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The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions: a systematic review

The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions: a systematic review
The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions: a systematic review

BACKGROUND: This systematic review aimed to review the literature on interventions for improving self-management and wellbeing in adolescents and young adults (11-25 years) with asthma and allergic conditions.

METHODS: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted and their quality was assessed in duplicate. A narrative synthesis was undertaken.

RESULTS: A total of 30 papers reporting data from 27 studies were included. Interventions types were psychological (k=9); E-health (k=8); educational (k=4); peer led (k=5); breathing re-training (k=1). All interventions were for asthma. Psychological interventions resulted in significant improvements in the intervention group compared to the control group for self-esteem, quality of life, self-efficacy, coping strategies, mood and asthma symptoms. E-Health interventions reported significant improvements for inhaler technique, adherence and quality of life. General educational interventions demonstrated significantly improved quality of life, management of asthma symptoms, controller medication use, increased use of a written management plan and reduction in symptoms. The peer led interventions included the Triple A (Adolescent Asthma Action) programme and a peer-led camp based on the Power Breathing Programme. Improvements were found for self-efficacy, school absenteeism and quality of life.

CONCLUSION: Although significant improvements were seen for all intervention types, many were small feasibility or pilot studies, few studies reported effect sizes and no studies for allergic conditions other than asthma met the inclusion criteria. Research using large longitudinal interventional designs across the range of allergic conditions is required to strengthen the evidence base.

adolescent, allergy, asthma, interventions, young adult
0105-4538
1880-1897
Knibb, Rebecca C
4e174598-9a4e-4bfa-9bb9-0bb0e85e63a6
Alviani, Cherry
32a5985d-da5c-48e4-a098-5374d3546e77
Garriga-Baraut, Teresa
f2979905-e7c7-4038-9fec-091f75c010c6
Mortz, Charlotte G
753eaf0c-6f37-4847-8fde-2c057ab46907
Vazquez-Ortiz, Marta
890eb8f6-2903-44dd-b494-36af021f7708
Angier, Elizabeth
d98c8257-d8b2-4aa6-bb77-42ba29757c52
Blumchen, Katerina
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Comberiati, Pasquale
753e1130-8357-4921-ab16-604a73976555
Duca, Bettina
66510372-ddf4-4b43-b814-7ccffce88400
DunnGalvin, Audrey
cb3a7df5-feb4-414a-b528-459c52dd2a80
Gore, Claudia
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Hox, Valerie
c0ace48c-85f8-4a18-a1b7-c3c40b7f5ec0
Jensen, Britt
aa3bb810-3a5b-4d70-a31f-4f396988d073
Pite, Helena
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Santos, Alexandra F
f5b69586-7f5c-4972-88dd-c463990bda94
Sanchez-Garcia, Silvia
636b5e5c-c19f-401e-a637-a4e5882a5c6a
Gowland, M Hazel
72a62d3c-fe49-4b92-9776-ff235a7c5db3
Timmermans, Frans
b6bb2f65-cf2f-4497-abee-1a247cfec494
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Knibb, Rebecca C
4e174598-9a4e-4bfa-9bb9-0bb0e85e63a6
Alviani, Cherry
32a5985d-da5c-48e4-a098-5374d3546e77
Garriga-Baraut, Teresa
f2979905-e7c7-4038-9fec-091f75c010c6
Mortz, Charlotte G
753eaf0c-6f37-4847-8fde-2c057ab46907
Vazquez-Ortiz, Marta
890eb8f6-2903-44dd-b494-36af021f7708
Angier, Elizabeth
d98c8257-d8b2-4aa6-bb77-42ba29757c52
Blumchen, Katerina
fa28553d-f59c-4931-9b9e-61689285773d
Comberiati, Pasquale
753e1130-8357-4921-ab16-604a73976555
Duca, Bettina
66510372-ddf4-4b43-b814-7ccffce88400
DunnGalvin, Audrey
cb3a7df5-feb4-414a-b528-459c52dd2a80
Gore, Claudia
4ad3cf91-6348-44bc-b5f0-1cbcef54afc0
Hox, Valerie
c0ace48c-85f8-4a18-a1b7-c3c40b7f5ec0
Jensen, Britt
aa3bb810-3a5b-4d70-a31f-4f396988d073
Pite, Helena
81752103-e5a4-4b9d-882f-7693a36e0b86
Santos, Alexandra F
f5b69586-7f5c-4972-88dd-c463990bda94
Sanchez-Garcia, Silvia
636b5e5c-c19f-401e-a637-a4e5882a5c6a
Gowland, M Hazel
72a62d3c-fe49-4b92-9776-ff235a7c5db3
Timmermans, Frans
b6bb2f65-cf2f-4497-abee-1a247cfec494
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3

