Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies

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Abstract

BACKGROUND: Many adolescents have poor asthma control and impaired quality of life despite the availability of modern pharmacotherapy. Research suggests that poor adherence to treatment and limited engagement in self-management could be contributing factors.

OBJECTIVE: To conduct a systematic review of the barriers and facilitators to self-management of asthma reported by adolescents using a narrative synthesis approach to integrate the findings.

DESIGN: MEDLINE, EMBASE, CINAHL, and PsycINFO were searched for all types of study design. Full papers were retrieved for study abstracts that included data from participants aged 12-18 years referring to barriers or facilitators of asthma self-management behaviors.

RESULTS: Sixteen studies (5 quantitative and 11 qualitative) underwent data extraction, quality appraisal, and thematic analysis. Six key themes were generated that encompassed barriers and/or facilitators to self-management of asthma in adolescents: Knowledge, Lifestyle, Beliefs and Attitudes, Relationships, Intrapersonal Characteristics, and Communication.

CONCLUSIONS: There is a pressing need to prepare adolescents for self-management, using age-appropriate strategies that draw on the evidence we have synthesized. Current clinical practice should focus on ensuring adolescents have the correct knowledge, beliefs, and positive attitude to self-manage their illness. This needs to be delivered in a supportive environment that facilitates two-way communication, fosters adolescents' self-efficacy to manage their disease, and considers the wider social influences that impinge on self-management. Pediatr Pulmonol. 2016; 9999:XX-XX. © 2016 Wiley Periodicals, Inc.

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  • Barriers and facilitators to asthma self-management in adolescents

    Rights statement: This is the peer reviewed version of the following article: Holley, S., Morris, R., Knibb, R., Latter, S., Liossi, C., Mitchell, F., & Roberts, G. (2016). Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies. Pediatric Pulmonology, Early online, which has been published in final form at http://dx.doi.org/10.1002/ppul.23556. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

    Accepted author manuscript, 711 KB, PDF-document

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Original languageEnglish
JournalPediatric Pulmonology
VolumeEarly online
Early online date7 Oct 2016
DOIs
Publication statusE-pub ahead of print - 7 Oct 2016

Bibliographic note

This is the peer reviewed version of the following article: Holley, S., Morris, R., Knibb, R., Latter, S., Liossi, C., Mitchell, F., & Roberts, G. (2016). Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies. Pediatric Pulmonology, Early online, which has been published in final form at http://dx.doi.org/10.1002/ppul.23556. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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