ArticleBMJ (Clinical research ed.)2000
Qualitative study of views of health professionals and patients on guided self management plans for asthma.
Article in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 155 citations in OpenAlex.
- Written action plans for children with long-term conditions: A systematic review and synthesis of qualitative data.Health expectations : an international journal of public participation in health care and health policy · 2018Pooled it
- Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views.NPJ primary care respiratory medicine · 2017Pooled it
- Interventions for managing asthma in pregnancy.The Cochrane database of systematic reviews · 2014Pooled it
- Psychosocial factors and behavioral medicine interventions in asthma.Journal of consulting and clinical psychology · 2013Pooled it
- Trial
- Goal-setting intervention in patients with active asthma: protocol for a pilot cluster-randomised controlled trial.Trials · 2013Trial
- Implementation strategies of internet-based asthma self-management support in usual care. Study protocol for the IMPASSE cluster randomized trial.Implementation science : IS · 2012Trial
- Cost-effectiveness of Internet-based self-management compared with usual care in asthma.PloS one · 2011Trial
- Can a self-management programme delivered by a community pharmacist improve asthma control? A randomised trial.Thorax · 2003Trial
- A randomised trial of self-management planning for adult patients admitted to hospital with acute asthma.Thorax · 2002Trial
- Article
- Assessment of family and internal medicine physicians knowledge and practice of bronchial asthma at Riyadh city.Journal of family medicine and primary care · 2020Article
- Participation factors for asthma education programs - a cross sectional survey.BMC pulmonary medicine · 2019Article
- The effect of goal setting in asthma self-management education: A systematic review.International journal of nursing sciences · 2019Review
- Patient and provider perspectives on uptake of a shared decision making intervention for asthma in primary care practices.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- We need to talk about purpose: a critical interpretive synthesis of health and social care professionals' approaches to self-management support for people with long-term conditions.Health expectations : an international journal of public participation in health care and health policy · 2017Review
- The 'vicious cycle' of personalised asthma action plan implementation in primary care: a qualitative study of patients and health professionals' views.BMC family practice · 2015Article
- The person-based approach to enhancing the acceptability and feasibility of interventions.Pilot and feasibility studies · 2015Article
- A woman with asthma: a whole systems approach to supporting self-management.NPJ primary care respiratory medicine · 2014Article
- An internet intervention to improve asthma management: rationale and protocol of a randomized controlled trial.JMIR research protocols · 2013Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore the views held by general practitioners, practice nurses, and patients about the role of guided self management plans in asthma care.
designQualitative study using nine focus groups that each met on two occasions.
settingSouth Wales. SUBJECTS: 13 asthma nurses, 11 general practitioners (six with an interest in asthma), and 32 patients (13 adults compliant with treatment, 12 non-compliant adults, and seven teenagers).
resultsNeither health professionals nor patients were enthusiastic about guided self management plans, and, although for different reasons, almost all participants were ambivalent about their usefulness or relevance. Most professionals opposed their use. Few patients reported sustained use, and most felt that plans were largely irrelevant to them. The attitudes associated with these views reflect the gulf between the professionals' concept of the "responsible asthma patient" and the patients' view.
conclusionsAttempts to introduce self guided management plans in primary care are unlikely to be successful. A more patient centred, patient negotiated plan is needed for asthma care in the community.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.