Barriers to implementing asthma self-management in Malaysian primary care: qualitative study exploring the perspectives of healthcare professionals
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...
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Nature Portfolio
2021
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oai:doaj.org-article:2b2efb755b74431682e1cae19accd6902021-12-02T18:34:12ZBarriers to implementing asthma self-management in Malaysian primary care: qualitative study exploring the perspectives of healthcare professionals10.1038/s41533-021-00250-y2055-1010https://doaj.org/article/2b2efb755b74431682e1cae19accd6902021-07-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00250-yhttps://doaj.org/toc/2055-1010Abstract 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.Ping Yein LeeAi Theng CheongSazlina Shariff GhazaliHani SalimJasmine WongNorita HusseinRizawati RamliHilary PinnockSu May LiewNik Sherina HanafiAhmad Ihsan Abu BakarAzainorsuzila Mohd AhadYong Kek PangKaruthan ChinnaEe Ming KhooNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-8 (2021) |
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DOAJ |
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DOAJ |
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EN |
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Diseases of the respiratory system RC705-779 |
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Diseases of the respiratory system RC705-779 Ping Yein Lee Ai Theng Cheong Sazlina Shariff Ghazali Hani Salim Jasmine Wong Norita Hussein Rizawati Ramli Hilary Pinnock Su May Liew Nik Sherina Hanafi Ahmad Ihsan Abu Bakar Azainorsuzila Mohd Ahad Yong Kek Pang Karuthan Chinna Ee Ming Khoo Barriers to implementing asthma self-management in Malaysian primary care: qualitative study exploring the perspectives of healthcare professionals |
| description |
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. |
| format |
article |
| author |
Ping Yein Lee Ai Theng Cheong Sazlina Shariff Ghazali Hani Salim Jasmine Wong Norita Hussein Rizawati Ramli Hilary Pinnock Su May Liew Nik Sherina Hanafi Ahmad Ihsan Abu Bakar Azainorsuzila Mohd Ahad Yong Kek Pang Karuthan Chinna Ee Ming Khoo |
| author_facet |
Ping Yein Lee Ai Theng Cheong Sazlina Shariff Ghazali Hani Salim Jasmine Wong Norita Hussein Rizawati Ramli Hilary Pinnock Su May Liew Nik Sherina Hanafi Ahmad Ihsan Abu Bakar Azainorsuzila Mohd Ahad Yong Kek Pang Karuthan Chinna Ee Ming Khoo |
| author_sort |
Ping Yein Lee |
| 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 Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/2b2efb755b74431682e1cae19accd690 |
| work_keys_str_mv |
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