Nicola Ring|Cari Malcolm|Sally Wyke|Stephen MacGillivray|Diane Dixon|Gaylor Hoskins|Hilary Pinnock|Aziz Sheikh
Promoting the use of Personal Asthma Action Plans: a systematic review
University of Stirling|Abertay University|University of Stirling|Abertay University|University of Stirling|NHS Tayside|University of Dundee|University of Edinburgh|University of Edinburgh
investigate best encourage health professionals promote people asthma use asthma action planssystematic review randomised controlled trials published 1960 2006 searched using multiple electronic databases unpublished ongoing studies identified contacting asthma experts internationally included trials reported outcome data promotion action plans including issue plans health professionals patient ownership use14 trials satisfied study inclusion criteria four studies reported data action plan use interventions included education doctors people asthma telephone reinforcement partially completed action plans postal prompts inviting patients general practice review school asthma clinics asthma management systems including 3 plan patient recall review internetbased physician monitoring interventions increased action plan ownership use facilitation use two highest quality papers conducted primary care demonstrate effectiveness interventions directed organisation asthma care promoting action plan useprimary care professionals could encourage ownership use action plans implementation proactive practicebased organisational systems though research required assess practicality effect sustaining use longterm multidisciplinary teams working areas asthma action plan ownership use suboptimal therefore consider interventions could incorporated existing practices healthcare systems