<> <http://www.w3.org/2000/01/rdf-schema#comment> "The repository administrator has not yet configured an RDF license."^^<http://www.w3.org/2001/XMLSchema#string> . <> <http://xmlns.com/foaf/0.1/primaryTopic> <https://discovery.ucl.ac.uk/id/eprint/10040877> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/AcademicArticle> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Article> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/title> "Systematic meta-review of supported self-management for asthma: a healthcare perspective"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/abstract> "BACKGROUND: Supported self-management has been recommended by asthma guidelines for three decades; improving current suboptimal implementation will require commitment from professionals, patients and healthcare organisations. The Practical Systematic Review of Self-Management Support (PRISMS) meta-review and Reducing Care Utilisation through Self-management Interventions (RECURSIVE) health economic review were commissioned to provide a systematic overview of supported self-management to inform implementation. We sought to investigate if supported asthma self-management reduces use of healthcare resources and improves asthma control; for which target groups it works; and which components and contextual factors contribute to effectiveness. Finally, we investigated the costs to healthcare services of providing supported self-management. METHODS: We undertook a meta-review (systematic overview) of systematic reviews updated with randomised controlled trials (RCTs) published since the review search dates, and health economic meta-analysis of RCTs. Twelve electronic databases were searched in 2012 (updated in 2015; pre-publication update January 2017) for systematic reviews reporting RCTs (and update RCTs) evaluating supported asthma self-management. We assessed the quality of included studies and undertook a meta-analysis and narrative synthesis. RESULTS: A total of 27 systematic reviews (n = 244 RCTs) and 13 update RCTs revealed that supported self-management can reduce hospitalisations, accident and emergency attendances and unscheduled consultations, and improve markers of control and quality of life for people with asthma across a range of cultural, demographic and healthcare settings. Core components are patient education, provision of an action plan and regular professional review. Self-management is most effective when delivered in the context of proactive long-term condition management. The total cost (n = 24 RCTs) of providing self-management support is offset by a reduction in hospitalisations and accident and emergency visits (standard mean difference 0.13, 95% confidence interval -0.09 to 0.34). CONCLUSIONS: Evidence from a total of 270 RCTs confirms that supported self-management for asthma can reduce unscheduled care and improve asthma control, can be delivered effectively for diverse demographic and cultural groups, is applicable in a broad range of clinical settings, and does not significantly increase total healthcare costs. Informed by this comprehensive synthesis of the literature, clinicians, patient-interest groups, policy-makers and providers of healthcare services should prioritise provision of supported self-management for people with asthma as a core component of routine care."^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/date> "2017-03-17" . <https://discovery.ucl.ac.uk/id/document/592321> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Document> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/volume> "15" . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/issue> "1" . <https://discovery.ucl.ac.uk/id/publication/ext-17417015> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Collection> . <https://discovery.ucl.ac.uk/id/publication/ext-17417015> <http://xmlns.com/foaf/0.1/name> "BMC Medicine"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/isPartOf> <https://discovery.ucl.ac.uk/id/publication/ext-17417015> . <https://discovery.ucl.ac.uk/id/publication/ext-17417015> <http://www.w3.org/2002/07/owl#sameAs> <urn:issn:17417015> . <https://discovery.ucl.ac.uk/id/publication/ext-17417015> <http://purl.org/ontology/bibo/issn> "17417015" . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/status> <http://purl.org/ontology/bibo/status/published> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-c25f3c63d2a9a0fae13fe8fe9eb6ba7f> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_1> <https://discovery.ucl.ac.uk/id/person/ext-c25f3c63d2a9a0fae13fe8fe9eb6ba7f> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-741c149c79830c9b832d15057c790820> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_2> <https://discovery.ucl.ac.uk/id/person/ext-741c149c79830c9b832d15057c790820> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-d61c231cf0b634594e2a76d8596a60f4> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_3> <https://discovery.ucl.ac.uk/id/person/ext-d61c231cf0b634594e2a76d8596a60f4> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-b45d7490342524ef9d7739a623584bf5> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_4> <https://discovery.ucl.ac.uk/id/person/ext-b45d7490342524ef9d7739a623584bf5> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-37f7e575f12ff2ab2dfcd0f0ddd0ee3b> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_5> <https://discovery.ucl.ac.uk/id/person/ext-37f7e575f12ff2ab2dfcd0f0ddd0ee3b> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-5165d25675d1c2f77d093fb65a233b54> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_6> <https://discovery.ucl.ac.uk/id/person/ext-5165d25675d1c2f77d093fb65a233b54> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-609da5af5ed897beb88c9c21f1365faf> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_7> <https://discovery.ucl.ac.uk/id/person/ext-609da5af5ed897beb88c9c21f1365faf> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-62bc6513799c711fae883879977