ArticleBMJ open2016
Internet-based self-management support for adults with asthma: a qualitative study among patients, general practitioners and practice nurses on barriers to implementation.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors influencing the implementation of general practice nurse-delivered models of care for chronic conditions: a mixed-methods systematic review to inform models of care for chronic sleep disorders.BMC primary care · 2026Pooled it
- Effectiveness and Acceptability of Asynchronous Digital Health in Asthma Care: Mixed Methods Systematic Review.Journal of medical Internet research · 2024Pooled it
- Social, Organizational, and Technological Factors Impacting Clinicians' Adoption of Mobile Health Tools: Systematic Literature Review.JMIR mHealth and uHealth · 2020Pooled it
- Implementation of Coach McLungsBMC medical informatics and decision making · 2022Trial
- Anticipated barriers and facilitators for implementing smart inhalers in asthma medication adherence management.NPJ primary care respiratory medicine · 2023Article
- Telehealth for HIV Care Services in South Carolina: Utilization, Barriers, and Promotion Strategies During the COVID-19 Pandemic.AIDS and behavior · 2021Article
- Evaluation of a shared decision-making intervention for pediatric patients with asthma in the emergency department.Implementation science communications · 2020Article
- A Clinically Integrated mHealth App and Practice Model for Collecting Patient-Reported Outcomes between Visits for Asthma Patients: Implementation and Feasibility.Applied clinical informatics · 2019Article
- Patient and provider perspectives on uptake of a shared decision making intervention for asthma in primary care practices.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- Mixed feelings: general practitioners' attitudes towards eHealth for stress urinary incontinence - a qualitative study.BMC family practice · 2019Article
- Core Components for a Clinically Integrated mHealth App for Asthma Symptom Monitoring.Applied clinical informatics · 2017Article
- A systematic diagnostic evaluation combined with an internet-based self-management support system for patients with asthma or COPD.International journal of chronic obstructive pulmonary diseaseObservational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to explore barriers among patients, general practitioners (GPs) and practice nurses to implement internet-based self-management support as provided by PatientCoach for asthma in primary care.
settingPrimary care within South Holland, the Netherlands.
participantsTwenty-two patients (12 women, mean age 38 years), 21 GPs (6 women, mean age 52 years) and 13 practice nurses (all women, mean age 41 years).
designA qualitative study using focus groups and interviews. OUTCOMES: Barriers as perceived by patients, GPs and practice nurses to implementation of PatientCoach.
methods10 focus groups and 12 interviews were held to collect data: 4 patient focus groups, 4 GP focus groups, 2 practice nurse focus group, 2 patient interviews, 5 GP interviews and 5 practice nurse interviews. A prototype of PatientCoach that included modules for coaching, personalised information, asthma self-monitoring, medication treatment plan, feedback, e-consultations and a forum was demonstrated. A semistructured topic guide was used. Directed content analysis was used to analyse data. Reported barriers were classified according to a framework by Grol and Wensing.
resultsA variety of barriers emerged among all participant groups. Barriers identified among patients include a lack of a patient-professional partnership in using PatientCoach and a lack of perceived benefit in improving asthma symptoms. Barriers identified among GPs include a low sense of urgency towards asthma care and current work routines. Practice nurses identified a low level of structured asthma care and a lack of support by colleagues as barriers. Among all participant groups, insufficient ease of use of PatientCoach, lack of financial arrangements and patient characteristics such as a lack of asthma symptoms were reported as barriers.
conclusionsWe identified a variety of barriers to implementation of PatientCoach. An effective implementation strategy for internet-based self-management support in asthma care should focus on these barriers.
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