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Martyn R Partridge - One of the best experts on this subject based on the ideXlab platform.

  • development of an electronic pictorial asthma Action Plan and its use in primary care
    Patient Education and Counseling, 2010
    Co-Authors: Nicola J Roberts, Gareth Evans, Paul Blenkhorn, Martyn R Partridge
    Abstract:

    Abstract Objective Self-management education and the issuing of a written Action Plan improve outcomes for asthma. Many do not receive a Plan and some cannot use the written word. We have developed an electronic pictorial asthma Action Plan (E-PAAP). Methods A pictorial Action Plan was incorporated into a software package. 21 general practices were offered this tool and the software was loaded onto 63 desktop computers (46 GPs and 17 nurses). Usage was assessed and health care professionals questioned as to its use. Results 190 Plans had been printed in a 4-month period (17 for test purposes). The individual usage rate ranged from 0 to 28 Plans. Doctors printed 73% (139/190) a mean of 3 per doctor and nurses printed 27% a mean of 2 per nurse (37/190). Excluding the test copies, 116/173(67%) were printed as picture and text together. Conclusion Nearly half of all healthcare professionals used the E-PAAP software. Usage was skewed with some individuals using the software significantly more than others. The software package should help overcome problems of access to paper templates, by calculating peak flow Action thresholds and by prompting correct completion. Barriers to the use of asthma Action Plans, such as perceived time constraints, persist. Practice implications The development of an electronic asthma Action Plan facilitates health professional access to a basic template and prompts the user as to correct usage. It is to be hoped that such facilitation enhances the number of Action Plans issued and in this study GPs were greater users than the nurses.

  • the development and comprehensibility of a pictorial asthma Action Plan
    Patient Education and Counseling, 2009
    Co-Authors: Nicola J Roberts, Zeinab Mohamed, Peise Wong, Marianne Johnson, Licher Loh, Martyn R Partridge
    Abstract:

    Abstract Objective Written Action Plans are regarded as an important part of asthma self-management education and yet they may not be understood by those with limited literacy skills. This study was designed to produce an understandable pictorial asthma Action Plan. Methods With advice from a group of doctors and nurses a “standard” written Action Plan was translated by a medical artist into a series of pictorial images. These were assessed using the techniques of guessability and translucency by a series of adults attending a specialist asthma clinic in London and the same process was subsequently used to assess comprehensibility of the images and Plans amongst a group of Somalis living in Manchester, UK and Malaysians in Seremban, Malaysia. Results Guessability testing showed that the majority of pictograms were well understood by each of the study groups. Translucency testing revealed close agreement with intended meaning for the majority of the images. One image, depicting extra use of reliever medication scored less well in all populations; two other images scored less well in the Somali and Malaysian groups and reflect less use of certain inhaler devices in other countries. The overall Plan was well understood by all patients who were able to adequately recount the appropriate Actions to take in different clinical scenarios. Conclusion We have developed a pictorial asthma Action Plan understandable by 3 different populations of patients with asthma. Practice implications Pictorial representations have been shown by other studies in other situations to be an effective method of reinforcing the spoken word. The pictorial asthma Action Plan developed for this study has been shown to be comprehensible, personalised to the individual in the usual fashion. It is now suitable for further evaluation in clinical practice.

Nicola J Roberts - One of the best experts on this subject based on the ideXlab platform.

  • development of an electronic pictorial asthma Action Plan and its use in primary care
    Patient Education and Counseling, 2010
    Co-Authors: Nicola J Roberts, Gareth Evans, Paul Blenkhorn, Martyn R Partridge
    Abstract:

    Abstract Objective Self-management education and the issuing of a written Action Plan improve outcomes for asthma. Many do not receive a Plan and some cannot use the written word. We have developed an electronic pictorial asthma Action Plan (E-PAAP). Methods A pictorial Action Plan was incorporated into a software package. 21 general practices were offered this tool and the software was loaded onto 63 desktop computers (46 GPs and 17 nurses). Usage was assessed and health care professionals questioned as to its use. Results 190 Plans had been printed in a 4-month period (17 for test purposes). The individual usage rate ranged from 0 to 28 Plans. Doctors printed 73% (139/190) a mean of 3 per doctor and nurses printed 27% a mean of 2 per nurse (37/190). Excluding the test copies, 116/173(67%) were printed as picture and text together. Conclusion Nearly half of all healthcare professionals used the E-PAAP software. Usage was skewed with some individuals using the software significantly more than others. The software package should help overcome problems of access to paper templates, by calculating peak flow Action thresholds and by prompting correct completion. Barriers to the use of asthma Action Plans, such as perceived time constraints, persist. Practice implications The development of an electronic asthma Action Plan facilitates health professional access to a basic template and prompts the user as to correct usage. It is to be hoped that such facilitation enhances the number of Action Plans issued and in this study GPs were greater users than the nurses.

