title: Educating professionals to support self-management in people with asthma or diabetes: protocol for a systematic review and scoping exercise.
abstract: Supported self-management for asthma helps people adjust their treatment in response to symptom changes. This improves day-to-day control and reduces the risk of asthma attacks and the need for emergency healthcare. However, implementation remains poor in routine clinical practice. This systematic review is part of a programme of work developing an intervention to help primary care practice teams embed self-management support into routine asthma care. The aim of the review is to synthesise the evidence regarding the effectiveness of educational interventions for professionals supporting self-management in people with asthma or diabetes (type 1 and type 2). These two conditions have the most robust evidence base for the effectiveness of implementing supported self-management.
  
  
  
  Electronic searches will be conducted in CENTRAL, MEDLINE, EMBASE, ISI Web of Science, CINAHL, PsycINFO, AMED, Global Health, WHO Global Health Library, ERIC, BNI, RDRB/CME and Google Scholar. Eligible studies are randomised controlled trials or controlled clinical trials published between 1990 and 2016 which evaluated professional education interventions facilitating asthma or diabetes supported self-management. Further relevant work will be identified from trial registries, citation searching and through contact with authors of included studies. This will be supplemented by scoping potentially relevant educational packages described in English language policy literature or health service websites. Screening, data extraction and risk of bias assessment (using the Cochrane Risk of Bias Tool) will be completed by two independent reviewers, with a third reviewer arbitrating where necessary. We plan a theoretically informed narrative synthesis of the aggregated data as heterogeneity is likely to preclude meta-analysis.
  
  
  
  Ethical approval is not required for this systematic review. The results will be described in a paper submitted for peer-reviewed publication and will inform the development of an implementation intervention.
  
  
  
  PROSPERO CRD42016032922.
authors: Asthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors: Nicola
authors: N
authors: McCleary
authors: Education for Health, Warwick, UK.
authors: Amanda
authors: A
authors: Andrews
authors: Asthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors: Susan
authors: S
authors: Morrow
authors: NHS Education for Scotland, Edinburgh, UK.
authors: Sharon
authors: S
authors: Wiener-Ogilvie
authors: Education for Health, Warwick, UK.
authors: Monica
authors: M
authors: Fletcher
authors: Blizard Institute, Queen Mary University of London, London, UK.
authors: Liz
authors: L
authors: Steed
authors: Blizard Institute, Queen Mary University of London, London, UK.
authors: Stephanie J C
authors: SJ
authors: Taylor
authors: Asthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors: Hilary
authors: H
authors: Pinnock
mesh_terms: D001249:Asthma / Q000628:therapy*; D003695:Delivery of Health Care; D003920:Diabetes Mellitus / Q000628:therapy*; D019468:Disease Management; D006282:Health Personnel / Q000193:education*; D006296:Health Services; D006801:Humans; D011320:Primary Health Care; D012648:Self Care; D000078202:Systematic Reviews as Topic; D000098584:Scoping Reviews as Topic
keywords: Diabetes Mellitus (Types 1 and 2); Implementation; Professional education; Self-management; Systematic review