We aim to assess the feasibility of delivering a supported self-management incorporating an adapted pictorial asthma action plan for adult patients with asthma in clinical practice in a public primary care clinic in the Klang District, Selangor State, Malaysia. Dataset contains follow-up responses at one-, three- and six-months post intervention.

Supported self-management has been shown to reduce asthma-related morbidity and mortality in high-income countries, but poor health literacy (especially in low- and middle-income countries) is a potential barrier to its effectiveness. This study aims to assess the feasibility of delivering supported self-management incorporating an adapted pictorial asthma action plan for adult patients with asthma attending a public primary care clinic in Malaysia. This study will proceed in two phases: 1) adaptation of the pictorial asthma action plan (AAP); and 2) a feasibility study including feasibility of assessing costs. Following the adaptation of the AAP, we assess the feasibility of using the AAP to support self-management in adults with asthma. In a pre-post study, 70 patients aged 18 years and above with physician-diagnosed asthma and currently prescribed inhaled corticosteroids will be recruited. Our proposed primary outcome is asthma control (Global Initiative for Asthma symptom control). A pre-piloted questionnaire will be used to collect baseline data on socio-demography, healthcare utilisation and expenditure, health literacy, clinical parameters (body mass index; peak expiratory flow rate). Follow-up will be at 1, 3, and 6 months.

The protocol was approved by the Medical Research Ethics Committee, Ministry of Health Malaysia and registered with National Medical Research Registry (NMRR-18-2683-43494). The study trial registration number is ISRCTN87128530 (Pre-results).