Academic Journal
Systematic meta-review of supported self-management for asthma: a healthcare perspective
| العنوان: | Systematic meta-review of supported self-management for asthma: a healthcare perspective |
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| المؤلفون: | Pinnock, H., Parke, H. L., Panagioti, M., Daines, L., Pearce, G., Epiphaniou, E., Bower, P., Sheikh, A., Griffiths, C. J., Taylor, S. J. C., PRISMS and RECURSIVE groups |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2017 |
| المجموعة: | City University London: City Research Online |
| مصطلحات موضوعية: | RC Internal medicine, RM Therapeutics. Pharmacology |
| الوصف: | BACKGROUND: Supported self-management has been recommended by asthma guidelines for three decades; improving current suboptimal implementation will require commitment from professionals, patients and healthcare organisations. The Practical Systematic Review of Self-Management Support (PRISMS) meta-review and Reducing Care Utilisation through Self-management Interventions (RECURSIVE) health economic review were commissioned to provide a systematic overview of supported self-management to inform implementation. We sought to investigate if supported asthma self-management reduces use of healthcare resources and improves asthma control; for which target groups it works; and which components and contextual factors contribute to effectiveness. Finally, we investigated the costs to healthcare services of providing supported self-management. METHODS: We undertook a meta-review (systematic overview) of systematic reviews updated with randomised controlled trials (RCTs) published since the review search dates, and health economic meta-analysis of RCTs. Twelve electronic databases were searched in 2012 (updated in 2015; pre-publication update January 2017) for systematic reviews reporting RCTs (and update RCTs) evaluating supported asthma self-management. We assessed the quality of included studies and undertook a meta-analysis and narrative synthesis. RESULTS: A total of 27 systematic reviews (n = 244 RCTs) and 13 update RCTs revealed that supported self-management can reduce hospitalisations, accident and emergency attendances and unscheduled consultations, and improve markers of control and quality of life for people with asthma across a range of cultural, demographic and healthcare settings. Core components are patient education, provision of an action plan and regular professional review. Self-management is most effective when delivered in the context of proactive long-term condition management. The total cost (n = 24 RCTs) of providing self-management support is offset by a reduction in hospitalisations and accident ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| Relation: | https://openaccess.city.ac.uk/id/eprint/24642/1/Systematic%20meta-review%20of%20supported%20self-management%20for%20asthma%20a%20healthcare%20perspective.pdf; Pinnock, H., Parke, H. L., Panagioti, M. , Daines, L., Pearce, G., Epiphaniou, E., Bower, P., Sheikh, A., Griffiths, C. J., Taylor, S. J. C. PRISMS and RECURSIVE groups https://openaccess.city.ac.uk/view/creators_id/stanton=2Enewman=2E1.html orcid:0000-0001-6712-6079 orcid:0000-0001-6712-6079 view all authorsEPJS_limit_names_shown_load( 'creators_name_24642_et_al', 'creators_name_24642_rest' ); (2017). Systematic meta-review of supported self-management for asthma: a healthcare perspective. BMC Medicine, 15(1), article number 64. doi:10.1186/s12916-017-0823-7 https://doi.org/10.1186/s12916-017-0823-7 |
| DOI: | 10.1186/s12916-017-0823-7 |
| الاتاحة: | https://openaccess.city.ac.uk/id/eprint/24642/ https://openaccess.city.ac.uk/id/eprint/24642/1/Systematic%20meta-review%20of%20supported%20self-management%20for%20asthma%20a%20healthcare%20perspective.pdf https://doi.org/10.1186/s12916-017-0823-7 |
| Rights: | cc_by_4 |
| رقم الانضمام: | edsbas.DE93AAD3 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12916-017-0823-7 |
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