The effectiveness of interventions to improve self‐management for adolescents and young adults with allergic conditions: a systematic review

dc.check.date2021-04-11
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorKnibb, Rebecca C.
dc.contributor.authorAlviani, Cherry
dc.contributor.authorGarriga-Baraut, Teresa
dc.contributor.authorMortz, Charlotte G.
dc.contributor.authorVazquez-Ortiz, Marta
dc.contributor.authorAngier, Elizabeth
dc.contributor.authorBlumchen, Katerina
dc.contributor.authorComberiati, Pasquale
dc.contributor.authorDuca, Bettina
dc.contributor.authorDunn Galvin, Audrey
dc.contributor.authorGore, Claudia
dc.contributor.authorHox, Valerie
dc.contributor.authorJensen, Britt
dc.contributor.authorPite, Helena
dc.contributor.authorSantos, Alexandra F.
dc.contributor.authorSanchez-Garcia, Silvia
dc.contributor.authorGowland, M. Hazel
dc.contributor.authorTimmermans, Frans
dc.contributor.authorRoberts, Graham
dc.contributor.funderEuropean Academy of Allergy and Clinical Immunologyen
dc.date.accessioned2020-03-19T11:26:35Z
dc.date.available2020-03-19T11:26:35Z
dc.date.issued2020-03-11
dc.description.abstractBackground: This systematic review aimed to review the literature on interventions for improving self‐management and wellbeing in adolescents and young adults (11‐25 years) with asthma and allergic conditions. Methods: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted and their quality was assessed in duplicate. A narrative synthesis was undertaken. Results: A total of 30 papers reporting data from 27 studies were included. Interventions types were psychological (k=9); E‐health (k=8); educational (k=4); peer led (k=5); breathing re‐training (k=1). All interventions were for asthma. Psychological interventions resulted in significant improvements in the intervention group compared to the control group for self‐esteem, quality of life, self‐efficacy, coping strategies, mood and asthma symptoms. E‐Health interventions reported significant improvements for inhaler technique, adherence and quality of life. General educational interventions demonstrated significantly improved quality of life, management of asthma symptoms, controller medication use, increased use of a written management plan and reduction in symptoms. The peer led interventions included the Triple A (Adolescent Asthma Action) programme and a peer‐led camp based on the Power Breathing Programme. Improvements were found for self‐efficacy, school absenteeism and quality of life. Conclusion: Although significant improvements were seen for all intervention types, many were small feasibility or pilot studies, few studies reported effect sizes and no studies for allergic conditions other than asthma met the inclusion criteria. Research using large longitudinal interventional designs across the range of allergic conditions is required to strengthen the evidence base.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationKnibb, R. C., Alviani, C., Garriga-Baraut, T., Mortz, C. G., Vazquez-Ortiz, M., Angier, E., Blumchen, K., Comberiati, P., Duca, B., Dunn Galvin, A., Gore, C., Hox, V., Jensen, B., Pite, H., Santos, A. F., Sanchez-Garcia, S., Gowland, M. H., Timmermans, F. and Roberts, G. (2020) ‘The effectiveness of interventions to improve self‐management for adolescents and young adults with allergic conditions: a systematic review’, Allergy. doi: 10.1111/all.14269en
dc.identifier.doi10.1111/all.14269en
dc.identifier.eissn1398-9995
dc.identifier.issn0105-4538
dc.identifier.journaltitleAllergyen
dc.identifier.urihttps://hdl.handle.net/10468/9777
dc.language.isoenen
dc.publisherJohn Wiley & Sons, Inc.en
dc.rights© 2020, John Wiley & Sons, Inc. This is the peer reviewed version of the following article: Knibb, R. C., Alviani, C., Garriga‐Baraut, T., Mortz, C. G., Vazquez‐Ortiz, M., Angier, E., Blumchen, K., Comberiati, P., Duca, B., Dunn Galvin, A., Gore, C., Hox, V., Jensen, B., Pite, H., Santos, A. F., Sanchez‐Garcia, S., Gowland, M. H., Timmermans, F. and Roberts, G. (2020) ‘The effectiveness of interventions to improve self‐management for adolescents and young adults with allergic conditions: a systematic review’, Allergy, doi: 10.1111/all.14269, which has been published in final form at https://doi.org/10.1111/all.14269. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en
dc.subjectAdolescenten
dc.subjectAllergyen
dc.subjectAsthmaen
dc.subjectEducationen
dc.subjectE‐healthen
dc.subjectInterventionsen
dc.subjectPeersen
dc.subjectPsychologicalen
dc.subjectYoung adulten
dc.titleThe effectiveness of interventions to improve self‐management for adolescents and young adults with allergic conditions: a systematic reviewen
dc.typeArticle (peer-reviewed)en
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