ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2012
Using a knowledge translation framework to implement asthma clinical practice guidelines in primary care.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Built to last? The sustainability of healthcare system improvements, programmes and interventions: a systematic integrative review.BMJ open · 2020Pooled it
- Systematic Review and Meta-analysis of the Effectiveness of Implementation Strategies for Non-communicable Disease Guidelines in Primary Health Care.Journal of general internal medicine · 2018Pooled it
- Adding non-randomised studies to a Cochrane review brings complementary information for healthcare stakeholders: an augmented systematic review and meta-analysis.BMC health services research · 2016Pooled it
- Chronic disease management programmes for adults with asthma.The Cochrane database of systematic reviews · 2015Pooled it
- Evaluating the impact of an integrated computer-based decision support with person-centered analytics for the management of asthma in primary care: a randomized controlled trial.Journal of the American Medical Informatics Association : JAMIA · 2015Trial
- Implementation of an e-Tool (the Provider Asthma Assessment Form) Integrated Into the Electronic Medical Record in Primary Care: Mixed Methods Survey of Perceived Utility, Practitioner Satisfaction, Barriers and Enablers.JMIR formative research · 2026Article
- Impact of a Novel Electronic Medical Record-Integrated Electronic Form (Provider Asthma Assessment Form) and Severe Asthma Algorithm in Primary Care: Single-Center, Pre- and Postobservational Study.JMIR formative research · 2025Observational
- Single-Inhaler Triple Therapy in Primary Care Across Europe: Expert Panel Consensus on the Consequences of Payer-Driven Access Rules and Call to Action.International journal of chronic obstructive pulmonary disease · 2025Review
- Integrating User Preferences for Asthma Tools and Clinical Guidelines Into Primary Care Electronic Medical Records: Mixed Methods Study.JMIR formative research · 2023Article
- Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023Review
- ERS/EAACI statement on adherence to international adult asthma guidelines.European respiratory review : an official journal of the European Respiratory Society · 2021Article
- Impact of provincial and national implementation strategies on P2Y12 inhibitor utilization for acute coronary syndrome in the elderly: an interrupted time series analysis from 2008 to 2018.Implementation science : IS · 2021Article
- Prescribing of long-acting beta-2-agonists/inhaled corticosteroids after the SMART trial.BMC pulmonary medicine · 2015Article
- The association of asthma education centre characteristics on hospitalizations and emergency department visits in Ontario: a population-based study.BMC health services research · 2014Article
- Atrial fibrillation anticoagulation care in a large urban family medicine practice.Canadian family physician Medecin de famille canadien · 2014Article
- Asthma linked with rhinosinusitis: An extensive review.Allergy & rhinology (Providence, R.I.) · 2014Article
- Development and pilot testing of a mobile health solution for asthma self-management: asthma action plan smartphone application pilot study.Canadian respiratory journalArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Quality problem International guidelines establish evidence-based standards for asthma care; however, recommendations are often not implemented and many patients do not meet control targets. Initial assessment Regional pilot data demonstrated a knowledge-to-practice gap. Choice of solutions We engineered health system change in a multi-step approach described by the Canadian Institutes of Health Research knowledge translation framework. Implementation Knowledge translation occurred at multiple levels: patient, practice and local health system. A regional administrative infrastructure and inter-disciplinary care teams were developed. The key project deliverable was a guideline-based interdisciplinary asthma management program. Six community organizations, 33 primary care physicians and 519 patients participated. The program operating cost was $290/patient. Evaluation Six guideline-based care elements were implemented, including spirometry measurement, asthma controller therapy, a written self-management action plan and general asthma education, including the inhaler device technique, role of medications and environmental control strategies in 93, 95, 86, 100, 97 and 87% of patients, respectively. Of the total patients 66% were adults, 61% were female, the mean age was 35.7 (SD = ± 24.2) years. At baseline 42% had two or more symptoms beyond acceptable limits vs. 17% (P< 0.001) post-intervention; 71% reported urgent/emergent healthcare visits at baseline (2.94 visits/year) vs. 45% (1.45 visits/year) (P< 0.001); 39% reported absenteeism (5.0 days/year) vs. 19% (3.0 days/year) (P< 0.001). The mean follow-up interval was 22 (SD = ± 7) months. Lessons learned A knowledge-translation framework can guide multi-level organizational change, facilitate asthma guideline implementation, and improve health outcomes in community primary care practices. Program costs are similar to those of diabetes programs. Program savings offset costs in a ratio of 2.1:1.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.