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Please use this identifier to cite or link to this item: http://hdl.handle.net/10373/242

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Title: Promoting the use of personal asthma action plans: a systematic review
Authors: Ring, Nicola
Malcolm, Cari
Wykea, Sally
MacGillivray, Steve
Dixon, Diane
Hoskins, Gaylor
Pinnock, Hilary
Sheikh, Aziz
Affiliation: University of Abertay Dundee. School of Social and Health Sciences
Keywords: Asthma
Asthma action plans
Use
Health education
Self-management
Interventions
Systematic review
Issue Date: Oct-2007
Publisher: Elsevier Science B.V. Amsterdam
Type: Journal Article
Refereed: peer-reviewed
Rights: Published version (c)Elsevier Science B.V. Amsterdam, available from 10.3132/pcrj.2007.00049
Citation: Ring, N. et al. 2007. Promoting the use of personal asthma action plans: a systematic review. Primary Care Respiratory Journal. 16(5): pp.271-283. [Online] Available from: DOI: 10.3132/pcrj.2007.00049
Abstract: OBJECTIVES: To investigate how best to encourage health professionals to promote, and for people with asthma to use, asthma action plans. METHODS: Systematic review. Randomised controlled trials published between 1960 and 2006 were searched using multiple electronic databases. Unpublished and ongoing studies were identified by contacting asthma experts internationally. Included trials reported outcome data for the promotion of action plans including issue of plans by health professionals, and patient ownership and use. RESULTS: 14 trials satisfied our study inclusion criteria. Of these, only four studies reported data for action plan use. Interventions included: education of doctors and people with asthma; telephone reinforcement; partially completed action plans and postal prompts inviting patients for general practice review; school asthma clinics; and asthma management systems (including the 3+ plan with patient recall for review and Internet-based physician monitoring). These interventions increased action plan ownership, use, or facilitation of use. Two of the highest quality papers were conducted in primary care and demonstrate the effectiveness of interventions directed at the organisation of asthma care in promoting action plan use. CONCLUSIONS: Primary care professionals could encourage the ownership and use of action plans through the implementation of proactive practice-based organisational systems, though further research is required to assess their practicality and effect on sustaining use long-term. Multi-disciplinary teams working in areas where asthma action plan ownership and use is sub-optimal should therefore consider how such interventions could be incorporated into existing practices and healthcare systems.
URI: http://hdl.handle.net/10373/242
ISSN: 1471-4418
Appears in Collections:Social & Health Sciences Collection

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