Promoting the use of Personal Asthma Action Plans: a systematic review.
Promoting the use of Personal Asthma Action Plans: a systematic review.
复制标题
促进个人哮喘行动计划的使用：系统评价。
DOI：
10.3132/pcrj.2007.00049
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
A. Sheikh
中科院分区：
文献类型：
--
作者：
N. Ring;C. Malcolm;S. Wyke;S. MacGillivray;D. Dixon;G. Hoskins;H. Pinnock;A. Sheikh
目标
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 Unpublished and ongoing studies were identified by contacting asthma experts internationally.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.