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• W2509595196 abstract "<h3>Objectives</h3> The 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. <h3>Setting</h3> Primary care within South Holland, the Netherlands. <h3>Participants</h3> Twenty-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). <h3>Design</h3> A qualitative study using focus groups and interviews. <h3>Outcomes</h3> Barriers as perceived by patients, GPs and practice nurses to implementation of PatientCoach. <h3>Methods</h3> 10 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. <h3>Results</h3> A 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. <h3>Conclusions</h3> We 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." @default.
• W2509595196 created "2016-09-16" @default.
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• W2509595196 date "2016-08-01" @default.
• W2509595196 modified "2023-09-24" @default.
• W2509595196 title "Internet-based self-management support for adults with asthma: a qualitative study among patients, general practitioners and practice nurses on barriers to implementation" @default.
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• W2509595196 doi "https://doi.org/10.1136/bmjopen-2015-010809" @default.
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