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Promoting the use of Personal Asthma Action Plans: a systematic review

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


Cari Malcolm

Sally Wyke

Steve MacGillivray

Diane Dixon

Gaylor Hoskins

Hilary Pinnock

Aziz Sheikh


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 Unpublished and ongoing studies were identified by contacting asthma experts internationally.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.

Journal Article Type Article
Acceptance Date May 15, 2007
Online Publication Date Oct 12, 2007
Publication Date Oct 12, 2007
Deposit Date Jul 31, 2017
Journal Primary Care Respiratory Journal
Print ISSN 1471-4418
Electronic ISSN 1475-1534
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 16
Issue 5
Pages 271-283
Keywords Asthma, asthma action plans, health education, self-management, interventions, systematic review.
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