Strength of recommendation: Weak recommendation based on
low risk of bias in cross-sectional 28,30 and
qualitative studies29,31-33. These included AYA with
both asthma28,33 and food
allergy29-32. |
Other considerations:
Barriers to self-management associated with poor self-efficacy should be
identified so that specific measures can be taken to overcome
these.7
|
References:
Rhee28, Saleh-Langenberg30,
Jones31, Jones29,
MacAdam32, Holley33
|
Formulation of a personal action plan with the AYA and their
family to enable them to self-manage their allergy and asthma may be
recommended (Grade C, Evidence level 1-IV) |
Formulation of a
personal action plan with the AYA and their family to enable them to
self-manage their allergy and asthma may be recommended (Grade C,
Evidence level 1-IV) |
Formulation of a personal action plan
with the AYA and their family to enable them to self-manage their
allergy and asthma may be recommended (Grade C, Evidence level
1-IV) |
Strength of recommendation: Weak to moderate
recommendation based on high risk of bias in one randomized controlled
trial46 and on low risk bias in cross-sectional
studies29,31,45. These included AYA with both
asthma46 and food allergy29,31,45. |
Other considerations: Smartphone based personalized action
plan may lead to improvement in asthma control test46.
Other formats may be preferred by some AYA. A plan should be in used
from before adolescence and be regularly reviewed by all patient’s HCPs. |
References: Perry46,
Jones29, Jones31,
Warren45
|
Peer-led interventions are recommended to improve asthma related
quality of life, asthma knowledge, and to reduce asthma related doctor
visits and school absence (Grade A, Evidence level I) |
Peer-led interventions are recommended to improve asthma related
quality of life, asthma knowledge, and to reduce asthma related doctor
visits and school absence (Grade A, Evidence level I) |
Peer-led interventions are recommended to improve asthma related
quality of life, asthma knowledge, and to reduce asthma related doctor
visits and school absence (Grade A, Evidence level I) |
Strength of recommendation: Strong recommendation based on
low47,51 and moderate risk of bias
48-50 interventional studies focusing on AYA with
asthma. Three studies assessed the impact of the Triple A
programme47,48,51. |
Other
considerations: Peers included in the studies were older AYA from
similar backgrounds, either with or without asthma, trained to ‘teach’
allergic teens. This approach is also likely to be useful for other
allergic conditions. There is the potential that peers model suboptimal
behaviours; good selection and training processes are needed. |
References: Al-Sheyab47 ,
Gibson48, Rhee49,
Rhee50, Shah51
|
Supporting the AYA, family and the wider community to allow the
AYA inclusion in social events (e.g. sports, celebrations, holidays) may
be considered (Grade D, Evidence level IV) |
Supporting the
AYA, family and the wider community to allow the AYA inclusion in social
events (e.g. sports, celebrations, holidays) may be considered (Grade D,
Evidence level IV) |
Supporting the AYA, family and the wider
community to allow the AYA inclusion in social events (e.g. sports,
celebrations, holidays) may be considered (Grade D, Evidence level
IV) |
Strength of recommendation: Weak recommendation based on
low risk of bias in a cross-sectional study55 and
qualitative studies52-54. These included AYA with
either asthma53-55 or food
allergy52. |
Other considerations: Aim
for better participation, less bullying and gaining fitness. For
example, there are sports, such as swimming, that less likely to trigger
asthma. Adopting specific strategies may allow AYA with food allergy. or
asthma to safely participate in trips, parties and other social events. |
References: Winn55,
Mackenzie52, Mammen54,
Mammen53
|
Motivational interviewing can be recommended to improve asthma
symptoms and quality of life (Grade B, Evidence level I) |
Motivational interviewing can be recommended to improve asthma
symptoms and quality of life (Grade B, Evidence level I) |
Motivational interviewing can be recommended to improve asthma
symptoms and quality of life (Grade B, Evidence level I) |
Strength of recommendation: Moderate recommendation based
on one randomised controlled asthma trial56.
Motivational interviewing has been demonstrated to be effective across
many areas and is likely to also be helpful with allergy. |
Other considerations: This needs the active involvement of
the AYA. Motivational interviewing includes strategies to increase
motivation, shared decision making and goal setting. |
Reference: Seid56
|