title: Psycho-educational interventions for adults with severe or difficult asthma: a systematic review.
abstract: Research highlights psychosocial factors associated with adverse asthma events. This systematic review therefore examined whether psycho-educational interventions improve health and self-management outcomes in adults with severe or difficult asthma. Seventeen controlled studies were included. Characteristics and content of interventions varied even within broad types. Study quality was generally poor and several studies were small. Any positive effects observed from qualitative and quantitative syntheses were mainly short term and, in planned subgroup analyses (involving < 5 trials), effects on hospitalizations, quality of life, and psychological morbidity in patients with severe asthma did not extend to those in whom multiple factors complicate management.
authors: School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK. j.r.smith@uea.ac.uk
authors: Jane R
authors: JR
authors: Smith
authors: Miranda
authors: M
authors: Mugford
authors: Richard
authors: R
authors: Holland
authors: Michael J
authors: MJ
authors: Noble
authors: Brian D W
authors: BD
authors: Harrison
mesh_terms: D001249:Asthma / Q000503:physiopathology* / Q000628:therapy*; D006304:Health Status; D006801:Humans; D010353:Patient Education as Topic; D011580:Psychological Techniques; D012648:Self Care; D012720:Severity of Illness Index; D016896:Treatment Outcome