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

Raymond, Bronwyn; Johnson, Miriam; Luckett, Tim; 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 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.

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(1), https://doi.org/10.1038/s41533-019-0152-8

Journal Article Type Review
Acceptance Date Oct 29, 2019
Online Publication Date Nov 29, 2019
Publication Date Dec 1, 2019
Deposit Date Jan 15, 2020
Journal npj Primary Care Respiratory Medicine
Electronic ISSN 2055-1010
Publisher Nature Publishing Group
Peer Reviewed Peer Reviewed
Volume 29
Issue 1
Article Number 41
DOI https://doi.org/10.1038/s41533-019-0152-8
Keywords Patient education; Quality of life
Public URL https://hull-repository.worktribe.com/output/3033884

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