Despite a robust evidence base for its effectiveness, implementation of supported self-management for asthma is suboptimal. Professional education is an implementation strategy with proven effectiveness, though the specific features linked with effectiveness are often unclear. We performed a systematic review of randomised controlled trials and controlled clinical trials (published from 1990 and updated to May 2017 using forward citation searching) to determine the effectiveness of professional education on asthma self-management support and identify features of effective initiatives. Primary outcomes reflected professional behaviour change (provision of asthma action plans) and patient outcomes (asthma control; unscheduled care). Data were coded using the Effective Practice and Organisation of Care Taxonomy, the Theoretical Domains Framework (TDF), and Bloom’s Taxonomy and synthesised narratively. Of 15,637 articles identified, 18 (reporting 15 studies including 21 educational initiatives) met inclusion criteria. Risk of bias was high for five studies, and unclear for 10. Three of 6 initiatives improved action plan provision; 1/2 improved asthma control; and 2/7 reduced unscheduled care. Compared to ineffective initiatives, effective initiatives were more often coded as being guideline-based; involving local opinion leaders; including inter-professional education; and addressing the TDF domains ‘social influences’; ‘environmental context and resources’; ‘behavioural regulation’; ‘beliefs about consequences’; and ‘social/professional role and identity’. Findings should be interpreted cautiously as many strategies were specified infrequently. However, identified features warrant further investigation as part of implementation strategies aiming to improve the provision of supported self-management for asthma.

尽管有充分的证据证明其有效性，但对哮喘的支持自我管理实施效果欠佳。职业教育是一种行之有效的实施策略，尽管与有效性相关的具体特征通常不清楚。我们对随机对照试验和对照临床试验（于1990年发布，并使用正向引文搜索更新至2017年5月）进行了系统评价，以确定关于哮喘自我管理支持的专业教育的有效性并确定有效措施的特征。主要结局反映专业行为改变（提供哮喘行动计划）和患者结局（哮喘控制；计划外护理）。数据使用护理分类的有效实践和组织进行编码，理论领域框架（TDF）和布卢姆的分类法，并进行了叙述性综合。在确定的15637篇文章中，有18篇（报告了15项研究，包括21项教育计划）符合纳入标准。有五项研究的偏见风险很高，而有十项研究的偏见风险很高，六项举措中的三项改进了行动计划的提供；1/2改善哮喘控制；和2/7减少了计划外护理。与无效措施相比，有效措施通常被编码为基于准则的措施；让当地舆论领袖参与进来；包括跨专业的教育；解决TDF领域的“社会影响”；“环境背景和资源”；“行为规范”；“关于后果的信念”；和“社会/专业角色和身份”。由于很少指定许多策略，因此应谨慎地解释发现。然而，