2018
DOI: 10.1038/s41533-017-0070-6
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Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review

Abstract: South Asian and other minority communities suffer poorer asthma outcomes, have a higher rate of unscheduled care and benefit less from most existing self-management interventions when compared to the majority population. Possible reasons for these differences include failure to implement asthma self-management strategies, or that strategies implemented were inappropriate for their needs; alternatively, they may relate to the minority and/or lower socioeconomic status of these populations. We aimed to synthesis… Show more

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Cited by 22 publications
(52 citation statements)
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“…Pressures of time, organisational barriers, 53 and the need to develop professional skills, 54 as well as negative views about the usefulness of action plans, [55][56][57] are barriers to adoption of supported self-management into routine clinical practice. Our findings suggest that initiatives that facilitate regular review (including mobile phone and internet interventions), 58 ensure that reviews are appropriate (for example, to cultural needs), 59 or involve non-medical or peer support 60 Our findings not only confirm the clinical benefit of supported self-management for adults, adolescents, and children with asthma but provide practical guidance for models of service that are likely to be effective. Future research and policy investments should focus on implementing regularly supported self-management offering regular reviews totalling at least two hours to establish self-management skills.…”
Section: Comparison With Similar Researchmentioning
confidence: 55%
See 1 more Smart Citation
“…Pressures of time, organisational barriers, 53 and the need to develop professional skills, 54 as well as negative views about the usefulness of action plans, [55][56][57] are barriers to adoption of supported self-management into routine clinical practice. Our findings suggest that initiatives that facilitate regular review (including mobile phone and internet interventions), 58 ensure that reviews are appropriate (for example, to cultural needs), 59 or involve non-medical or peer support 60 Our findings not only confirm the clinical benefit of supported self-management for adults, adolescents, and children with asthma but provide practical guidance for models of service that are likely to be effective. Future research and policy investments should focus on implementing regularly supported self-management offering regular reviews totalling at least two hours to establish self-management skills.…”
Section: Comparison With Similar Researchmentioning
confidence: 55%
“…Pressures of time, organisational barriers, 53 and the need to develop professional skills, 54 as well as negative views about the usefulness of action plans, 55 56 57 are barriers to adoption of supported self-management into routine clinical practice. Our findings suggest that initiatives that facilitate regular review (including mobile phone and internet interventions), 58 ensure that reviews are appropriate (for example, to cultural needs), 59 or involve non-medical or peer support 60 may offer promise for future implementation and research endeavours. 61 …”
Section: Discussionmentioning
confidence: 93%
“…The outcomes of our study agree with previous publications,12 33 34 regarding resources and information valued by children, parents and staff, confirming these needs are universal, bridging cultural and geographical divides. Resources should focus on the end user, using adaptive formats to effectively meet patient needs 35–38. Professional communities should develop greater health literacy responsive organisations39 ensuring equity of access to resources, differentiation of content according to age, narrative and written competence; adapt to any specific learning needs, thus fulfilling CRC requirements.…”
Section: Discussionmentioning
confidence: 99%
“…In developing, customizing and evaluating self-management interventions for different cultures, sociocultural factors should be taken into account. 360…”
Section: Part C Guided Asthma Self-management Education and Skills Tmentioning
confidence: 99%