Evidence map›Paper›PMID 32205333›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020

Understanding how patients establish strategies for living with asthma: a qualitative study in UK primary care as part of IMP

Luke Daines, Susan Morrow, Sharon Wiener-Ogilvie, Caroline Scott, Liz Steed, Stephanie Jc Taylor, Hilary Pinnock

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Delivery of supported self-management in remote asthma reviews: A systematic rapid realist review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Asthma: onset at young, persist when grow up.Translational pediatrics · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. IMPImplementation science communications · 2023
    Article
  9. Article
  10. Article
  11. Characteristics of older adult hospitalized patients with bronchial asthma: a retrospective study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2021
    Article
  12. Article
  13. Patient and public involvement in general practice research.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  14. Self-care strategies for asthma.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Luke DainesAsthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh.
Susan MorrowAsthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh.
Sharon Wiener-OgilvieHealthcare Improvement Scotland, Improvement Hub, Evidence and Evaluation for improvement Team, Edinburgh.
Caroline ScottEdinburgh Medical School, University of Edinburgh, Edinburgh.
Liz SteedInstitute for Population Health Sciences, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Stephanie Jc TaylorInstitute for Population Health Sciences, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Hilary PinnockAsthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh.
Queen Mary University of London · GBUniversity of Edinburgh · GBAsthma UK · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the context of a variable condition such as asthma, patient recognition of deteriorating control and knowing what prompt action to take is crucial. Yet, implementation of recommended self-management strategies remains poor.

aimTo explore how patients with asthma and parents/carers of children with asthma develop and establish recommended self-management strategies for living with asthma, and how clinicians can best support the process. DESIGN AND

settingA qualitative study in UK primary care.

methodPatients with asthma and parents/carers of children with asthma from 10 general practices were purposively sampled (using age, sex, and duration of asthma) to participate in focus groups or interviews between May 2016 and August 2016. Participants' experiences of health care, management of asthma, and views on supported self-management were explored. Interviews and focus group sessions were audio-recorded and transcribed verbatim. Iterative thematic analysis was conducted, guided by the research questions and drawing on habit theory in discussion with a multidisciplinary research team.

resultsA total of 49 participants (45 patients; 4 parents/carers) took part in 32 interviews and five focus groups. Of these, 11 reported using an action plan. Patients learnt how to self-manage over time, building knowledge from personal experience and other sources, such as the internet. Some regular actions, for example, taking medication, became habitual. Dealing with new or unexpected scenarios required reflective abilities, which may be supported by a tailored action plan.

conclusionPatients reported learning intuitively how to self-manage. Some regular actions became habitual; dealing with the unexpected required more reflective cognitive skills. In order to support implementation of optimal asthma self- management, clinicians should consider both these aspects of self-management and support, and educate patients proactively.

Indexed as

AsthmaChildHumansPrimary Health CareQualitative ResearchUnited Kingdomasthmahabitshealth planningpersonalised asthma action plansprimary health careself-management

Identifiers

PMID32205333
PMCPMC7101272
OpenAlexW3012629838

What OpenQuestion holds

Textmetadata
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.