Rebecca C Knibb1, Cherry Alviani2,3, Teresa Garriga-Baraut4,5, Charlotte G Mortz6, Marta Vazquez-Ortiz7, Elizabeth Angier8, Katerina Blumchen9, Pasquale Comberiati10,11, Bettina Duca7, Audrey DunnGalvin12,13, Claudia Gore14, Valerie Hox15, Britt Jensen6, Helena Pite16,17, Alexandra F Santos18,19,20,21, Silvia Sanchez-Garcia22, M Hazel Gowland23, Frans Timmermans24, Graham Roberts2,3,25. 1. Department of Psychology, School of Life and Health Sciences, Aston University, Birmingham, UK. 2. Faculty of Medicine, University of Southampton, Southampton, UK. 3. The David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Isle of Wight, UK. 4. Unitat d'Allergologia Pediàtrica, Hospital Universitari Vall d'Hebron, Barcelona, Spain. 5. Grup d'Investigació "Creixement i Desenvolupament", Institut de Recerca de l'Hospital Universitari Vall d'Hebron (VHIR), Barcelona, Spain. 6. Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, University of Southern Denmark, Odense, Denmark. 7. Department of Paediatrics, Faculty of Medicine, Imperial College, London, UK. 8. Primary Care and Public Health, Faculty of Medicine, University of Southampton, Southampton, UK. 9. Department of Paediatric and Adolescent Medicine, Paediatric Pneumology, Allergology and Cystic Fibrosis, University Hospital Frankfurt, Frankfurt am Main, Germany. 10. Section of Paediatrics, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy. 11. Department of Clinical Immunology and Allergology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia. 12. Applied Psychology and Paediatrics and Child Health, University College Cork, Cork, Ireland. 13. Paediatrics, Child Infectious Diseases, First Moscow State Medical University, Russia. 14. Claudia Gore: Paediatric Allergy, St Mary Hospital, London, UK. 15. Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Saint-Luc, Brussels, Belgium. 16. Allergy Center, CUF Descobertas Hospital and CUF Infante Santo Hospital, Lisbon, Portugal. 17. CEDOC, Chronic Diseases Research Center, NOVA Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal. 18. Department of Women and Children's Health (Paediatric Allergy, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK. 19. Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK. 20. Children's Allergy Service, Guy's and St Thomas' Hospital, London, UK. 21. Asthma UK Centre in Allergic Mechanisms of Asthma, London, UK. 22. Allergy Department, Hospital Infantil Universitario del Niño Jesús, Madrid, Spain. 23. Allergy Action, St Albans, UK. 24. Nederlands Anafylaxis Netwerk - European Anaphylaxis Taskforce, Dordrecht, The Netherlands. 25. NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Abstract
BACKGROUND: This systematic review aimed to review the literature on interventions for improving self-management and well-being in adolescents and young adults (11-25 years) with asthma and allergic conditions. METHODS: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted, and their quality was assessed in duplicate. A narrative synthesis was undertaken. RESULTS: A total of 30 papers reporting data from 27 studies were included. Interventions types were psychological (k = 9); e-health (k = 8); educational (k = 4); peer-led (k = 5); breathing re-training (k = 1). All interventions were for asthma. Psychological interventions resulted in significant improvements in the intervention group compared with the control group for self-esteem, quality of life, self-efficacy, coping strategies, mood and asthma symptoms. E-Health interventions reported significant improvements for inhaler technique, adherence and quality of life. General educational interventions demonstrated significantly improved quality of life, management of asthma symptoms, controller medication use, increased use of a written management plan and reduction in symptoms. The peer-led interventions included the Triple A (Adolescent Asthma Action) programme and a peer-led camp based on the Power Breathing Programme. Improvements were found for self-efficacy, school absenteeism and quality of life. CONCLUSION: Although significant improvements were seen for all intervention types, many were small feasibility or pilot studies, few studies reported effect sizes and no studies for allergic conditions other than asthma met the inclusion criteria. Research using large longitudinal interventional designs across the range of allergic conditions is required to strengthen the evidence base.
BACKGROUND: This systematic review aimed to review the literature on interventions for improving self-management and well-being in adolescents and young adults (11-25 years) with asthma and allergic conditions. METHODS: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted, and their quality was assessed in duplicate. A narrative synthesis was undertaken. RESULTS: A total of 30 papers reporting data from 27 studies were included. Interventions types were psychological (k = 9); e-health (k = 8); educational (k = 4); peer-led (k = 5); breathing re-training (k = 1). All interventions were for asthma. Psychological interventions resulted in significant improvements in the intervention group compared with the control group for self-esteem, quality of life, self-efficacy, coping strategies, mood and asthma symptoms. E-Health interventions reported significant improvements for inhaler technique, adherence and quality of life. General educational interventions demonstrated significantly improved quality of life, management of asthma symptoms, controller medication use, increased use of a written management plan and reduction in symptoms. The peer-led interventions included the Triple A (Adolescent Asthma Action) programme and a peer-led camp based on the Power Breathing Programme. Improvements were found for self-efficacy, school absenteeism and quality of life. CONCLUSION: Although significant improvements were seen for all intervention types, many were small feasibility or pilot studies, few studies reported effect sizes and no studies for allergic conditions other than asthma met the inclusion criteria. Research using large longitudinal interventional designs across the range of allergic conditions is required to strengthen the evidence base.
Authors: Sandra E Zaeh; Monica A Lu; Kathryn V Blake; Christabelle Ayensu-Asiedu; Janet T Holbrook; Michelle N Eakin Journal: J Asthma Date: 2021-03-23
Authors: Ekaterina Khaleva; Marta Vazquez-Ortiz; Pasquale Comberiati; Audrey DunnGalvin; Helena Pite; Katharina Blumchen; Teresa Garriga-Baraut; Valerie Hox; Alexandra F Santos; Claudia Gore; Rebecca C Knibb; Cherry Alviani; Charlotte G Mortz; Elizabeth Angier; Bettina Duca; Britt Jensen; Silvia Sanchez-Garcia; M Hazel Gowland; Frans Timmermans; Oliver Pfaar; Graham Roberts Journal: Clin Transl Allergy Date: 2020-10-07 Impact factor: 5.871