Teaching asthma management: an evidence-based educational approach

2000 ◽  
Vol 30 (1) ◽  
pp. 33-37 ◽  
Author(s):  
D. H. Yates ◽  
S. Shah ◽  
E. Veitch ◽  
P. S. Thomas
Keyword(s):  
Asthma Management ◽  
Evidence Based ◽  
Educational Approach

The New National Headache Management System is an easy solution to provide more efficient and evidence-based headache services

2021 ◽  
Vol 20 ◽  
Author(s):  
Alexander Gordon ◽  
◽  
Daniel Lashley ◽  
Stuart Weatherby ◽  
◽  
...  
Keyword(s):  
Patient Care ◽  
Adult Population ◽  
Significant Proportion ◽  
Preventive Treatment ◽  
Headache Disorder ◽  
Preventive Therapy ◽  
Evidence Based ◽  
Educational Approach ◽  
Allied Health Professionals ◽  
Clinical Resource

Headaches make up 30% of all Neurology outpatient consultations.1 There is distinct variability in the management of headaches by Neurologists, leading to unnecessary disparities in the standard of care and likelihood of response between patients. A significant proportion of patients with headache diagnoses do not receive the evidence-based treatments recommended in national or international guidelines,2 and substantial numbers of patients are not receiving preventive therapies.3  Ziegeler et al. found that a third of patients reporting to a tertiary headache centre had not received preventive therapy in line with guidelines, and half had never been prescribed a preventive treatment.2 Considering that 46% of the global adult population are estimated to have a headache disorder,4 this lack of a consistent, evidence-based approach is somewhat incongruent with the patient socio-economic impact. It is probable that lack of adherence to current headache guidelines is a multi-faceted issue. This variation in treatment (and therefore patient outcome), although unexplored,2 is not likely to be a simple educational issue. To add to this, an educational approach, in the form of seminars and workshops, does not have entirely positive evidence to support its use in implementing changes to patient care.5  It seems more probable that there are also structural issues within the health service that in some way preclude patients with headache disorders from gaining appropriate care.  For example, using only doctors to care for patients with such a common condition may cause bottle-necking in access, and may not be an appropriate use of clinical resource.  The current context of a global pandemic has shown us the importance of using the skillsets of all NHS staff working together for patient care.  For headache care this could involve greater use of nursing colleagues or allied health professionals such as Pharmacists. To facilitate such an aim, an easily used and standardised approach is essential. We believe that the guidelines from the British Association for the Study of Headache (BASH),6 could facilitate such an approach.

scholarly journals Severe Asthma Toolkit: an online resource for multidisciplinary health professionals—needs assessment, development process and user analytics with survey feedback

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e032877
Author(s):  
Steven Maltby ◽  
Peter G Gibson ◽  
Helen K Reddel ◽  
Lorraine Smith ◽  
Peter A B Wark ◽  
...  
Keyword(s):  
Needs Assessment ◽  
Severe Asthma ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Reference Group ◽  
Asthma Management ◽  
Web Design ◽  
Skills Training ◽  
Evidence Based ◽  
Internet Resource

ObjectivesSevere asthma imposes a significant burden on individuals, families and the healthcare system. New treatment and management approaches are emerging as effective options for severe asthma. Translating new knowledge to multidisciplinary healthcare professionals is a priority. We developed ‘The Severe Asthma Toolkit’(https://toolkit.severeasthma.org.au) to increase awareness of severe asthma, provide evidence-based resources and support decisionmaking by healthcare providers.SettingRoundtable discussions and a survey of Australians clinicians were conducted to determine clinician preferences, format and content for a severe asthma resource.ParticipantsA reference group from stakeholder and consumer bodies and severe asthma experts provided advice and feedback. A multidisciplinary team of international experts was engaged to develop content. Written content was based on up-to-date literature. Peer and editorial review were performed to finalise content and inform web design. Website design focused on user experience, navigation, engagement, interactivity and tailoring of content for a clinical audience.ResultsA web-based resource was developed. Roundtable discussions and a needs assessment survey identified the need for dedicated severe asthma management resources to support skills training. The end-product, which launched 26 March 2018, includes an overview of severe asthma, diagnosis and assessment, management, medications, comorbidities, living with severe asthma, establishing a clinic, paediatrics/adolescents and clinical resources. Analytics indicate access by users worldwide (32 169 users from 169 countries). User survey results (n=394) confirm access by the target audience (72% health professionals), who agreed the toolkit increased their knowledge (73%) and confidence in managing severe asthma (66%), and 75% are likely to use the resource in clinic.ConclusionsThe Severe Asthma Toolkit is a unique, evidence-based internet resource to support healthcare professionals providing optimal care for people with severe asthma. It is a comprehensive, accessible and independent resource developed by leading severe asthma experts to improve clinician knowledge and skills in severe asthma management.

