Noreen M. Clark|Keteyian|Martyn R Partridge|; Griffiths
Educational and behavioral interventions for asthma: who achieves which outcomes? A systematic review
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Imperial College London|Queen Mary University of London
randomized clinical trial rct data reviewed outcomes processes associated asthma educational behavioral interventions provided different types health professionalscochrane collaboration medline pubmed google scholar search 1998 2009 identified 1650 articles regarding asthma educational behavioral interventions resulting 249 potential studies following assessment produced final sample 50 rctsapproaches intended outcomes program providers vary greatly rationale provided study reports selection specific outcomes program providers program components health care utilization symptom control common outcomes assessed specific providers favor particular teaching approaches multidisciplinary teams frequent providers asthma interventions physicianled interventions successful outcomes related use health care multidisciplinary teams best achieving symptom reduction quality life lay persons best achieving selfmanagementselfefficacy outcomes components frequently employed successful programs skills improve patientclinician communication education enhance patient selfmanagement fifty percent interventions achieved reduction use health care onethird symptom control combination approach including selfmanagement patientclinician communication involving multidisciplinary team members may greatest effect outcomesthe extent different providers achieve asthma outcomes educational behavioral interventions emerging recent studies health care use symptom control evolving gold standard intervention outcomes development selfmanagement clinicianpatient communication skills program components associated success across outcomes providers