Ron Strochlic, Lauren E Au, Lorrene Ritchie
Is urban-rural location associated with weight status in school children? An examination of 42 small and rural Californian counties
Rural and remote health
selfmanagement established effective approach controlling asthma recommended guidelines however promotion uptake use among patients healthcare professionals remain low many barriers facilitators effective selfmanagement reported views beliefs patients health care professionals explored qualitative studies conducted systematic review thematic synthesis qualitative research selfmanagement patients carers health care professionals regarding selfmanagement asthma identify perceived barriers facilitators associated reduced effectiveness asthma selfmanagement interventions electronic databases guidelines searched systematically qualitative literature explored factors relevant facilitators barriers uptake adherence outcomes selfmanagement patients asthma thematic synthesis 56 included studies identified 11 themes 1 partnership patient health care professional 2 issues around medication 3 education asthma management 4 health beliefs 5 selfmanagement interventions 6 comorbidities 7 mood disorders anxiety 8 social support 9 nonpharmacological methods 10 access healthcare 11 professional factors perceived barriers facilitators identified level individuals asthma carers healthcare professionals future work addressing concerns beliefs adults adolescents children carers asthma effective communication partnership tailored support education including ethnic minorities risk groups telehealthcare may improve selfmanagement recommended professionals used patients ultimately may achieve better outcomes people asthma