• Aishling Sheridan, Aisling Jennings, Shirley Keane, Averil Power, and Paul Kavanagh.
• Department of Public Health North East, Health and Wellbeing Division, Health Service Executive, Dublin, Ireland. Aishling.sheridan@hse.ie.
• Ir J Med Sci. 2020 May 1; 189 (2): 551-556.

ObjectiveTo describe the impact of a nurse-led telephone self-management support (SMS) service for people with asthma and COPD in Ireland.MethodsA cross-sectional survey of all (442) SMS users, July 2016 to May 2017, described user demographics, self-reported experience, process and outcome. Population utilisation was estimated and compared across groups. Factors associated with key outcomes were identified.ResultsThe response rate was 162 (36.7%). Utilisation varied across population groups. Reported satisfaction was high, and 56.0% of users without a written action plan reported developing one. Most users reported positive cognitive and affective outcomes indicating effective patient activation. Information pack receipt was independently associated with better outcomes (odds ratio = 11.4 (95% CI, 2.0, 216.6), p < 0.05).ConclusionA nurse-led telephone SMS intervention positively impacted self-management for people with asthma and COPD in Ireland.Practice ImplicationsRoll-out of SMS should include staff training to promote positive service user experience and should include routine monitoring and evaluation to assure equitable reach and quality of key evidence-based care processes.

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