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

Raymond, Bronwyn; Luckett, Tim; Johnson, Miriam; Hutchinson, Ann; Lovell, Melanie; Phillips, Jane

Authors

Bronwyn Raymond

Tim Luckett

Melanie Lovell

Jane Phillips



Abstract

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 1948 articles identified, seven met criteria reporting seven RCTs using six 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.

Journal Article Type Article
Publication Date Nov 29, 2019
Electronic ISSN 2055-1010
Publisher Nature Publishing Group
Peer Reviewed Peer Reviewed
Volume 29
Article Number 41
APA6 Citation Raymond, B., Johnson, M., Luckett, T., Hutchinson, A., Lovell, M., & Phillips, J. (2019). Low-intensity educational interventions supporting self-management to improve outcomes related to chronic breathlessness: a systematic review. NPJ Primary Care Respiratory Medicine, 29, https://doi.org/10.1038/s41533-019-0152-8
DOI https://doi.org/10.1038/s41533-019-0152-8

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