442) SMS users, July 2016 to May 2017, described user demographics, self-reported experience, process and outcome. Population utilisation was estimated and compared across groups. Factors associated with key outcomes were identified.
The response rate was 162 (36.7%). Utilisation varied across population groups. Reported satisfaction was high, and 56.0% of users without a written action plan reported developing one. Most users reported positive cognitive and affective outcomes indicating effective patient activation. Information pack receipt was independently associated with better outcomes (odds ratio = 11.4 (95% CI, 2.0, 216.6), p < 0.05).
A nurse-led telephone SMS intervention positively impacted self-management for people with asthma and COPD in Ireland.
Roll-out of SMS should include staff training to promote positive service user experience and should include routine monitoring and evaluation to assure equitable reach and quality of key evidence-based care processes.
KeywordsAsthma Chronic obstructive airways disease Outcome and process assessment (health care) Patient education Self-management Telemedicine
We would like to thank Dr. Elaine Brabazon, Department of Public Health North East; Dr. Carmel Mullaney, HSE Lead for Self-Management Support, Department of Public Health South East; and the users of the Self-Management Support Service who participated in this evaluation.
• A Sheridan planned, designed and conducted the evaluation, analysed and interpreted data, and drafted the report.
• A Jennings assisted in planning and conducting the evaluation and reviewed the report.
• S Keane assisted in planning the evaluation and reviewed the report.
• A Power assisted in planning the evaluation and reviewed the report.
• P Kavanagh supervised planning, designing and conducting the evaluation, analysis and interpretation of data, and drafting and reviewing the report.
Compliance with ethical standards
Conflict of interest
A Power and A Jennings were employed by the organisation which delivered the self-management support service. S Keane was employed by the organisation which commissioned and funded the self-management support service. A Sheridan and P Kavanagh were both independent of the funding and delivery of the service.
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