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Research

Implementation of remote asthma consulting in general practice in response to the COVID-19 pandemic: an evaluation using extended Normalisation Process Theory

Jonathan Stewart, Noleen McCorry, Helen Reid, Nigel Hart and Frank Kee
BJGP Open 2022; 6 (1): BJGPO.2021.0189. DOI: https://doi.org/10.3399/BJGPO.2021.0189
Jonathan Stewart
1 Centre for Public Health, Queen’s University Belfast, Belfast, UK
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  • For correspondence: jstewart52{at}qub.ac.uk
Noleen McCorry
1 Centre for Public Health, Queen’s University Belfast, Belfast, UK
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Helen Reid
2 Centre for Medical Education, Queen's University Belfast, Belfast, UK
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Nigel Hart
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Frank Kee
1 Centre for Public Health, Queen’s University Belfast, Belfast, UK
2 Centre for Medical Education, Queen's University Belfast, Belfast, UK
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    Figure 1. Summary of findings: work by members of the general practice team during implementation of remote asthma consulting in response to the COVID-19 pandemic, and contextual factoring impacting implementation. ADLs = activities of daily living. HCP = healthcare professional. RAC = remote asthma consulting.

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    Table 1. Extended NPT domains
    Contribution Implementation of RAC depends on people's continuous contributions to enacting it by investing in:
    • Coherence: making sense of the reasons for RAC (purpose and possibilities)

    • Engagement: buy-in to and engagement with RAC

    • Action: putting RAC into action

    • Monitoring: appraising the impact of the move to RAC

    Capability The capability of people to enact RAC depends on its workability and integration into everyday practice.
    Capacity The incorporation of RAC into its clinical context depends of the capacity of people to cooperate and coordinate their actions.
    Potential The translation of potential into action depends on people’s intentions to enact the intervention and their potential to build shared commitments with other professionals.
    • NPT = Normalisation Process Theory. RAC = remote asthma consulting.

Supplementary Data

  • BJGPO.2021.0189_Supp_1.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Implementation of remote asthma consulting in general practice in response to the COVID-19 pandemic: an evaluation using extended Normalisation Process Theory
Jonathan Stewart, Noleen McCorry, Helen Reid, Nigel Hart, Frank Kee
BJGP Open 2022; 6 (1): BJGPO.2021.0189. DOI: 10.3399/BJGPO.2021.0189

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Implementation of remote asthma consulting in general practice in response to the COVID-19 pandemic: an evaluation using extended Normalisation Process Theory
Jonathan Stewart, Noleen McCorry, Helen Reid, Nigel Hart, Frank Kee
BJGP Open 2022; 6 (1): BJGPO.2021.0189. DOI: 10.3399/BJGPO.2021.0189
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Keywords

  • Asthma
  • qualitative research
  • remote consulting
  • COVID-19
  • General Practice
  • primary healthcare
  • telemedicine
  • telehealth

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  • Carer involvement in GP-patient consultations and translatability to virtual care: multi-methods study
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