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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].

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

Review published: 2011.

Bibliographic details: Ring N, Jepson R, Hoskins G, Wilson C, Pinnock H, Sheikh A, Wyke S.  Understanding what helps or hinders asthma action plan use: a systematic review and synthesis of the qualitative literature. Patient Education and Counseling 2011; 85(2): e131-e143. [PubMed: 21396793]

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.

Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2014 University of York.

PMID: 21396793

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