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Educating professionals to support self-management in people with asthma or diabetes: protocol for a systematic review and scoping exercise
  1. Nicola McCleary1,
  2. Amanda Andrews2,
  3. Susan Morrow1,
  4. Sharon Wiener-Ogilvie3,
  5. Monica Fletcher2,
  6. Liz Steed4,
  7. Stephanie J C Taylor4,
  8. Hilary Pinnock1
  9. on behalf of the IMP2ART team
    1. 1Asthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK
    2. 2Education for Health, Warwick, UK
    3. 3NHS Education for Scotland, Edinburgh, UK
    4. 4Blizard Institute, Queen Mary University of London, London, UK
    1. Correspondence to Dr Nicola McCleary; nicola.mccleary{at}


    Introduction 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.

    Methods and analysis 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.

    Ethics and dissemination 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.

    Study registration number PROSPERO CRD42016032922.

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    • Collaborators The IMP2ART team also includes Aziz Sheikh, Brian McKinstry and Luke Daines (University of Edinburgh); Chris Griffiths and Sandra Eldridge (Queen Mary University of London); Anne-Louise Caress (University of Manchester); Elisabeth Ehrlich (Asthma UK Centre for Applied Research); Bethan Haskins (Canterbury and Coastal Clinical Commissioning Group); Rob Horne (University College London); Steven Julious (University of Sheffield); Lorna McKee (University of Aberdeen) and Ceri Phillips (University of Swansea).

    • Contributors HP and SJCT conceived the idea for this work and are the guarantors. The protocol was drafted by NM and was then revised after several rounds of critical comments and additional feedback from AA, SM, SW-O, MF, LS, SJCT and HP. All authors will be involved in the systematic review process.

    • Funding This report is independent research funded by the National Institute for Health Research (Programme Development Grants, Implementing supported asthma self-management in routine clinical care: designing, refining, piloting and evaluating a whole systems implementation within an MRC Phase IV programme of research, RP-DG-1213-10008). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health. This work is sponsored by the University of Edinburgh. The funder and sponsor have not had any role in developing the protocol.

    • Competing interests MF is the Chief Executive for Education for Health, an organisation that provides training for healthcare professionals. The authors declare no further competing interests related to this work.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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