OBJECTIVE: To understand better what helps and/or hinders asthma action plan use from the professionals and patients/carers perspective. METHODS: Systematic review and qualitative synthesis (using meta-ethnography). 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. 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. 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.
OBJECTIVE: To understand better what helps and/or hinders asthma action plan use from the professionals and patients/carers perspective. METHODS: Systematic review and qualitative synthesis (using meta-ethnography). 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. 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. 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.
Authors: Kim Erwin; Molly A Martin; Tara Flippin; Sarah Norell; Ariana Shadlyn; Jie Yang; Paula Falco; Jaime Rivera; Stacy Ignoffo; Rajesh Kumar; Helen Margellos-Anast; Michael McDermott; Kate McMahon; Giselle Mosnaim; Sharmilee M Nyenhuis; Valerie G Press; Jessica E Ramsay; Kenneth Soyemi; Trevonne M Thompson; Jerry A Krishnan Journal: J Comp Eff Res Date: 2015-12-21 Impact factor: 1.744
Authors: Robert S Rudin; Christopher H Fanta; Zachary Predmore; Kevin Kron; Maria O Edelen; Adam B Landman; Eyal Zimlichman; David W Bates Journal: Appl Clin Inform Date: 2017-12-14 Impact factor: 2.342