PT  - JOURNAL ARTICLE
AU  - Carol Kelly
AU  - Karen Heslop-Marshall
AU  - Steve Jones
AU  - Nicola J. Roberts
TI  - Self-management in chronic lung disease: what is missing?
AID  - 10.1183/20734735.0179-2021
DP  - 2022 Mar 01
TA  - Breathe
PG  - 210179
VI  - 18
IP  - 1
4099  - http://breathe.ersjournals.com/content/18/1/210179.short
4100  - http://breathe.ersjournals.com/content/18/1/210179.full
SO  - Breathe2022 Mar 01; 18
AB  - Self-management, as a strategy to support those living with chronic respiratory conditions such as asthma and COPD, has been widely advocated in guidelines and adopted in practice. However, there can be a disconnect between the goals of patients and healthcare professionals. Goals and barriers to self-management are often compounded by the complex social, emotional and medical needs of patients. People living with chronic respiratory conditions also often have symptoms of anxiety and depression, which can impact on self-management. Self-management therefore requires patients and healthcare professionals to work together and it is essential to involve patients when designing, implementing and evaluating self-management interventions.Patient preferences are clearly important and goal setting needs an individual, flexible and responsive approach from healthcare professionals, which aligns to a more personalised approach to management of treatable traits and the burden of disease. To achieve these goals, healthcare professionals need education to support patients in self-management and behaviour change. This approach should lead to shared decision-making and partnership working that puts the patient right at the centre of their care.Self-management is often effective in chronic respiratory disease and can improve symptoms and reduce healthcare burden. Yet patients rarely feature in the design or implementation of interventions; are patients as active partners the missing ingredient? https://bit.ly/3LiqhVg