Self-management in Asthma Patients: A Systematic Review


Self-management is very important in treating asthma patients. Various selfmanagement support interventions have been developed to facilitate adequate self-management of asthma. This review aims to identify, describe and assess the evidence regarding self-management intervention programs and their effects on self-management outcomes among asthmatic patients. Four databases, Google Scholar, Europe PMC, Science Direct, and PubMed, were searched using a systematic strategy using keywords: Asthma, Chronic disease, eHealth, smartphone, self-management, educational programs, and quality of life. The study eligibility criteria was a Randomized Control Trial study, published between 2016 and 2021, with language restrictions published in English only. The JBI ( Joanna Brings Institute) tool was used to evaluate study quality. 422 studies were screened, and 11 studies that met the criteria were extracted. The review identified two intervention group methods to improve self-management among asthma patients, including digital-based self-management and non-digital-based self-management. Most research shows that self-management programs improve and maintain quality of life so that people with asthma can live normal lives without obstacles in carrying out daily activities. The self-management program for asthma patients provides the ability to manage the disease so that it can improve the quality of life.

Keywords: asthma, self-management program, quality of life, mHealth

[1] Farzandipour M, Nabovati E, Sharif R, Arani MH, Anvari S. Patient self-management of asthma using mobile health applications: A systematic review of the functionalities and effects. Appl Clin Inform. 2017 Oct;8(4):1068–81.

[2] Alhadi CS, Heriyani F, Nurrasyidah I. Literature Review: Hubungan Tingkat Pengetahuan Asma dengan Tingkat Kontrol Asma. Homeostasis [Internet]. 2021;4(2):379– 86. Available from:

[3] Tseng TJ, Wu CJ, Chang AM. Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behaviour, and asthma symptoms: A randomized controlled trial [Internet]. Contemp Clin Trials Commun. 2020 Aug;19:100624.

[4] Olivera CM, Vianna EO, Bonizio RC, de Menezes MB, Ferraz E, Cetlin AA, et al. Asthma self-management model: randomized controlled trial. Health Educ Res. 2016 Oct;31(5):639–52.

[5] Halawa, Trifianingsih, Adang, Yohana. Gambaran Praktik Self-Management Pada Pasien.2019;4:0–7.

[6] Mitchell BL, Carter J, Mitchell AE. A randomised controlled trial of SMS reminders for routine asthma care in an Australian general practice. Aust J Gen Pract. 2019 Sep;48(9):626–30.

[7] Farmer A, Williams V, Velardo C, Shah SA, Yu LM, Rutter H, et al. Self-Management Support Using a Digital Health System Compared With Usual Care for Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial. J Med Internet Res. 2017 May;19(5):144.

[8] Cho PV. José S. and Khalil RAK. ￿￿￿￿￿￿ HHS Public Access. Physiol Behav. 2016;176(1):139–48.

[9] Federman AD, O’Conor R, Mindlis I, Hoy-Rosas J, Hauser D, Lurio J, et al. Effect of a Self-management Support Intervention on Asthma Outcomes in Older Adults: The SAMBA Study Randomized Clinical Trial. JAMA Intern Med. 2019 Aug;179(8):1113–21.

[10] Isik E, Fredland NM, Young A, Schultz RJ. A School Nurse-Led Asthma Intervention for School-Age Children: A Randomized Control Trial to Improve Self-Management. J Sch Nurs. 2021 Dec;37(6):480–90.

[11] Steurer-Stey C, Storch M, Benz S, Hobi B, Steffen-Bürgi B, Steurer J, et al. Motivational training improves self-efficacy but not short-term adherence with asthma selfmanagement: a randomized controlled trial. Prim Health Care Res Dev. 2015 Jan;16(1):32–41.

[12] Horner SD, Brown A, Brown SA, Rew DL. Enhancing Asthma Self-Management in Rural School-Aged Children: A Randomized Controlled Trial. J Rural Health. 2016 Jun;32(3):260–8.

[13] Newhouse N, Martin A, Jawad S, Yu LM, Davoudianfar M, Locock L, et al. Randomised feasibility study of a novel experience-based internet intervention to support selfmanagement in chronic asthma. BMJ Open. 2016 Dec;6(12):e013401.

[14] Kosse RC, Bouvy ML, de Vries TW, Koster ES. Effect of a mHealth intervention on adherence in adolescents with asthma: A randomized controlled trial. Respir Med. 2019 Mar;149(February):45–51.

[15] Ainsworth B, Greenwell K, Stuart B, Raftery J, Mair F, Bruton A, et al. Feasibility trial of a digital self-management intervention ‘My Breathing Matters’ to improve asthmarelated quality of life for UK primary care patients with asthma. BMJ Open. 2019 Nov;9(11):e032465.

[16] Gibson P.G, Powell H,Wilson A., Abramson M.J., Haywood P, Bauman A, and et al. Self-management education and regular practitioner review for adults with asthma. Cochrane Library. 2009; 3: 1-81.

[17] Verschelden P, Cartier A, L’Archevêque J, Trudeau C, Malo JL. Compliance with and accuracy of daily self-assessment of peak expiratory flows (PEF) in asthmatic subjects over a three month period. Eur Respir J. 1996 May;9(5):880–5.

[18] Kuhl J, Fuhrmann A. Decomposing Self-Regulation and Self-Control: The Volitional Components Inventory. Motivation and Self-Regulation across the Life Span. 2009.

[19] Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37(2):122– 47.

[20] Kew KM, Carr R, Donovan T, Gordon M. Asthma education for school staff. Cochrane Database Syst Rev. 2017 Apr;4(4):CD012255.

[21] Yu SH, Guo AM, Zhang XJ. Effects of self-management education on quality of life of patients with chronic obstructive pulmonary disease [Internet]. Int J Nurs Sci. 2014;1(1):53–7.

[22] Peters D, Davis S, Calvo RA, Sawyer SM, Smith L, Foster JM. Young people’s preferences for an asthma self-management app highlight psychological needs: A participatory study. J Med Internet Res. 2017 Apr;19(4):e113.

[23] Badawy SM, Barrera L, Sinno MG, Kaviany S, O’Dwyer LC, Kuhns LM. Text messaging and mobile phone apps as interventions to improve adherence in adolescents with chronic health conditions: A systematic review. JMIR Mhealth Uhealth. 2017 May;5(5):66.

[24] L’Engle KL, Mangone ER, Parcesepe AM, Agarwal S, Ippoliti NB. Mobile phone interventions for adolescent sexual and reproductive health: A systematic review. Pediatrics. 2016 Sep;138(3):20160884.