Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan
Introduction Asthma self-management improves clinical outcomes. We developed and implemented in primary care practice a pictorial personalised asthma action plan (pictorial-PAAP) to facilitate supported asthma self-management and aimed to compare its effectiveness with text-based PAAP (text-PAAP)....
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Conference or Workshop Item |
| Language: | English |
| Published: |
International Primary Care Respiratory Group
2025
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| Online Access: | http://psasir.upm.edu.my/id/eprint/117158/ http://psasir.upm.edu.my/id/eprint/117158/1/117158.pdf |
| _version_ | 1848867178708729856 |
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| author | Cheong, Ai Theng Shariff Ghazali, Sazlina Salim, Hani Lee, Ping Yein Mohamad, Fadzilah Lim, Poh Ying Hussein, Norita Hanafi, Nik Sherina Ramdzan, Siti Nurkamilla Ramli, Rizawati Tam, Siow Foon Nordin, Norasnita Mohamed Yusoff, Fazlina Aman, Zuzana Wong, Chee Kuan Khoo, Ee Ming Pinnock, Hilary |
| author_facet | Cheong, Ai Theng Shariff Ghazali, Sazlina Salim, Hani Lee, Ping Yein Mohamad, Fadzilah Lim, Poh Ying Hussein, Norita Hanafi, Nik Sherina Ramdzan, Siti Nurkamilla Ramli, Rizawati Tam, Siow Foon Nordin, Norasnita Mohamed Yusoff, Fazlina Aman, Zuzana Wong, Chee Kuan Khoo, Ee Ming Pinnock, Hilary |
| author_sort | Cheong, Ai Theng |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction
Asthma self-management improves clinical outcomes. We developed and implemented in primary care practice a pictorial personalised asthma action plan (pictorial-PAAP) to facilitate supported asthma self-management and aimed to compare its effectiveness with text-based PAAP (text-PAAP). This paper presents the healthcare providers’ (HCPs) experience and perception regarding the use of both pictorial- and text-based asthma action plans during patient counselling.
Methods
HCPs from four primary care clinics with experience of delivering and counselling patients on self-management using both pictorial-PAAPs and text-PAAPs were recruited for in-depth interviews or focus group discussions (FGD). The interviews were audio-recorded, transcribed verbatim and thematically analysed.
Results
Four FGD (two pharmacists and seven medical officers), and one in-depth interview (family medicine specialist) were conducted. HCPs found both pictorial-PAAP and text-PAAP could potentially improve asthma control when coupled with education and promotion of patients’ adherence. Pictorial-PAAP was preferred as the visual elements were engaging and facilitated explanations. The use of traffic light colours in the pictorial-PAAP aided patient recognition and recall making it easier for patients to understand and more user-friendly compared to the text-PAAP. In addition, the pictorial-PAAP could save time as patients could grasp the instructions quickly through visuals and help overcome language barriers by conveying information through images. During follow-ups HCPs perceived that patients who were given pictorial-PAAPs had better retention of information. There was interest in expanding the use of pictorial-PAAP to paediatric populations. The content of both asthma action plans was generally useful but could be improved with larger fonts and additional details on triggers and treatment options.