Knibb, Rebecca C, Alviani, Cherry, Garriga-Baraut, Teresa, Mortz, Charlotte G, Vazquez-Ortiz, Marta, Angier, Elizabeth, Blumchen, Katerina, Comberiati, Pasquale, Duca, Bettina, DunnGalvin, Audrey, Gore, Claudia, Hox, Valerie, Jensen, Britt, Pite, Helena, Santos, Alexandra F, Sanchez-Garcia, Silvia, Gowland, M Hazel, Timmermans, Frans and Roberts, Graham (2020) The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions: a systematic review. Allergy, 75 (8), 1880-1897. (doi:10.1111/all.14269).

Record type: Review

Abstract

BACKGROUND: This systematic review aimed to review the literature on interventions for improving self-management and wellbeing in adolescents and young adults (11-25 years) with asthma and allergic conditions.

METHODS: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted and their quality was assessed in duplicate. A narrative synthesis was undertaken.

RESULTS: A total of 30 papers reporting data from 27 studies were included. Interventions types were psychological (k=9); E-health (k=8); educational (k=4); peer led (k=5); breathing re-training (k=1). All interventions were for asthma. Psychological interventions resulted in significant improvements in the intervention group compared to the control group for self-esteem, quality of life, self-efficacy, coping strategies, mood and asthma symptoms. E-Health interventions reported significant improvements for inhaler technique, adherence and quality of life. General educational interventions demonstrated significantly improved quality of life, management of asthma symptoms, controller medication use, increased use of a written management plan and reduction in symptoms. The peer led interventions included the Triple A (Adolescent Asthma Action) programme and a peer-led camp based on the Power Breathing Programme. Improvements were found for self-efficacy, school absenteeism and quality of life.

CONCLUSION: Although significant improvements were seen for all intervention types, many were small feasibility or pilot studies, few studies reported effect sizes and no studies for allergic conditions other than asthma met the inclusion criteria. Research using large longitudinal interventional designs across the range of allergic conditions is required to strengthen the evidence base.

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More information

e-pub ahead of print date: 11 March 2020
Published date: 1 August 2020
Keywords: adolescent, allergy, asthma, interventions, young adult

Identifiers

Local EPrints ID: 441462
URI: http://eprints.soton.ac.uk/id/eprint/441462
ISSN: 0105-4538
PURE UUID: a37144d5-cc1a-4f81-b897-5b156f1cbc43
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

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Date deposited: 12 Jun 2020 16:40
Last modified: 28 Apr 2022 01:54

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Contributors

Author: Rebecca C Knibb
Author: Cherry Alviani
Author: Teresa Garriga-Baraut
Author: Charlotte G Mortz
Author: Marta Vazquez-Ortiz
Author: Elizabeth Angier
Author: Katerina Blumchen
Author: Pasquale Comberiati
Author: Bettina Duca
Author: Audrey DunnGalvin
Author: Claudia Gore
Author: Valerie Hox
Author: Britt Jensen
Author: Helena Pite
Author: Alexandra F Santos
Author: Silvia Sanchez-Garcia
Author: M Hazel Gowland
Author: Frans Timmermans
Author: Graham Roberts ORCID iD

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