Written individualised management plans for asthma in children and adults

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions

“…Chang et al 124 found a significant improvement in school absenteeism in the only RCT included within the review, whereas Coffman et al 125 found school absences to be significantly reduced in 5 of the 13 RCTs reporting on the outcome. Toelle and Ram 133 and Welsch et al 134 found no significant reduction in absenteeism; however, these findings come from a total of two RCTs and one RCT respectively. …”

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions

“…Chang et al 124 found a significant improvement in school absenteeism in the only RCT included within the review, whereas Coffman et al 125 found school absences to be significantly reduced in 5 of the 13 RCTs reporting on the outcome. Toelle and Ram 133 and Welsch et al 134 found no significant reduction in absenteeism; however, these findings come from a total of two RCTs and one RCT respectively. …”

Systematic meta-review of supported self-management for asthma: a healthcare perspective

“…Taking into consideration both study quality and total population size, 10 PRISMS reviews received an evidence weighting of three stars [27, 31, 32, 36–38, 40, 41, 43, 46], 13 were weighted two star [23–26, 29, 30, 33–35, 39, 42, 44, 45] and two were weighted one star [28, 47]. Of the PRISMS update RCTs, four were judged to be at low risk of bias [50–52, 58], five at high risk of bias [48, 49, 55, 59, 60] and in four the risk of bias was unclear [53, 54, 56, 57].…”

“…The components of an action plan were further defined in two 3* and three 2* reviews [23, 24, 32, 36, 39]. In adults, self-monitoring based on peak flow or symptoms is equally effective [32, 36, 39].…”

“…In adults, self-monitoring based on peak flow or symptoms is equally effective [32, 36, 39]. In a comparison in children, symptom-based plans were more effective at reducing unscheduled healthcare [23], and equally effective at improving most measures of asthma control; the exception was days with symptoms, which were reduced more by peak-flow-based than symptom-based plans [23].…”

An integrative review of systematic reviews related to the management of breathlessness in respiratory illnesses

“…Treatments assessed within the reviews included: acupuncture [32], breathing exercises/training [30,33,34]; dietary measures [35-39]; Heliox [29,31]; homeopathy [40]; control of allergens [41,42]; humidity control/ionisers [43,44]; education programs [45-47]; manual therapy[48]; primary care clinics [49]; psychological interventions [50,51]; individualised care plans [52]; and non-invasive positive pressure ventilation (NIPPV) [53], which enhances ventilation by compensating for fatigued ventilator muscles.…”

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions

“…Chang et al 124 found a significant improvement in school absenteeism in the only RCT included within the review, whereas Coffman et al 125 found school absences to be significantly reduced in 5 of the 13 RCTs reporting on the outcome. Toelle and Ram 133 and Welsch et al 134 found no significant reduction in absenteeism; however, these findings come from a total of two RCTs and one RCT respectively. …”

Systematic meta-review of supported self-management for asthma: a healthcare perspective

“…Taking into consideration both study quality and total population size, 10 PRISMS reviews received an evidence weighting of three stars [27, 31, 32, 36–38, 40, 41, 43, 46], 13 were weighted two star [23–26, 29, 30, 33–35, 39, 42, 44, 45] and two were weighted one star [28, 47]. Of the PRISMS update RCTs, four were judged to be at low risk of bias [50–52, 58], five at high risk of bias [48, 49, 55, 59, 60] and in four the risk of bias was unclear [53, 54, 56, 57].…”

“…The components of an action plan were further defined in two 3* and three 2* reviews [23, 24, 32, 36, 39]. In adults, self-monitoring based on peak flow or symptoms is equally effective [32, 36, 39].…”

“…In adults, self-monitoring based on peak flow or symptoms is equally effective [32, 36, 39]. In a comparison in children, symptom-based plans were more effective at reducing unscheduled healthcare [23], and equally effective at improving most measures of asthma control; the exception was days with symptoms, which were reduced more by peak-flow-based than symptom-based plans [23].…”

An integrative review of systematic reviews related to the management of breathlessness in respiratory illnesses

“…Treatments assessed within the reviews included: acupuncture [32], breathing exercises/training [30,33,34]; dietary measures [35-39]; Heliox [29,31]; homeopathy [40]; control of allergens [41,42]; humidity control/ionisers [43,44]; education programs [45-47]; manual therapy[48]; primary care clinics [49]; psychological interventions [50,51]; individualised care plans [52]; and non-invasive positive pressure ventilation (NIPPV) [53], which enhances ventilation by compensating for fatigued ventilator muscles.…”

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions

“…Chang et al 124 found a significant improvement in school absenteeism in the only RCT included within the review, whereas Coffman et al 125 found school absences to be significantly reduced in 5 of the 13 RCTs reporting on the outcome. Toelle and Ram 133 and Welsch et al 134 found no significant reduction in absenteeism; however, these findings come from a total of two RCTs and one RCT respectively. …”

Systematic meta-review of supported self-management for asthma: a healthcare perspective

“…Taking into consideration both study quality and total population size, 10 PRISMS reviews received an evidence weighting of three stars [27, 31, 32, 36–38, 40, 41, 43, 46], 13 were weighted two star [23–26, 29, 30, 33–35, 39, 42, 44, 45] and two were weighted one star [28, 47]. Of the PRISMS update RCTs, four were judged to be at low risk of bias [50–52, 58], five at high risk of bias [48, 49, 55, 59, 60] and in four the risk of bias was unclear [53, 54, 56, 57].…”

“…The components of an action plan were further defined in two 3* and three 2* reviews [23, 24, 32, 36, 39]. In adults, self-monitoring based on peak flow or symptoms is equally effective [32, 36, 39].…”

“…In adults, self-monitoring based on peak flow or symptoms is equally effective [32, 36, 39]. In a comparison in children, symptom-based plans were more effective at reducing unscheduled healthcare [23], and equally effective at improving most measures of asthma control; the exception was days with symptoms, which were reduced more by peak-flow-based than symptom-based plans [23].…”

An integrative review of systematic reviews related to the management of breathlessness in respiratory illnesses

“…Treatments assessed within the reviews included: acupuncture [32], breathing exercises/training [30,33,34]; dietary measures [35-39]; Heliox [29,31]; homeopathy [40]; control of allergens [41,42]; humidity control/ionisers [43,44]; education programs [45-47]; manual therapy[48]; primary care clinics [49]; psychological interventions [50,51]; individualised care plans [52]; and non-invasive positive pressure ventilation (NIPPV) [53], which enhances ventilation by compensating for fatigued ventilator muscles.…”