Ring, N., Jepson, R., Hoskins, G., Wilson, C., Pinnock, H., Sheikh, A. and Wyke, S. (2011) Understanding what helps or hinders asthma action plan use: a systematic review and synthesis of the qualitative literature. Patient Education and Counseling, 85, e131-e143. (doi: 10.1016/j.pec.2011.01.025)
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Abstract
<p>Objective: To understand better what helps and/or hinders asthma action plan use from the professionals and patients/carers perspective.</p> <p>Methods: Systematic review and qualitative synthesis (using meta-ethnography).</p> <p>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.</p> <p>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.</p> <p>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.</p>
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Wyke, Professor Sally |
Authors: | Ring, N., Jepson, R., Hoskins, G., Wilson, C., Pinnock, H., Sheikh, A., and Wyke, S. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Social Scientists working in Health and Wellbeing College of Social Sciences |
Journal Name: | Patient Education and Counseling |
ISSN: | 0738-3991 |
ISSN (Online): | 1873-5134 |
Published Online: | 10 March 2011 |
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