Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals
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...
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my.um.eprints.346272022-05-31T07:06:43Z http://eprints.um.edu.my/34627/ Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals Lee, Ping Yein Cheong, Ai Theng Ghazali, Sazlina Shariff Salim, Hani Wong, Jasmine Hussein, Norita Ramli, Rizawati Pinnock, Hilary Liew, Su May Hanafi, Nik Sherina Abu Bakar, Ahmad Ihsan Ahad, Azainorsuzila Mohd Pang, Yong Kek Chinna, Karuthan Khoo, Ee Ming R Medicine RC Internal medicine 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. Nature Research 2021-07-07 Article PeerReviewed 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 <https://doi.org/10.1038/s41533-021-00250-y>. 10.1038/s41533-021-00250-y |
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R Medicine RC Internal medicine Lee, Ping Yein Cheong, Ai Theng Ghazali, Sazlina Shariff Salim, Hani Wong, Jasmine Hussein, Norita Ramli, Rizawati Pinnock, Hilary Liew, Su May Hanafi, Nik Sherina Abu Bakar, Ahmad Ihsan Ahad, Azainorsuzila Mohd Pang, Yong Kek Chinna, Karuthan Khoo, Ee Ming Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals |
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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. |
format |
Article |
author |
Lee, Ping Yein Cheong, Ai Theng Ghazali, Sazlina Shariff Salim, Hani Wong, Jasmine Hussein, Norita Ramli, Rizawati Pinnock, Hilary Liew, Su May Hanafi, Nik Sherina Abu Bakar, Ahmad Ihsan Ahad, Azainorsuzila Mohd Pang, Yong Kek Chinna, Karuthan Khoo, Ee Ming |
author_facet |
Lee, Ping Yein Cheong, Ai Theng Ghazali, Sazlina Shariff Salim, Hani Wong, Jasmine Hussein, Norita Ramli, Rizawati Pinnock, Hilary Liew, Su May Hanafi, Nik Sherina Abu Bakar, Ahmad Ihsan Ahad, Azainorsuzila Mohd Pang, Yong Kek Chinna, Karuthan Khoo, Ee Ming |
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Lee, Ping Yein |
title |
Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals |
title_short |
Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals |
title_full |
Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals |
title_fullStr |
Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals |
title_full_unstemmed |
Barriers to implementing asthma self-management in Malaysian primary care: Qualitative study exploring the perspectives of healthcare professionals |
title_sort |
barriers to implementing asthma self-management in malaysian primary care: qualitative study exploring the perspectives of healthcare professionals |
publisher |
Nature Research |
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2021 |
url |
http://eprints.um.edu.my/34627/ |
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1735409618419449856 |
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13.188404 |