Priority 3 from the Asthma PSP

UNCERTAINTY: What are the key components of successful "Self Management" for a person with asthma? (JLA PSP Priority 3)
Overall ranking 3
JLA question ID 0001/3
Explanatory note Reliable up-to-date systematic reviews have revealed important continuing uncertainties about treatment effects
Evidence Powell H, Gibson PG. Options for self-management education for adults with asthma. The Cochrane Database of Systematic Reviews 2002, Issue 3.  DOI: 10.1002/14651858.CD004107.  Toelle BG, Ram FSF. Written individualised management plans for asthma in children and adults. The Cochrane Database of Systematic Reviews 2004, Issue 1.  DOI: 10.1002/14651858.CD002171.pub2.  Wolf FM, Guevara JP, Grum CM, Clark NM, Cates CJ. Educational interventions for asthma in children. The Cochrane Database of Systematic Reviews 2002, Issue 4.  DOI: 10.1002/14651858.CD000326.  Gibson PG, Powell H, Coughlan J, Wilson AJ, Hensley MJ, Abramson M, Bauman A, Walters EH. Limited (information only) patient education programs for adults with asthma. The Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD001005. DOI: 10.1002/14651858.CD001005.  Gibson PG, Powell H, Coughlan J, Wilson AJ, Abramson M, Haywood P, Bauman A, Hensley MJ, Walters EH. Self-management education and regular practitioner review for adults with asthma. The Cochrane Database of Systematic Reviews 2002, Issue 3.  DOI: 10.1002/14651858.CD001117.
Health Research Classification System category Respiratory
Extra information provided by this PSP
Incomplete trials at time of PSP Can We Reduce Hospital Attendance Without Compromising Care by the Use of Telephone Consultation   NCT00129701  Trial of Asthma Patient Education (TAPE)   NCT00148408   Asthma in a Decentralized Patient Population: Is Traditional Disease Management Enough?   NCT00124085   Office-Based Asthma Screening Intervention   NCT00156468   Tailored Asthma Management for Urban Teens   NCT00201058   The Effect of Self-Regulatory Education on Women With Asthma   NCT00217802   ETS Reduction in High-Risk Preteens: A Controlled Trial   NCT00217893   Randomised Controlled Trial of a Multi-Faceted Community-Based Intervention to Improve Asthma in Children   NCT00238888
Relevant Age Any
Submitted by Uncertainty identified from research recommendations
Outcomes to be measured Minimal symptoms with minimal need for reliever medication; no exacerbations; no limitation on physical activity and normal lung function
PSP information
PSP unique ID 0001
PSP name Asthma
Total number of uncertainties collated by this PSP from surveys 413  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop March 2007