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Developing integrated mental health and asthma treatment protocol using quality improvement methods

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image: readersdigest.co.uk

Sophie Jones1, Dionne Matthew2, Kate Lindley Baron-Cohen1, Sarah Elkin2 and Jocelyn Fraser2
1Psychology, Central & North West London NHS Foundation Trust, London, United Kingdom, 2Respiratory, Imperial College Healthcare NHS Trust, London, United Kingdom

Background: Co-morbid mental health and asthma is associated with lower quality of life and poorer asthma control. Quality improvement (QI) tools inform service development and treatment choice for patients.

Aim: To develop an integrated physical and mental health treatment protocol and resource for asthma and anxiety using QI methods such as the action effect diagram (AED) and plan-do-study-act (PDSA) cycles.

Methods: A multidisciplinary team created an AED in 2 sessions. The team mapped a patient journey of care, identifying a shared project aim and factors which contribute to this aim. The team then agreed on which factors to prioritise. A subsequent 1.5 hour session used PDSA cycles to develop a treatment protocol and resource.

Results: Through the AED the shared aim was identified: to improve health, wellbeing and quality of life of people living with asthma. The development of the treatment protocol and resource was prioritized. PDSA cycles facilitated the development of a 7 session programme for anxiety and asthma management with a guided self help resource to accompany each session. The 7 sessions identified were: Interaction between asthma, anxiety and panic; Cognitive behavioural therapy model and relaxation; Worry management tools; Behavioural activation; Negative thoughts and social anxiety; Managing panic attacks; Maintaining wellbeing and good holistic asthma control.

Conclusions: The use of structured QI tools facilitated effective multidisciplinary collaborative working, resulting in consensus of an innovative treatment protocol. This provided the basis of a new clinical resource which will be tested using QI methodology to improve clinical practice and patient care.

Source : http://erj.ersjournals.com/content/48/suppl_60/PA3377
Image : http://www.readersdigest.co.uk/sites/...

PP-PDPI. 29/09/17.

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