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Patient Educ Couns. 2011 Nov;85(2):e131-43. doi: 10.1016/j.pec.2011.01.025. Epub 2011 Mar 10.

Understanding what helps or hinders asthma action plan use: a systematic review and synthesis of the qualitative literature.

Author information

1
Alliance for Self-Care Research, School of Nursing, Midwifery and Health, University of Stirling, Stirling, UK. nicola.ring@stir.ac.uk

Abstract

OBJECTIVE:

To understand better what helps and/or hinders asthma action plan use from the professionals and patients/carers perspective.

METHODS:

Systematic review and qualitative synthesis (using meta-ethnography).

RESULTS:

Nineteen studies (20 papers) were included in an analysis of patients/carers' and professionals' views. Seven main influences on action plan implementation were identified including perceived un-helpfulness and irrelevance of the plans. Translation and synthesis of the original authors' interpretations suggested that action plan promotion and use was influenced by professional and patient/carers' asthma beliefs and attitudes and patient/carer experiences of managing asthma. Action plan use is hindered because professionals and patients/carers have different explanatory models of asthma, its management and their respective roles in the management process. Patients/carers, based on their experiential knowledge of their condition, perceive themselves as capable, effective in managing their asthma, but health professionals do not always share this view.

CONCLUSION:

Professionally provided medically focused action plans that do not 'fit' with and incorporate the patients'/carers' views of asthma, and their management strategies, will continue to be under-utilised.

PRACTICE IMPLICATIONS:

Professionals need to develop a more patient-centred, partnership-based, approach to the joint development and review of action plans, recognising the experiential asthma knowledge of patients/carers.

PMID:
21396793
DOI:
10.1016/j.pec.2011.01.025
[Indexed for MEDLINE]

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