Self-management support provided by trained asthma educators result in improved quality of life and asthma control compared to usual care: A systematic review and meta-analysis.
Identifieur interne : 000111 ( Main/Exploration ); précédent : 000110; suivant : 000112Self-management support provided by trained asthma educators result in improved quality of life and asthma control compared to usual care: A systematic review and meta-analysis.
Auteurs : Justine Babineau-Therrien [Canada] ; Louis-Philippe Boulet [Canada] ; Myriam Gagné [Canada]Source :
- Patient education and counseling [ 1873-5134 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Autosoins, Éducation du patient comme sujet.
- psychologie : Asthme, Qualité de vie.
- thérapie : Asthme.
- Adulte, Gestion de soi, Humains.
English descriptors
- KwdEn :
- MESH :
- methods : Patient Education as Topic, Self Care.
- psychology : Asthma, Quality of Life.
- therapy : Asthma.
- Adult, Humans, Self-Management.
Abstract
OBJECTIVES
We sought to describe training activities on self-management support (SMS) for asthma educators and the effects of SMS provided by trained educators on asthma patient outcomes.
METHODS
We conducted a systematic review of six medical databases and sought for trials assessing SMS provided for adults with asthma by trained educators. Two reviewers independently selected and extracted data on asthma educators' training activities and patient outcomes. We performed meta-analyses for asthma-related quality of life (QoL) and asthma control.
RESULTS
We screened 3217 records and included 16 trials. Learning activities and assessments were reported in 8/16 and 4/16 trials, respectively. Compared to usual care, trained asthma educators provided SMS that resulted in clinically important improvements in QoL (pooled mean difference [MD] = 0.52; 95% confidence interval [95%CI]: 0.19 to 0.83) and asthma control (pooled MD= -0.68; 95%CI: -0.99 to -0.38).
CONCLUSION
Although asthma-specific SMS provided by trained educators had a beneficial effect over the current care, our results highlight the need to better describe training activities for asthma educators.
PRACTICE IMPLICATIONS
This systematic review provides key elements of efficient training activities for asthma educators and reaffirms the importance of training educators to provide SMS in order to improve asthma patients' QoL and asthma control.
DOI: 10.1016/j.pec.2020.02.040
PubMed: 32192783
Affiliations:
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Electronic address: lpboulet@med.ulaval.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Université Laval, Québec City, QC, Canada; Research Center, Québec Heart and Lung Institute-Université Laval, Québec City, QC, Canada; Faculty of Medicine, Université Laval, Québec City, QC</wicri:regionArea><orgName type="university">Université Laval</orgName><placeName><settlement type="city">Québec (ville)</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Gagne, Myriam" sort="Gagne, Myriam" uniqKey="Gagne M" first="Myriam" last="Gagné">Myriam Gagné</name><affiliation wicri:level="4"><nlm:affiliation>Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Université Laval, Québec City, QC, Canada; Research Center, Québec Heart and Lung Institute-Université Laval, Québec City, QC, Canada; St. Michael's Hospital, affiliated with the University of Toronto, Toronto, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Université Laval, Québec City, QC, Canada; Research Center, Québec Heart and Lung Institute-Université Laval, Québec City, QC, Canada; St. Michael's Hospital, affiliated with the University of Toronto, Toronto, ON</wicri:regionArea><orgName type="university">Université Laval</orgName><placeName><settlement type="city">Québec (ville)</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">Patient education and counseling</title><idno type="eISSN">1873-5134</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Asthma (psychology)</term><term>Asthma (therapy)</term><term>Humans (MeSH)</term><term>Patient Education as Topic (methods)</term><term>Quality of Life (psychology)</term><term>Self Care (methods)</term><term>Self-Management (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Asthme (psychologie)</term><term>Asthme (thérapie)</term><term>Autosoins (méthodes)</term><term>Gestion de soi (MeSH)</term><term>Humains (MeSH)</term><term>Qualité de vie (psychologie)</term><term>Éducation du patient comme sujet (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Education as Topic</term><term>Self Care</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Autosoins</term><term>Éducation du patient comme sujet</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Asthme</term><term>Qualité de vie</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Asthma</term><term>Quality of Life</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Asthma</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Asthme</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Self-Management</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Gestion de soi</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>We sought to describe training activities on self-management support (SMS) for asthma educators and the effects of SMS provided by trained educators on asthma patient outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted a systematic review of six medical databases and sought for trials assessing SMS provided for adults with asthma by trained educators. Two reviewers independently selected and extracted data on asthma educators' training activities and patient outcomes. We performed meta-analyses for asthma-related quality of life (QoL) and asthma control.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We screened 3217 records and included 16 trials. Learning activities and assessments were reported in 8/16 and 4/16 trials, respectively. Compared to usual care, trained asthma educators provided SMS that resulted in clinically important improvements in QoL (pooled mean difference [MD] = 0.52; 95% confidence interval [95%CI]: 0.19 to 0.83) and asthma control (pooled MD= -0.68; 95%CI: -0.99 to -0.38).