ArticleNPJ primary care respiratory medicine2021
Barriers to implementing asthma self-management in Malaysian primary care: qualitative study exploring the perspectives of healthcare professionals.
Article in NPJ primary care respiratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Exploring patients' perspectives and experiences of asthma self-management: A qualitative study.Exploratory research in clinical and social pharmacy · 2026Article
- Implementation of Clinical Pharmacy Services in Primary Health Care: A Scoping Review.Journal of evaluation in clinical practice · 2025Article
- A self-management app to improve asthma control in adults with limited health literacy: a mixed-method feasibility study.BMC medical informatics and decision making · 2023Article
- Healthcare resources, organisational support and practice in asthma in six public health clinics in Malaysia.NPJ primary care respiratory medicine · 2023Article
- Article
- Feasibility of supported self-management with a pictorial action plan to improve asthma control.NPJ primary care respiratory medicine · 2022Article
- Burden and unmet needs in asthma care in the Asia-Pacific region.Public health challenges · 2022Article
- Improving Asthma Action Plan Completion Rates across Five Divisions in an Academic Children's Hospital.Pediatric quality & safetyArticle
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Authors and funding
15 authors.
Funding
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Abstract
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.
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