The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions: A systematic review
Autor: | Cherry Alviani, Charlotte G. Mortz, Audrey DunnGalvin, Marta Vazquez-Ortiz, Frans Timmermans, Katerina Blumchen, Bettina Duca, Claudia Gore, Teresa Garriga-Baraut, Helena Pité, Graham Roberts, Pasquale Comberiati, M. Hazel Gowland, Valérie Hox, Rebecca Knibb, Britt Jensen, Alexandra F. Santos, Silvia Sanchez-Garcia, Elizabeth Angier |
---|---|
Přispěvatelé: | UCL - SSS/IREC/PNEU - Pôle de Pneumologie, ORL et Dermatologie, UCL - (SLuc) Service d'oto-rhino-laryngologie |
Rok vydání: | 2019 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Adolescent Immunology Psychological intervention Peers Education 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life (healthcare) Intervention (counseling) Absenteeism Immunology and Allergy Medicine Humans Young adult interventions Asthma Self-management business.industry Self-Management asthma medicine.disease allergy adolescent young adult Quality of Life 030104 developmental biology Mood E‐health 030228 respiratory system Physical therapy Psychological business Inclusion (education) |
Zdroj: | Knibb, R C, Alviani, C, Garriga-Baraut, T, Mortz, C G, Vazquez-Ortiz, M, Angier, E, Blumchen, K, Comberiati, P, Duca, B, DunnGalvin, A, Gore, C, Hox, V, Jensen, B, Pite, H, Santos, A F, Sanchez-Garcia, S, Gowland, M H, Timmermans, F & Roberts, G 2020, ' The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions : A systematic review ', Allergy: European Journal of Allergy and Clinical Immunology, vol. 75, no. 8, pp. 1880-1897 . https://doi.org/10.1111/all.14269 Allergy, Vol. 75, no. 8, p. 1881-1898 (2020) |
ISSN: | 1398-9995 |
Popis: | Background: This systematic review aimed to review the literature on interventions for improving self-management and well-being 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 with 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. |
Databáze: | OpenAIRE |
Externí odkaz: |