Cognitive Remediation for Psychological Disorders

2017 ◽  
Author(s):  
Alice Medalia ◽  
Tiffany Herlands ◽  
Alice Saperstein ◽  
Nadine Revheim
Keyword(s):  
Cognitive Functioning ◽  
Cognitive Skills ◽  
Behavioral Treatment ◽  
Learning Experience ◽  
Cognitive Remediation ◽  
Mental Illnesses ◽  
Independent Learning ◽  
Evidence Based ◽  
Everyday Functioning ◽  
Educational Approach

Individuals with serious and persistent mental illnesses, including schizophrenia and affective disorders, often experience cognitive deficits that make it difficult to perform everyday tasks. For example, they may have difficulty with attention, memory, processing speed, and problem solving, and this may interfere with functioning at work, school, and in social situations. Cognitive remediation is an evidence-based behavioral treatment for people who are experiencing cognitive impairments that interfere with role functioning. This edition contains all the information needed to set up a cognitive remediation program so clients can strengthen the cognitive skills needed for everyday functioning. The program described is called Neuropsychological and Educational Approach to Remediation (NEAR), which is an evidence-based approach to cognitive remediation that uses carefully crafted instructional techniques that reflect an understanding of how people learn best. The goals of NEAR are to provide a positive learning experience, to promote independent learning, and to promote optimal cognitive functioning in daily life. This second edition of the popular 2009 therapist’s guide provides step-by-step instructions on how to implement NEAR techniques with patients to improve their cognitive functioning and quality of life. Guidelines are provided for setting up and running a successful cognitive remediation program. Therapists learn how to choose appropriate cognitive exercises, recruit and work with clients, perform intake interviews, and create treatment plans. This guide comes complete with all the tools necessary for facilitating treatment, including program evaluation forms and client handouts.

scholarly journals The Global Initiative for Asthma (GINA): 25 years later

2019 ◽  
Vol 54 (2) ◽  
pp. 1900598 ◽  
Author(s):  
Louis-Philippe Boulet ◽  
Helen K. Reddel ◽  
Eric Bateman ◽  
Søren Pedersen ◽  
J. Mark FitzGerald ◽  
...  
Keyword(s):  
Point Of Care ◽  
Scientific Information ◽  
Asthma Management ◽  
Treatment Guideline ◽  
Global Strategy ◽  
World Health ◽  
Care Practice ◽  
Evidence Based ◽  
Global Initiative For Asthma ◽  
Global Initiative

The Global Initiative for Asthma (GINA) was launched in 1993 under the auspices of the National Heart, Lung, and Blood Institute, National Institutes of Health, USA, and the World Health Organization to produce a global strategy on asthma management and prevention. Now constituted as a non-profit entity, it continues to produce, on an annual basis, the most widely cited evidence-based report on the optimal management of asthma in both adults and children intended for global use. Although the GINA Report is often viewed and used as an asthma treatment guideline, it is designed to be a clinically oriented strategy document that supports the development of practice guidelines in different countries and regions.Other GINA products, including the report's pocket guides, teaching slide kits and implementation tools, are also offered free of charge for public use. The GINA Scientific Committee comprises recognised international experts from primary, secondary and tertiary centres of care who are actively involved in both the care of patients and research in asthma. The GINA Assembly is a forum for exchange of scientific information and discussions on initiatives to improve asthma care in various countries, focusing on implementation strategies. GINA plays a role in shaping research on the diagnosis and treatment of asthma and informs the development of point of care practice guides and decision support tools. GINA supports the objectives of raising awareness of asthma and improving access to therapy and quality of care for asthmatic patients, in addition to presenting and promoting continuously updated evidence-based treatment approaches for global use.

