The effect of goal setting in asthma self-management education: A systematic review

Abstract

Background Asthma self-management education combining with behavior therapy is considered to be more effective. Goal setting is a common behavior change technique used to help patients self-manage their symptoms. However, empirical evidence around its effectiveness on asthma management lacks clarity. Aims To systematically integrate and appraise the evidence for effectiveness of goal setting interventions on asthma outcomes. Methods Databases included CENTRAL, PubMed, EMBASE, CINAHL and Proquest Psychology Database were systematically searched for relevant intervention studies employing goal setting technique as a method in asthma education program for self-management. Characteristic of studies and outcomes in clinical, psychosocial and healthcare utilization outcome were extracted. Results From a total of 2641 citations, 45 full-text articles were assessed for eligibility and 9 studies met the inclusion criteria. Eight studies were randomized controlled trial and one was before-after study. None studies have a high methodological quality. Goal-setting based intervention appeared to improve symptom control, quality of life and self-efficacy in adult patients with asthma. Conclusion This systematic review highlighted the potential of a goal setting technique in the asthma self-management education. However, due to the limitations of the quality and quantity of the included literature, more rigorous studies are needed. In the future, better effective study protocol combining with goal setting approach and other behavior technique is needed to further investigate.

Biologicals decrease psychological distress, anxiety and depression in severe asthma, despite Covid-19 pandemic

“…During our study, patients were also followed through psychological support interviews since psychological counselling could itself help patients to improve the treatment of respiratory diseases. Therefore, this therapeutic option can be indeed considered in the management of asthma, in line with the most recent field research [ [34] , [35] , [36] ].…”

Goal Setting, self-management skills, and evaluating ability of Chinese higher vocational college students

“…The research conducted by Manzone et al (2019) revealed that participants who oriented themselves towards setting process goals exhibited better retention of suturing skills compared to those focused on setting outcome goals. In a study by Liao et al (2019), it was found that interventions based on goal-setting improved symptom control, quality of life, and self-efficacy in adult patients with asthma. Mozafarinia et al (2023) discovered weak evidence regarding the effects of goal setting on health outcomes in chronic diseases.…”

Pengaruh Illness Perception Terhadap Fungsi Paru Pasien Asma Rawat Jalan

“…14 Self-management bagi pasien penderita asma bertujuan untuk meningkatkan motivasi, mengkaji kemampuan pasien, pasien mempunyai kepercayaan diri karena mampu mengontrol manifestasi asma. 15 Salah satu faktor yang mempengaruhi self-management adalah illness perception yang merupakan gambaran kognitif dari pasien terhadap penyakitnya. Tidak sedikit penelitian sebelumnya yang sudah membuktikan bahwa illness perception berperan besar dalam keberhasilan outcome terapi, sehingga mencerminkan kontrol asma pasien.…”