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Although asthma-specific SMS provided by trained educators had a beneficial effect over the current care, our results highlight the need to better describe training activities for asthma educators.</p></div><div type="abstract" xml:lang="en"><p><b>PRACTICE IMPLICATIONS</b></p><p>This systematic review provides key elements of efficient training activities for asthma educators and reaffirms the importance of training educators to provide SMS in order to improve asthma patients' QoL and asthma control.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32192783</PMID><DateCompleted><Year>2020</Year><Month>12</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5134</ISSN><JournalIssue CitedMedium="Internet"><Volume>103</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>08</Month></PubDate></JournalIssue><Title>Patient education and counseling</Title><ISOAbbreviation>Patient Educ Couns</ISOAbbreviation></Journal><ArticleTitle>Self-management support provided by trained asthma educators result in improved quality of life and asthma control compared to usual care: A systematic review and meta-analysis.</ArticleTitle><Pagination><MedlinePgn>1498-1506</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0738-3991(20)30114-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.pec.2020.02.040</ELocationID><Abstract><AbstractText Label="OBJECTIVES">We sought to describe training activities on self-management support (SMS) for asthma educators and the effects of SMS provided by trained educators on asthma patient outcomes.</AbstractText><AbstractText Label="METHODS">We conducted a systematic review of six medical databases and sought for trials assessing SMS provided for adults with asthma by trained educators. Two reviewers independently selected and extracted data on asthma educators' training activities and patient outcomes. We performed meta-analyses for asthma-related quality of life (QoL) and asthma control.</AbstractText><AbstractText Label="RESULTS">We screened 3217 records and included 16 trials. Learning activities and assessments were reported in 8/16 and 4/16 trials, respectively. Compared to usual care, trained asthma educators provided SMS that resulted in clinically important improvements in QoL (pooled mean difference [MD] = 0.52; 95% confidence interval [95%CI]: 0.19 to 0.83) and asthma control (pooled MD= -0.68; 95%CI: -0.99 to -0.38).</AbstractText><AbstractText Label="CONCLUSION">Although asthma-specific SMS provided by trained educators had a beneficial effect over the current care, our results highlight the need to better describe training activities for asthma educators.</AbstractText><AbstractText Label="PRACTICE IMPLICATIONS">This systematic review provides key elements of efficient training activities for asthma educators and reaffirms the importance of training educators to provide SMS in order to improve asthma patients' QoL and asthma control.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Babineau-Therrien</LastName><ForeName>Justine</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Université Laval, Québec City, QC, Canada; Research Center, Québec Heart and Lung Institute-Université Laval, Québec City, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boulet</LastName><ForeName>Louis-Philippe</ForeName><Initials>LP</Initials><AffiliationInfo><Affiliation>Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Université Laval, Québec City, QC, Canada; Research Center, Québec Heart and Lung Institute-Université Laval, Québec City, QC, Canada; Faculty of Medicine, Université Laval, Québec City, QC, Canada. Electronic address: lpboulet@med.ulaval.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gagné</LastName><ForeName>Myriam</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Université Laval, Québec City, QC, Canada; Research Center, Québec Heart and Lung Institute-Université Laval, Québec City, QC, Canada; St. Michael's Hospital, affiliated with the University of Toronto, Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>CIHR</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Patient Educ Couns</MedlineTA><NlmUniqueID>8406280</NlmUniqueID><ISSNLinking>0738-3991</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001249" MajorTopicYN="N">Asthma</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073278" MajorTopicYN="Y">Self-Management</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Asthma</Keyword><Keyword MajorTopicYN="Y">Continuing education</Keyword><Keyword MajorTopicYN="Y">Patient education</Keyword><Keyword MajorTopicYN="Y">Self-management support</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest The authors declare that they have no conflict of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>10</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>02</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>02</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>3</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>3</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32192783</ArticleId><ArticleId IdType="pii">S0738-3991(20)30114-2</ArticleId><ArticleId IdType="doi">10.1016/j.pec.2020.02.040</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Québec</li></region><settlement><li>Québec (ville)</li></settlement><orgName><li>Université Laval</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Babineau Therrien, Justine" sort="Babineau Therrien, Justine" uniqKey="Babineau Therrien J" first="Justine" last="Babineau-Therrien">Justine Babineau-Therrien</name></region><name sortKey="Boulet, Louis Philippe" sort="Boulet, Louis Philippe" uniqKey="Boulet L" first="Louis-Philippe" last="Boulet">Louis-Philippe Boulet</name><name sortKey="Gagne, Myriam" sort="Gagne, Myriam" uniqKey="Gagne M" first="Myriam" last="Gagné">Myriam Gagné</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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