Key result
Asthma self-management interventions achieve ~51% acceptance with slightly higher drop-out rates than control.
Why the study?
The study was conducted to assess the acceptability of self-management interventions for people with asthma and identify contributing factors.
Meta-Analysis (n=8,092)
Self-management programs for asthma have a moderate acceptance rate (51.1%) and relatively low dropout rates, with lack of interest being the primary barrier.
Moderate acceptance of asthma self-management requires enhanced engagement efforts in clinical practice; extends meta-analytic evidence on program feasibility and barriers.
Objective The objectives of this systematic review were to assess the acceptability of self-management interventions for people with asthma and identify contributing factors. Methods A systematic literature search was conducted using PubMed, MEDLINE, EMBASE (OVIDWEB), CINAHL and Cochrane databases. Clinical trials design was included if they met specified criteria. A random-effect meta-regression analysis was conducted to estimate the overall acceptance and drop-out rates and to assess the potential factors that may influence the outcomes. Results A total of 64 studies were included and 8,092 participants were recruited and participated in the trials. The estimated acceptance rate was 51.1%, while the estimated drop-out rates in the intervention and control groups were 18.2% and 15.6%, respectively. Lack of interest was the main reported reason for refusing to participate and dropping out from the program. Study-related and program-related factors influenced the acceptance and drop-out rates statistically and clinically. Conclusion The acceptance rate of self-management programs among asthmatic people was not high and the dropout rate was somewhat low. The review suggests optimizing the design of self-management studies and modifying the implemented self-management programs to increase the acceptance rate and decrease the dropout rate.
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Eilayyan et al. (2023) conducted a meta-analysis in Asthma (n=8,092). Self-management interventions vs. Control was evaluated on Drop-out rate. Self-management interventions for asthma had an estimated overall acceptance rate of 51.1%, with drop-out rates of 18.2% in the intervention group and 15.6% in the control group.
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