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Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies

Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies
Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies
Background: Many adolescents have poor asthma control and impaired quality of life despite the availability of modern pharmacotherapy. Research suggests that poor adherence to treatment and limited engagement in self-management could be contributing factors.

Objective: To conduct a systematic review of the barriers and facilitators to self-management of asthma reported by adolescents using a narrative synthesis approach to integrate the findings.

Design: MEDLINE, EMBASE, CINAHL, and PsycINFO were searched for all types of study design. Full papers were retrieved for study abstracts that included data from participants aged 12–18 years referring to barriers or facilitators of asthma self-management behaviors.

Results: Sixteen studies (5 quantitative and 11 qualitative) underwent data extraction, quality appraisal, and thematic analysis. Six key themes were generated that encompassed barriers and/or facilitators to self-management of asthma in adolescents: Knowledge, Lifestyle, Beliefs and Attitudes, Relationships, Intrapersonal Characteristics, and Communication.

Conclusions: There is a pressing need to prepare adolescents for self-management, using age-appropriate strategies that draw on the evidence we have synthesized. Current clinical practice should focus on ensuring adolescents have the correct knowledge, beliefs, and positive attitude to self-manage their illness. This needs to be delivered in a supportive environment that facilitates two-way communication, fosters adolescents’ self-efficacy to manage their disease, and considers the wider social influences that impinge on self-management.
8755-6863
1-13
Holley, Simone
31ab5e55-d038-4397-a257-687371f945ae
Morris, Ruth
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Knibb, Rebecca
ecf7d254-dfd6-4048-b274-6719b71ef410
Latter, Susan
83f100a4-95ec-4f2e-99a5-186095de2f3b
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Mitchell, Frances
fb4be2d3-544e-49ce-912e-c5f0f9553a01
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Holley, Simone
31ab5e55-d038-4397-a257-687371f945ae
Morris, Ruth
b7cbbd1c-ba42-4140-aa43-140fc0f1d162
Knibb, Rebecca
ecf7d254-dfd6-4048-b274-6719b71ef410
Latter, Susan
83f100a4-95ec-4f2e-99a5-186095de2f3b
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Mitchell, Frances
fb4be2d3-544e-49ce-912e-c5f0f9553a01
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3

Holley, Simone, Morris, Ruth, Knibb, Rebecca, Latter, Susan, Liossi, Christina, Mitchell, Frances and Roberts, Graham (2016) Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies. Pediatric Pulmonology, 1-13. (doi:10.1002/ppul.23556). (PMID:27717193)

Record type: Article

Abstract

Background: Many adolescents have poor asthma control and impaired quality of life despite the availability of modern pharmacotherapy. Research suggests that poor adherence to treatment and limited engagement in self-management could be contributing factors.

Objective: To conduct a systematic review of the barriers and facilitators to self-management of asthma reported by adolescents using a narrative synthesis approach to integrate the findings.

Design: MEDLINE, EMBASE, CINAHL, and PsycINFO were searched for all types of study design. Full papers were retrieved for study abstracts that included data from participants aged 12–18 years referring to barriers or facilitators of asthma self-management behaviors.

Results: Sixteen studies (5 quantitative and 11 qualitative) underwent data extraction, quality appraisal, and thematic analysis. Six key themes were generated that encompassed barriers and/or facilitators to self-management of asthma in adolescents: Knowledge, Lifestyle, Beliefs and Attitudes, Relationships, Intrapersonal Characteristics, and Communication.

Conclusions: There is a pressing need to prepare adolescents for self-management, using age-appropriate strategies that draw on the evidence we have synthesized. Current clinical practice should focus on ensuring adolescents have the correct knowledge, beliefs, and positive attitude to self-manage their illness. This needs to be delivered in a supportive environment that facilitates two-way communication, fosters adolescents’ self-efficacy to manage their disease, and considers the wider social influences that impinge on self-management.

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More information

Accepted/In Press date: 9 August 2016
e-pub ahead of print date: 7 October 2016
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 399586
URI: http://eprints.soton.ac.uk/id/eprint/399586
ISSN: 8755-6863
PURE UUID: 7dfebbf3-4c39-433d-a422-8872c52350d8
ORCID for Simone Holley: ORCID iD orcid.org/0000-0003-4631-2862
ORCID for Susan Latter: ORCID iD orcid.org/0000-0003-0973-0512
ORCID for Christina Liossi: ORCID iD orcid.org/0000-0003-0627-6377
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

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Date deposited: 19 Aug 2016 13:58
Last modified: 28 Apr 2022 05:59

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Contributors

Author: Simone Holley ORCID iD
Author: Ruth Morris
Author: Rebecca Knibb
Author: Susan Latter ORCID iD
Author: Frances Mitchell
Author: Graham Roberts ORCID iD

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