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Developments in respiratory self-management interventions over the last two decades.

Tanja W Effing1,2

  • 1College of Medicine and Public Health, Flinders University of South Australia, Bedford Park, South Australia, Australia.

Chronic Respiratory Disease
|December 21, 2023
PubMed
Summary

Self-management interventions (SMIs) for asthma and COPD are effective but adherence is poor. Improving adherence through tailored approaches and digital health innovations is crucial for better patient outcomes.

Keywords:
Self-managementadherenceasthmachronic obstructive pulmonary diseaseeffectivenessimplementationtailoring

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Area of Science:

  • Respiratory Medicine
  • Digital Health
  • Health Services Research

Background:

  • Self-management interventions (SMIs) for asthma and COPD have evolved significantly over the past two decades.
  • Evidence supporting the efficacy of SMIs at a group level is robust, leading to their recommendation in current respiratory guidelines.

Purpose of the Study:

  • To review developments in asthma and COPD SMIs over the last 20 years.
  • To discuss future directions, including the role of digital health and artificial intelligence.
  • To address challenges in SMI adherence and implementation.

Main Methods:

  • Literature review of developments in asthma and COPD self-management interventions.
  • Analysis of evidence regarding SMI efficacy, adherence, and implementation.
  • Discussion of emerging digital health technologies and future research needs.

Main Results:

  • SMIs for asthma (education, action plans, review) and COPD (exacerbation action plans) are guideline-recommended.
  • Patient adherence to SMIs is inadequate, limiting their impact.
  • Digital health innovations and artificial intelligence offer potential to enhance SMI efficiency, flexibility, and efficacy.

Conclusions:

  • Improving SMI adherence requires tailored interventions, shared decision-making, and enhanced patient-provider communication.
  • Digital health integration is critical for advancing evidence-based SMIs.
  • Implementation research is essential to address current unsatisfactory uptake, considering cost-effectiveness and policy factors.