Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/1321
Appears in Collections:School of Health Sciences Journal Articles
Peer Review Status: Refereed
Title: Promoting the use of personal asthma action plans: a systematic review
Authors: Ring, Nicola A
Malcolm, Cari
Wyke, Sally
MacGillivray, Steve
Dixon, Diane
Hoskins, Gaylor
Pinnock, Hilary
Sheikh, Aziz
Contact Email: cari.malcolm@stir.ac.uk
Keywords: Asthma
asthma action plans
use
health education
self-management
interventions
systematic review
Issue Date: Oct-2007
Publisher: General Practice Airways Group / International Primary Care Respiratory Group / The Primary Care Respiratory Society UK
Citation: Ring NA, Malcolm C, Wyke S, MacGillivray S, Dixon D, Hoskins G, Pinnock H & Sheikh A (2007) Promoting the use of personal asthma action plans: a systematic review, Primary Care Respiratory Journal, 16 (5), pp. 271-283.
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 Unpublished and ongoing studies were identified by contacting asthma experts internationally.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.
Type: Journal Article
URI: http://hdl.handle.net/1893/1321
DOI Link: http://dx.doi.org/10.3132/pcrj.2007.00049
Rights: The author has requested that this work be embargoed. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: HS Research - Stirling
HS Research - Stirling
University of Abertay
University of Stirling
NMAHP Research
University of Edinburgh
University of Edinburgh

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