SynthesisBMJ (Clinical research ed.)2020
Self-management interventions to reduce healthcare use and improve quality of life among patients with asthma: systematic review and network meta-analysis.
Synthesis in BMJ (Clinical research ed.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07061587 (Developing A Gout Action Plan in Primary Care Setting in Singapore), which is not on this map. Cited by 63 papers, 5 of them syntheses that pooled 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.
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.
Developing A Gout Action Plan in Primary Care Setting in Singapore
Who cites it
63 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Nurses' Role in the Control and Treatment of Asthma in Adults: A Systematic Literature Review.Advances in respiratory medicine · 2024Pooled it
- Quality appraisal and descriptive analysis of clinical practice guidelines for self-managed non-pharmacological interventions of cardiovascular diseases: a systematic review.Journal of translational medicine · 2024Pooled it
- Effects of Self-Management Interventions in People With Interstitial Lung Disease.Respiratory care · 2023Pooled it
- Pooled it
- 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 · 2022Pooled it
- Evaluation of a Primary Care-Integrated Mobile Health Intervention to Monitor between-Visit Asthma Symptoms.Applied clinical informatics · 2024Trial
- Clinical, functional and inflammatory evaluation in asthmatic patients after a simple short-term educational program: a randomized trial.Scientific reports · 2021Trial
- Psychologists in primary care: A scoping review exploring the views and experiences of patients and professionals on psychology provision in primary care.Applied psychology. Health and well-being · 2026Article
- Article
- Comparing TCIM use and patient satisfaction in germany: impact of health self-management across migration backgrounds.Journal of health, population, and nutrition · 2026Article
- Evaluation of self-efficacy and its limiting factors among children with asthma aged 8-18 years.BioPsychoSocial medicine · 2026Article
- Exploring the Priorities for Home Self-Management Among Patients with Interstitial Lung Disease: A Mixed-Methods Approach Using Q-Methodology.Healthcare (Basel, Switzerland) · 2026Article
- Tackling NHS winter pressures due to respiratory disease: the UK Centre for Applied Respiratory Research Innovation and Impact (CARRii).NPJ primary care respiratory medicine · 2026Review
- What can we learn from network meta-analyses published in top medical journals.Systematic reviews · 2026Article
- Observational
- Article
- Global Research Trends in Chronic Care for Comorbid Allergic Diseases: A Web of Science Bibliometric Review (1999-2024).Current allergy and asthma reports · 2025Review
- Adaptation and validation for the Arabic version of asthma numeracy questionnaire (Ar-ANQ) in adults: a factor and Rasch analyses study.The Libyan journal of medicine · 2025Article
- Larger quality-of-life gains with an asthma support app: a randomised controlled trial.ERJ open research · 2025Article
- Asthma: Biomedical and Psychobiological Perspectives.Biopsychosocial science and medicine · 2025Review
3 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
7 authors.
Funding
Abstract
objectiveTo compare the different self-management models (multidisciplinary case management, regularly supported self-management, and minimally supported self-management) and self-monitoring models against usual care and education to determine which are most effective at reducing healthcare use and improving quality of life in asthma.
designSystematic review and network meta-analysis. DATA SOURCES: Medline, the Cochrane Library, CINAHL, EconLit, Embase, Health Economics Evaluations Database, NHS Economic Evaluation Database, PsycINFO, and ClinicalTrials.gov from January 2000 to April 2019. REVIEW
methodsRandomised controlled trials involving the different self-management models for asthma were included. The primary outcomes were healthcare use (hospital admission or emergency visit) and quality of life. Summary standardised mean differences (SMDs) and 95% credible intervals were estimated using bayesian network meta-analysis with random effects. Heterogeneity and publication bias were assessed.
resultsFrom 1178 citations, 105 trials comprising 27 767 participants were included. In terms of healthcare use, both multidisciplinary case management (SMD -0.18, 95% credible interval -0.32 to -0.05) and regularly supported self-management (-0.30, -0.46 to -0.15) were significantly better than usual care. For quality of life, only regularly supported self-management (SMD 0.54, 0.11 to 0.96) showed a statistically significant benefit compared with usual care. For trials including adolescents/children (age 5-18 years), only regularly supported self-management showed statistically significant benefits (healthcare use: SMD -0.21, -0.40 to -0.03; quality of life: 0.23, 0.03 to 0.48). Multidisciplinary case management (SMD -0.32, -0.50 to -0.16) and regularly supported self-management (-0.32, -0.53 to -0.11) were most effective at reducing healthcare use in patients with symptoms of severe asthma at baseline.
conclusionsThis network meta-analysis indicates that regularly supported self-management reduces the use of healthcare resources and improves quality of life across all levels of asthma severity. Future healthcare investments should provide support that offer reviews totalling at least two hours to establish self-management skills, reserving multidisciplinary case management for patients with complex disease. SYSTEMATIC REVIEW REGISTRATION: PROSPERO number CRD42019121350.
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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.