bbbd5> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_8> <https://discovery.ucl.ac.uk/id/person/ext-62bc6513799c711fae883879977bbbd5> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-3d7073fe4d5712ad4bd1ed73e02eecca> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_9> <https://discovery.ucl.ac.uk/id/person/ext-3d7073fe4d5712ad4bd1ed73e02eecca> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-ec9d6147a22dd53842294c98ca4cdb4e> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_10> <https://discovery.ucl.ac.uk/id/person/ext-ec9d6147a22dd53842294c98ca4cdb4e> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-6f7bb6483297b66adc2bf5f57ed4aede> . <https://discovery.ucl.ac.uk/id/eprint/10040877> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> . <https://discovery.ucl.ac.uk/id/eprint/10040877#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_11> <https://discovery.ucl.ac.uk/id/person/ext-6f7bb6483297b66adc2bf5f57ed4aede> . <https://discovery.ucl.ac.uk/id/person/ext-6f7bb6483297b66adc2bf5f57ed4aede> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-6f7bb6483297b66adc2bf5f57ed4aede> <http://xmlns.com/foaf/0.1/givenName> ""^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-6f7bb6483297b66adc2bf5f57ed4aede> <http://xmlns.com/foaf/0.1/familyName> "PRISMS and RECURSIVE groups"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-6f7bb6483297b66adc2bf5f57ed4aede> <http://xmlns.com/foaf/0.1/name> " PRISMS and RECURSIVE groups"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-c25f3c63d2a9a0fae13fe8fe9eb6ba7f> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-c25f3c63d2a9a0fae13fe8fe9eb6ba7f> <http://xmlns.com/foaf/0.1/givenName> "H"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-c25f3c63d2a9a0fae13fe8fe9eb6ba7f> <http://xmlns.com/foaf/0.1/familyName> "Pinnock"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-c25f3c63d2a9a0fae13fe8fe9eb6ba7f> <http://xmlns.com/foaf/0.1/name> "H Pinnock"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-d61c231cf0b634594e2a76d8596a60f4> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-d61c231cf0b634594e2a76d8596a60f4> <http://xmlns.com/foaf/0.1/givenName> "M"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-d61c231cf0b634594e2a76d8596a60f4> <http://xmlns.com/foaf/0.1/familyName> "Panagioti"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-d61c231cf0b634594e2a76d8596a60f4> <http://xmlns.com/foaf/0.1/name> "M Panagioti"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-37f7e575f12ff2ab2dfcd0f0ddd0ee3b> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-37f7e575f12ff2ab2dfcd0f0ddd0ee3b> <http://xmlns.com/foaf/0.1/givenName> "G"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-37f7e575f12ff2ab2dfcd0f0ddd0ee3b> <http://xmlns.com/foaf/0.1/familyName> "Pearce"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-37f7e575f12ff2ab2dfcd0f0ddd0ee3b> <http://xmlns.com/foaf/0.1/name> "G Pearce"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-62bc6513799c711fae883879977bbbd5> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-62bc6513799c711fae883879977bbbd5> <http://xmlns.com/foaf/0.1/givenName> "A"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-62bc6513799c711fae883879977bbbd5> <http://xmlns.com/foaf/0.1/familyName> "Sheikh"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-62bc6513799c711fae883879977bbbd5> <http://xmlns.com/foaf/0.1/name> "A Sheikh"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-5165d25675d1c2f77d093fb65a233b54> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-5165d25675d1c2f77d093fb65a233b54> <http://xmlns.com/foaf/0.1/givenName> "E"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-5165d25675d1c2f77d093fb65a233b54> <http://xmlns.com/foaf/0.1/familyName> "Epiphaniou"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-5165d25675d1c2f77d093fb65a233b54> <http://xmlns.com/foaf/0.1/name> "E Epiphaniou"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-609da5af5ed897beb88c9c21f1365faf> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-609da5af5ed897beb88c9c21f1365faf> <http://xmlns.com/foaf/0.1/givenName> "P"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-609da5af5ed897beb88c9c21f1365faf> <http://xmlns.com/foaf/0.1/familyName> "Bower"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-609da5af5ed897beb88c9c21f1365faf> <http://xmlns.com/foaf/0.1/name> "P Bower"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-ec9d6147a22dd53842294c98ca4cdb4e> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-ec9d6147a22dd53842294c98ca4cdb4e> <http://xmlns.com/foaf/0.1/givenName> "SJC"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-ec9d6147a22dd53842294c98ca4cdb4e> <http://xmlns.com/foaf/0.1/familyName> "Taylor"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-ec9d6147a22dd53842294c98ca4cdb4e> <http://xmlns.com/foaf/0.1/name> "SJC Taylor"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-3d7073fe4d5712ad4bd1ed73e02eecca> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-3d7073fe4d5712ad4bd1ed73e02eecca> <http://xmlns.com/foaf/0.1/givenName> "CJ"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-3d7073fe4d5712ad4bd1ed73e02eecca> <http://xmlns.com/foaf/0.1/familyName> "Griffiths"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-3d7073fe4d5712ad4bd1ed73e02eecca> <http://xmlns.com/foaf/0.1/name> "CJ Griffiths"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-b45d7490342524ef9d7739a623584bf5> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-b45d7490342524ef9d7739a623584bf5> <http://xmlns.com/foaf/0.1/givenName> "L"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-b45d7490342524ef9d7739a623584bf5> <http://xmlns.com/foaf/0.1/familyName> "Daines"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-b45d7490342524ef9d7739a623584bf5> <http://xmlns.com/foaf/0.1/name> "L Daines"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-741c149c79830c9b832d15057c790820> 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