Low-intensity educational interventions supporting self-management to improve outcomes related to chronic breathlessness: a systematic review

Raymond, B; Luckett, T; Johnson, M; Hutchinson, A; Lovell, M; Phillips, J

Low-intensity educational interventions supporting self-management to improve outcomes related to chronic breathlessness: a systematic review

Raymond, B

Luckett, T

Johnson, M Hutchinson, A Lovell, M

Phillips, J

Permalink

Publication Type:: Journal Article
Citation:: npj Primary Care Respiratory Medicine, 2019, 29 (1)
Issue Date:: 2019-12-01

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Published VersionAdobe PDF (883.59 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Raymond, B https://orcid.org/0000-0001-9983-7369	en_US
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409	en_US
dc.contributor.author	Johnson, M	en_US
dc.contributor.author	Hutchinson, A	en_US
dc.contributor.author	Lovell, M https://orcid.org/0000-0002-1407-2748	en_US
dc.contributor.author	Phillips, J https://orcid.org/0000-0002-3691-8230	en_US
dc.date.available	2019-10-29	en_US
dc.date.issued	2019-12-01	en_US
dc.identifier.citation	npj Primary Care Respiratory Medicine, 2019, 29 (1)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/137283
dc.description.abstract	© 2019, The Author(s). Chronic breathlessness is debilitating and frightening, often resulting in emergency department presentations with acute-on-chronic breathlessness. Self-management is complex, involving 14 components as identified by the Practical Systematic Review in Self-Management Support (PRISMS). Low-intensity educational interventions that support breathlessness self-management through written/visual educational materials, alongside limited health professional support, are available. Our aim was to describe components of low-intensity educational interventions that support and improve self-management for adults with chronic breathlessness and evaluate their efficacy for improving breathlessness-related outcomes. A systematic review was conducted, including RCTs that compared these interventions with usual care in adults with chronic disease. Synthesis took a narrative approach utilizing the PRISMS taxonomy and Template for Intervention Description and Replication (TIDieR) checklist. Of the 1948 articles identified, 7 met criteria reporting 7 RCTs using 6 interventions. Studies utilized 12 out of 14 PRISMS components, the most frequent being training/rehearsal for psychological strategies. Evidence for effectiveness was inconsistent and attempts to identify beneficial components were confounded by intervention complexity and heterogeneity. The optimal content and delivery of low-intensity educational interventions that support self-management to improve chronic breathlessness-related outcomes in adults cannot be defined from current published literature. Future research should incorporate more detailed, standardized reporting to enable comparison and meta-analysis.	en_US
dc.relation.ispartof	npj Primary Care Respiratory Medicine	en_US
dc.relation.isbasedon	10.1038/s41533-019-0152-8	en_US
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Low-intensity educational interventions supporting self-management to improve outcomes related to chronic breathlessness: a systematic review	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	29	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
utslib.copyright.status	open_access	*
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	29	en_US

Abstract:

© 2019, The Author(s). Chronic breathlessness is debilitating and frightening, often resulting in emergency department presentations with acute-on-chronic breathlessness. Self-management is complex, involving 14 components as identified by the Practical Systematic Review in Self-Management Support (PRISMS). Low-intensity educational interventions that support breathlessness self-management through written/visual educational materials, alongside limited health professional support, are available. Our aim was to describe components of low-intensity educational interventions that support and improve self-management for adults with chronic breathlessness and evaluate their efficacy for improving breathlessness-related outcomes. A systematic review was conducted, including RCTs that compared these interventions with usual care in adults with chronic disease. Synthesis took a narrative approach utilizing the PRISMS taxonomy and Template for Intervention Description and Replication (TIDieR) checklist. Of the 1948 articles identified, 7 met criteria reporting 7 RCTs using 6 interventions. Studies utilized 12 out of 14 PRISMS components, the most frequent being training/rehearsal for psychological strategies. Evidence for effectiveness was inconsistent and attempts to identify beneficial components were confounded by intervention complexity and heterogeneity. The optimal content and delivery of low-intensity educational interventions that support self-management to improve chronic breathlessness-related outcomes in adults cannot be defined from current published literature. Future research should incorporate more detailed, standardized reporting to enable comparison and meta-analysis.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/137283