Conclusion
HCPs favoured the use of Pictorial-PAAP compared to text-PAAP for counselling on self-management. Pictorial-PAAP facilitate the counselling process and enhances patients’ understanding and retention of information on self-management. |
| first_indexed | 2025-11-15T14:32:22Z |
| format | Conference or Workshop Item |
| id | upm-117158 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:32:22Z |
| publishDate | 2025 |
| publisher | International Primary Care Respiratory Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1171582025-05-05T07:30:54Z http://psasir.upm.edu.my/id/eprint/117158/ Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan Cheong, Ai Theng Shariff Ghazali, Sazlina Salim, Hani Lee, Ping Yein Mohamad, Fadzilah Lim, Poh Ying Hussein, Norita Hanafi, Nik Sherina Ramdzan, Siti Nurkamilla Ramli, Rizawati Tam, Siow Foon Nordin, Norasnita Mohamed Yusoff, Fazlina Aman, Zuzana Wong, Chee Kuan Khoo, Ee Ming Pinnock, Hilary Introduction Asthma self-management improves clinical outcomes. We developed and implemented in primary care practice a pictorial personalised asthma action plan (pictorial-PAAP) to facilitate supported asthma self-management and aimed to compare its effectiveness with text-based PAAP (text-PAAP). This paper presents the healthcare providers’ (HCPs) experience and perception regarding the use of both pictorial- and text-based asthma action plans during patient counselling. Methods HCPs from four primary care clinics with experience of delivering and counselling patients on self-management using both pictorial-PAAPs and text-PAAPs were recruited for in-depth interviews or focus group discussions (FGD). The interviews were audio-recorded, transcribed verbatim and thematically analysed. Results Four FGD (two pharmacists and seven medical officers), and one in-depth interview (family medicine specialist) were conducted. HCPs found both pictorial-PAAP and text-PAAP could potentially improve asthma control when coupled with education and promotion of patients’ adherence. Pictorial-PAAP was preferred as the visual elements were engaging and facilitated explanations. The use of traffic light colours in the pictorial-PAAP aided patient recognition and recall making it easier for patients to understand and more user-friendly compared to the text-PAAP. In addition, the pictorial-PAAP could save time as patients could grasp the instructions quickly through visuals and help overcome language barriers by conveying information through images. During follow-ups HCPs perceived that patients who were given pictorial-PAAPs had better retention of information. There was interest in expanding the use of pictorial-PAAP to paediatric populations. The content of both asthma action plans was generally useful but could be improved with larger fonts and additional details on triggers and treatment options. Conclusion HCPs favoured the use of Pictorial-PAAP compared to text-PAAP for counselling on self-management. Pictorial-PAAP facilitate the counselling process and enhances patients’ understanding and retention of information on self-management. International Primary Care Respiratory Group 2025 Conference or Workshop Item NonPeerReviewed text en http://psasir.upm.edu.my/id/eprint/117158/1/117158.pdf Cheong, Ai Theng and Shariff Ghazali, Sazlina and Salim, Hani and Lee, Ping Yein and Mohamad, Fadzilah and Lim, Poh Ying and Hussein, Norita and Hanafi, Nik Sherina and Ramdzan, Siti Nurkamilla and Ramli, Rizawati and Tam, Siow Foon and Nordin, Norasnita and Mohamed Yusoff, Fazlina and Aman, Zuzana and Wong, Chee Kuan and Khoo, Ee Ming and Pinnock, Hilary (2025) Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan. In: 8th IPCRG Scientific Meeting, 11-12 Apr. 2025, Brasov, Romanis. (pp. 1-2). (Submitted) https://www.ipcrg.org/2025063 |
| spellingShingle | Cheong, Ai Theng Shariff Ghazali, Sazlina Salim, Hani Lee, Ping Yein Mohamad, Fadzilah Lim, Poh Ying Hussein, Norita Hanafi, Nik Sherina Ramdzan, Siti Nurkamilla Ramli, Rizawati Tam, Siow Foon Nordin, Norasnita Mohamed Yusoff, Fazlina Aman, Zuzana Wong, Chee Kuan Khoo, Ee Ming Pinnock, Hilary Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan |
| title | Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan |
| title_full | Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan |
| title_fullStr | Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan |
| title_full_unstemmed | Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan |
| title_short | Healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan |
| title_sort | healthcare providers’ experiences in delivering the pictorial and text-based personalised asthma action plan |
| url | http://psasir.upm.edu.my/id/eprint/117158/ http://psasir.upm.edu.my/id/eprint/117158/ http://psasir.upm.edu.my/id/eprint/117158/1/117158.pdf |