Evidence map›Paper›PMID 28993623›Full record

SynthesisNPJ primary care respiratory medicine2017

Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views.

Clare Miles, Emily Arden-Close, Mike Thomas, Anne Bruton, Lucy Yardley, Matthew Hankins, Sarah E Kirby

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in NPJ primary care respiratory medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 5 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 5 syntheses or guidelines pooled it, 163 citations in OpenAlex.

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  4. A Systematic Review on Mobile Health Applications' Education Program for Patients Taking Oral Anticoagulants.International journal of environmental research and public health · 2021
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  19. Optimizing adherence to medication to improve outcomes in asthma.Current opinion in pulmonary medicine · 2025
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Clare MilesAcademic Unit of Psychology, University of Southampton, Highfield, Southampton, SO17 1BJ, UK.
Emily Arden-CloseDepartment of Psychology, Bournemouth University, Poole, UK.ORCID http://orcid.org/0000-0002-5954-2598
Mike ThomasPrimary Care and Population Sciences, University of Southampton, Southampton, UK.
Anne BrutonNIHR Southampton Respiratory Biomedical Research Unit, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-4550-2536
Lucy YardleyAcademic Unit of Psychology, University of Southampton, Highfield, Southampton, SO17 1BJ, UK.
Matthew HankinsPatient-Centred Sciences, Mapi Group, London, UK.
Sarah E KirbyAcademic Unit of Psychology, University of Southampton, Highfield, Southampton, SO17 1BJ, UK. Sarah.Kirby@soton.ac.uk.
NIHR Southampton Respiratory Biomedical Research Unit · GBUniversity of Southampton · GBBournemouth University · GB

Funding

Department of Health SRF-2012-05-120
6 · The paper itself

Abstract

Self-management is an established, effective approach to controlling asthma, recommended in guidelines. However, promotion, uptake and use among patients and health-care professionals remain low. Many barriers and facilitators to effective self-management have been reported, and views and beliefs of patients and health care professionals have been explored in qualitative studies. We conducted a systematic review and thematic synthesis of qualitative research into self-management in patients, carers and health care professionals regarding self-management of asthma, to identify perceived barriers and facilitators associated with reduced effectiveness of asthma self-management interventions. Electronic databases and guidelines were searched systematically for qualitative literature that explored factors relevant to facilitators and barriers to uptake, adherence, or outcomes of self-management in patients with asthma. Thematic synthesis of the 56 included studies identified 11 themes: (1) partnership between patient and health care professional; (2) issues around medication; (3) education about asthma and its management; (4) health beliefs; (5) self-management interventions; (6) co-morbidities (7) mood disorders and anxiety; (8) social support; (9) non-pharmacological methods; (10) access to healthcare; (11) professional factors. From this, perceived barriers and facilitators were identified at the level of individuals with asthma (and carers), and health-care professionals. Future work addressing the concerns and beliefs of adults, adolescents and children (and carers) with asthma, effective communication and partnership, tailored support and education (including for ethnic minorities and at risk groups), and telehealthcare may improve how self-management is recommended by professionals and used by patients. Ultimately, this may achieve better outcomes for people with asthma.

Indexed as

Self-ManagementAsthmaAttitude of Health PersonnelAttitude to HealthHealth PersonnelHumansTreatment Outcome

Identifiers

PMID28993623
PMCPMC5634481
OpenAlexW2757464582

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.