Promoting the use of personal asthma action plans: a systematic review

Nicola Ring, Cari Malcolm, Sally Wykea, Steve MacGillivray, Diane Dixon, Gaylor Hoskins, Hilary Pinnock, Aziz Sheikh

Research output: Contribution to journalArticle

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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 Unpublished and ongoing studies were identified by contacting asthma experts internationally.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.
Original languageEnglish
Pages (from-to)271-283
Number of pages13
JournalPrimary Care Respiratory Journal
Volume16
Issue number5
DOIs
StatePublished - Oct 2007
Externally publishedYes

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Asthma
Ownership
Primary Health Care
Health
Telephone
General Practice
Internet
Randomized Controlled Trials
Delivery of Health Care
Physicians
Education

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Ring, N., Malcolm, C., Wykea, S., MacGillivray, S., Dixon, D., Hoskins, G., ... Sheikh, A. (2007). Promoting the use of personal asthma action plans: a systematic review. Primary Care Respiratory Journal, 16(5), 271-283. DOI: 10.3132/pcrj.2007.00049

Ring, Nicola; Malcolm, Cari; Wykea, Sally; MacGillivray, Steve; Dixon, Diane; Hoskins, Gaylor; Pinnock, Hilary; Sheikh, Aziz / Promoting the use of personal asthma action plans : a systematic review.

In: Primary Care Respiratory Journal, Vol. 16, No. 5, 10.2007, p. 271-283.

Research output: Contribution to journalArticle

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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.",
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Ring, N, Malcolm, C, Wykea, 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, vol 16, no. 5, pp. 271-283. DOI: 10.3132/pcrj.2007.00049

Promoting the use of personal asthma action plans : a systematic review. / Ring, Nicola; Malcolm, Cari; Wykea, Sally; MacGillivray, Steve; Dixon, Diane; Hoskins, Gaylor; Pinnock, Hilary; Sheikh, Aziz.

In: Primary Care Respiratory Journal, Vol. 16, No. 5, 10.2007, p. 271-283.

Research output: Contribution to journalArticle

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N2 - 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.

AB - 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.

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Ring N, Malcolm C, Wykea S, MacGillivray S, Dixon D, Hoskins G et al. Promoting the use of personal asthma action plans: a systematic review. Primary Care Respiratory Journal. 2007 Oct;16(5):271-283. Available from, DOI: 10.3132/pcrj.2007.00049