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