scholarly journals Mixed Reality Technology as a Delivery Mechanism for Psychological Intervention in Adolescents With Asthma: A Qualitative Protocol

2021 ◽  
Vol 20 ◽  
pp. 160940692110083
Author(s):  
Kelsey Sharrad ◽  
Zoe Kopsaftis ◽  
Andrew Tai ◽  
Nicola Spurrier ◽  
Ross Smith ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Young People ◽  
Mixed Reality ◽  
Psychological Intervention ◽  
Low Cost ◽  
Asthma Management ◽  
Mental Wellbeing ◽  
Asthma Prevalence ◽  
Evidence Based

Australia has one of the highest asthma prevalence rates in the world, with this chronic and debilitating condition affecting one in nine people. The health and mental wellbeing of young people with asthma are worse than not only their peers without asthma but also worse than that of people with asthma at other ages. Psychological interventions could be beneficial in treating symptoms of elevated psychological distress in patients with asthma. However, evidence suggests that engagement with mental health services is low in this population. Technology-based solutions that engage youth may overcome barriers to service uptake for both mental health and asthma management. To fast-track the successful translation of evidence-based treatment into practice, interactive, mixed-reality technologies such as augmented reality (AR), virtual reality (VR) and holographic technology may provide a novel, low-cost solution, yet to date, methodological rigor in the evaluation of mixed reality for this purpose is lacking. To evaluate the perceived usability and acceptability of these technologies, mixed reality tools will be developed by the author team to deliver a component of a psychological intervention for treatment of elevated psychological distress among young people with asthma. Qualitative research will be conducted through one-on-one interviews with young people with asthma, parents/caregivers of young people with asthma, and with health professionals, during which participants will have time to interact with the resources. Moderator guides will be used to direct interviews, and will be supplemented with a questionnaire, including Likert-type measures of usability and acceptability to facilitate triangulation of data. Understanding and data obtained through this study will be used to develop version 2.0 mixed reality tools, which will be tested for feasibility in a RCT. Improving access to and uptake of evidence-based treatments for elevated psychological distress in young people with asthma may reduce the burden of this highly prevalent disease.

Evidence‐based asthma management in children — what's new?

2011 ◽  
Vol 194 (8) ◽  
pp. 383-384 ◽  
Author(s):  
Peter P Van Asperen ◽  
Craig M Mellis ◽  
Peter D Sly ◽  
Colin F Robertson
Keyword(s):  
Asthma Management ◽  
Evidence Based

scholarly journals Canadian Asthma Consensus Conference Summary of Recommendations

1996 ◽  
Vol 3 (2) ◽  
pp. 89-101 ◽  
Author(s):  
Pierre Ernst ◽  
J Mark Fitzgerald ◽  
Sheldon Spier
Keyword(s):  
Ambulatory Care ◽  
Consensus Statement ◽  
Scientific Evidence ◽  
Local Level ◽  
Asthma Management ◽  
Consensus Conference ◽  
Evidence Based ◽  
Randomized Controlled ◽  
Optimal Approach ◽  
Evidence Based Guidelines

The Asthma Committee of the Canadian Thoracic Society invited a group of Canadian physicians with a particular interest in asthma to meet in Montebello, Quebec, March 9-12, 1995 to arrive at a consensus statement on the optimal approach to the management of asthma in the pediatric and adult ambulatory care settings. The societies and associations represented are listed in the appendix with the names of the contributors to this document. The objectives of the Montebello conference were: 1. To review the current ambulatory care management of asthma in Canada; 2. To develop guidelines with the participation of family physicians and specialists; 3. To develop guidelines which are evidence-based; 4. In creating evidence-based guidelines to focus attention on aspects of asthma management that are currently not supported by randomized controlled trials; 5. To develop strategies that allow for the implementation of rational guidelines at a local level. Recommendations were based on a critical review of the scientific literature by small groups prior to the meeting and are categorized according to the strength of the scientific evidence supporting each recommendation (Table 1).

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