ArticleAmerican journal of respiratory and critical care medicine2005
Tailored education may reduce health literacy disparities in asthma self-management.
Article in American journal of respiratory and critical care medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 137 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A+ Asthma Early Intervention in Asthma Management
Adherence Intervention for Minority Children With Asthma
Who cites it
137 citing papers in PubMed, 6 syntheses or guidelines pooled it, 281 citations in OpenAlex.
- Perceptions, attitudes, and behaviors of asthma patients towards the use of short-acting β2-agonists: A systematic review.PloS one · 2023Pooled it
- A systematic review of interventions addressing limited health literacy to improve asthma self-management.Journal of global health · 2020Pooled it
- Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes.Respiratory research · 2018Pooled it
- Interventions to improve outcomes for minority adults with asthma: a systematic review.Journal of general internal medicine · 2012Pooled it
- Understanding the internal and external validity of health literacy interventions: a systematic literature review using the RE-AIM framework.Journal of health communication · 2011Pooled it
- A systematic review of asthma and health literacy: a cultural-ethnic perspective in Canada.MedGenMed : Medscape general medicine · 2007Pooled it
- Implementation of Coach McLungsBMC medical informatics and decision making · 2022Trial
- Pathways Through Which Health Literacy Is Linked to Parental Oral Health Behavior in an American Indian Tribe.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Trial
- Longitudinal Association of Health Literacy with Parental Oral Health Behavior.Health literacy research and practice · 2021Trial
- Effectiveness of Virtual vs In-Person Inhaler Education for Hospitalized Patients With Obstructive Lung Disease: A Randomized Clinical Trial.JAMA network open · 2020Trial
- Effectiveness of DVD vs. group-initiated diabetes prevention on information uptake for high & low health literacy participants.Patient education and counseling · 2019Trial
- Using web-based videos to improve inhalation technique in COPD patients requiring hospitalization: A randomized controlled trial.PloS one · 2018Trial
- Effectiveness of Interventions to Teach Metered-Dose and Diskus Inhaler Techniques. A Randomized Trial.Annals of the American Thoracic Society · 2016Trial
- Association of parental health literacy with oral health of Navajo Nation preschoolers.Health education research · 2016Trial
- Design and methods of "diaBEAT-it!": a hybrid preference/randomized control trial design using the RE-AIM framework.Contemporary clinical trials · 2014Trial
- Impact of targeted health promotion on cardiovascular knowledge among American Indians and Alaska Natives.Health education research · 2013Trial
- Teaching the use of respiratory inhalers to hospitalized patients with asthma or COPD: a randomized trial.Journal of general internal medicine · 2012Trial
- A randomized controlled trial of a literacy-sensitive self-management intervention for chronic obstructive pulmonary disease patients.Journal of general internal medicine · 2012Trial
- Using information technology to reduce asthma disparities in underserved populations: a pilot study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2010Trial
- Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial.BMC health services research · 2009Trial
77 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
rationaleAlthough inadequate health literacy has been associated with lower asthma medication knowledge and worse metered-dose inhaler (MDI) technique, the relationship between health literacy and the capacity to learn asthma self-management skills is unknown.
objectivesIn this prospective cohort study of adults hospitalized for severe asthma exacerbations at two inner-city hospitals, we examined the relationship between inadequate health literacy and difficulties learning and retaining instructions about discharge medications and appropriate MDI technique.
methodsAt hospital discharge, participants received one-on-one, 30-min, guideline-based, written and oral instruction about their asthma discharge regimen as well as appropriate MDI technique. MEASUREMENTS AND MAIN
resultsSeventy-three patients were enrolled. Inadequate health literacy was identified in 16 (22%) participants. Before instruction, inadequate health literacy was associated with lower asthma medication knowledge (5.2/10 vs. 7.2/10, p < 0.001) and worse MDI technique (3.2/6 vs. 3.9/6, p = 0.03). However, inadequate health literacy was not associated with difficulty learning (p = 0.33) or retaining (p = 0.35) instructions about the discharge regimen. Similarly, inadequate health literacy was not associated with difficulty learning (p = 0.26) or retaining (p = 0.97) appropriate MDI technique. Results were similar in multivariable models adjusted for demographic characteristics and asthma severity indicators.
conclusionsThese findings suggest that inadequate health literacy is a surmountable barrier to learning and remembering key asthma self-management skills.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.