TY - JOUR
T1 - The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions
T2 - a systematic review
AU - Knibb, Rebecca C
AU - Alviani, Cherry
AU - Garriga-Baraut, Teresa
AU - Mortz, Charlotte G
AU - Vazquez-Ortiz, Marta
AU - Angier, Elizabeth
AU - Blumchen, Katerina
AU - Comberiati, Pasquale
AU - Duca, Bettina
AU - DunnGalvin, Audrey
AU - Gore, Claudia
AU - Hox, Valerie
AU - Jensen, Britt
AU - Pite, Helena
AU - Santos, Alexandra F
AU - Sanchez-Garcia, Silvia
AU - Gowland, M Hazel
AU - Timmermans, Frans
AU - Roberts, Graham
N1 - This article is protected by copyright. All rights reserved.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - 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.
AB - 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.
KW - adolescent
KW - allergy
KW - asthma
KW - interventions
KW - young adult
UR - http://www.scopus.com/inward/record.url?scp=85088581655&partnerID=8YFLogxK
U2 - 10.1111/all.14269
DO - 10.1111/all.14269
M3 - Review article
C2 - 32159856
SN - 0105-4538
VL - 75
SP - 1880
EP - 1897
JO - Allergy
JF - Allergy
IS - 8
ER -
