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Forums used interview results to write action plans, disseminated to commissioning organisations.
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Intentions to modify management behaviour were recorded using the formal written action plans developed during the extension programme.
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.
There was lack of awareness about self-management plans although when explained, the concept of self management was well received and there was approval for the concept of written action plans.
Nor do written action plans with minimal or no self-management education [ 60].
In this study no written action plans were used, which may have reduced the effectiveness.
The 46 practice nurses undertook a 1 day NRTC update programme and received specific training on writing action plans.
Ownership of written action plans has declined, despite their being protective against asthma death 5 and research reporting ownership being useful.
[ 31] However, current evidence on the effectiveness of written action plans for conditions including asthma and COPD is mixed [ 32, 33].
All teams collected complete or partial data on their selected challenges and used the data to prepare written action plans with measurable outputs, time frames and defined human and financial resources.
At the conclusion of each STAR mini-institute, the participants developed written action plans for the upcoming semester describing which of the scientific teaching/active-learning strategies they would employ.
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