  • the development and comprehensibility of a pictorial asthma Action Plan
    Patient Education and Counseling, 2009
    Co-Authors: Nicola J Roberts, Zeinab Mohamed, Peise Wong, Marianne Johnson, Licher Loh, Martyn R Partridge
    Abstract:

    Abstract Objective Written Action Plans are regarded as an important part of asthma self-management education and yet they may not be understood by those with limited literacy skills. This study was designed to produce an understandable pictorial asthma Action Plan. Methods With advice from a group of doctors and nurses a “standard” written Action Plan was translated by a medical artist into a series of pictorial images. These were assessed using the techniques of guessability and translucency by a series of adults attending a specialist asthma clinic in London and the same process was subsequently used to assess comprehensibility of the images and Plans amongst a group of Somalis living in Manchester, UK and Malaysians in Seremban, Malaysia. Results Guessability testing showed that the majority of pictograms were well understood by each of the study groups. Translucency testing revealed close agreement with intended meaning for the majority of the images. One image, depicting extra use of reliever medication scored less well in all populations; two other images scored less well in the Somali and Malaysian groups and reflect less use of certain inhaler devices in other countries. The overall Plan was well understood by all patients who were able to adequately recount the appropriate Actions to take in different clinical scenarios. Conclusion We have developed a pictorial asthma Action Plan understandable by 3 different populations of patients with asthma. Practice implications Pictorial representations have been shown by other studies in other situations to be an effective method of reinforcing the spoken word. The pictorial asthma Action Plan developed for this study has been shown to be comprehensible, personalised to the individual in the usual fashion. It is now suitable for further evaluation in clinical practice.

Godwin Arku - One of the best experts on this subject based on the ideXlab platform.

  • co creating an open government Action Plan the case of sekondi takoradi metropolitan assembly ghana co creating an open government Action Plan
    Growth and Change, 2018
    Co-Authors: Merlin Chatwin, Godwin Arku
    Abstract:

    This paper contributes to the limited literature on open government initiatives at the subnational level in developing countries. It examines the motivations of actors in a local government authority to utilize the capabilities of various stakeholders to overcome constraints in cocreating an Action Plan for open government reforms. This empirical analysis utilized qualitative fieldwork conducted in Sekondi†Takoradi Metropolitan Assembly, Ghana's third largest local government. The findings demonstrate that a confluence of citizen demand for openness, and willingness within the governance stakeholders, are motivating the pursuit of open government reforms. Viewed through an open innovation framework, we argue that achieving good governance through information transparency, public participation, and accountability reforms is hindered by the institutional environment. Ghana's subnational governments need national level commitment to provide the resources, mandate, and authority to become truly “open.â€

Lara J Akinbami - One of the best experts on this subject based on the ideXlab platform.

  • asthma Action Plan receipt among children with asthma 2 17 years of age united states 2002 2013
    The Journal of Pediatrics, 2016
    Co-Authors: Alan E Simon, Lara J Akinbami
    Abstract:

    Objective To examine national trends in the receipt of asthma Action Plans, an intervention recommended by the National Asthma Education and Prevention Program guidelines. Study design We used data from the sample child component of the National Health Interview Survey from 2002, 2003, 2008, and 2013 to examine the percentage of children 2-17 years of age with asthma (n = 3714) that have ever received an asthma Action Plan. Bivariate and multivariate (with adjustment for sociodemographic characteristics and asthma outcomes consistent with greater disease severity) logistic regressions were conducted to examine trends from 2002 to 2013 and to examine, with 2013 data only, the relationship between having received an asthma Action Plan and both sociodemographic characteristics and indicators of asthma severity. Results The percentage of children with asthma that had ever received an asthma Action Plan increased from 41.7% in 2002 to 50.7% in 2013 ( P P = .028), privately insured (56.2%) vs those with public insurance only (46.3%) ( P = .016), and users of inhaled preventive asthma medication vs those that did not ( P Conclusion The percentage of US children with asthma that had ever received an asthma Action Plan increased between 2002 and 2013, although one-half had never received an asthma Action Plan in 2013. Some sociodemographic and asthma severity measures are related to receipt of an asthma Action Plan.

South Carolina Disaster Recovery Office - One of the best experts on this subject based on the ideXlab platform.

  • South Carolina Hurricane Florence Action Plan
    South Carolina State Library, 2021
    Co-Authors: South Carolina Disaster Recovery Office
    Abstract:

    In September 2018, South Carolina was impacted by Hurricane Florence. For disaster relief efforts the Disaster Relief Appropriations Act requires that the state or local government must expend the funds within six years of the signed agreement between HUD and the grantee. As required by HUD, South Carolina submits this Action Plan to outline its unmet needs to develop the most impactful recovery program for the state. The Unmet Needs Assessment, which evaluates the three core aspects of recovery – housing, infrastructure and economic development, forms the basis for the decisions outlined in the Action Plan

  • South Carolina Hurricane Matthew Action Plan amendment 6
    South Carolina State Library, 2020
    Co-Authors: South Carolina Disaster Recovery Office
    Abstract:

    HUD notified the State of South Carolina that it will receive $65,305,000 in disaster recovery funds to assist in recovery from Hurricane Matthew. South Carolina submits this Action Plan to outline its unmet needs, and establish how the State will allocate its funds through its programs. This Action Plan was developed with the help of many State and local stakeholders as well as the public to target the unmet need that can be addressed by these limited federal funds

  • South Carolina Hurricane Matthew Action Plan amendment 5
    South Carolina State Library, 2019
    Co-Authors: South Carolina Disaster Recovery Office
    Abstract:

    HUD notified the State of South Carolina that it will receive $65,305,000 in disaster recovery funds to assist in recovery from Hurricane Matthew. South Carolina submits this Action Plan to outline its unmet needs, and establish how the State will allocate its funds through its programs. This Action Plan was developed with the help of many State and local stakeholders as well as the public to target the unmet need that can be addressed by these limited federal funds