Evidence map›Paper›PMID 20846085›Full record

Trial reportThe Journal of asthma : official journal of the Association for the Care of Asthma2010

Clearing clinical barriers: enhancing social support using a patient navigator for asthma care.

Heather L Black, Chantel Priolo, D'Jahna Akinyemi, Rodalyn Gonzalez, Danielle S Jackson, Laura Garcia, Maureen George, Andrea J Apter

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of asthma : official journal of the Association for the Care of Asthma, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01128348 (A Patient Advocate and Literacy-Based Treatment of Asthma), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT01128348 nacompletednot on this map

A Patient Advocate and Literacy-Based Treatment of Asthma

TypeinterventionalSponsorUniversity of PennsylvaniaRan2009 to 2011Enrolled100ConditionsAsthmaArmspatient advocate
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Baseline characteristics of participants in the NAVKIDSPediatric nephrology (Berlin, Germany) · 2023
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Feasibility, acceptability and preliminary effectiveness of patient advocates for improving asthma outcomes in adults.The Journal of asthma : official journal of the Association for the Care of Asthma · 2013
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. An analysis of contextual information relevant to medical care unexpectedly volunteered to researchers by asthma patients.The Journal of asthma : official journal of the Association for the Care of Asthma · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Heather L BlackSection of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Chantel Priolo
D'Jahna Akinyemi
Rodalyn Gonzalez
Danielle S Jackson
Laura Garcia
Maureen George
Andrea J Apter
Pulmonary and Allergy Associates · US

Funding

Clinical Pharmacoepidemiology Training ProgramT32GM075766 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Sean Hennessy, Charles Edward Leonard · 2006 to 2026
$8.4M
Individualized Interventions to Improve Asthma AdherenceR01HL073932 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI APTER, ANDREA J. · 2005 to 2009
$3.6M
A Patient Advocate and Literacy-Based Treatment of AsthmaRC1HL099612 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI APTER, ANDREA J. · 2009 to 2010
$1.0M
Patient-Provider Communication: CAM Beliefs, Attitudes and PracticesK23AT003907 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI GEORGE, MAUREEN · 2008 to 2012
$658k
Literacy and improving patient-clinician encounters for AsthmaK02HL088469 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI APTER, ANDREA J. · 2007 to 2011
$526k
NCCIH NIH HHS K23AT003907NHLBI NIH HHS HL073932NHLBI NIH HHS HL088469NHLBI NIH HHS HL099612NHLBI NIH HHS K02 HL088469NHLBI NIH HHS R01 HL073932NHLBI NIH HHS RC1 HL099612
6 · The paper itself

Abstract

backgroundPatients with moderate or severe asthma, particularly those who are minority or poor, often encounter significant personal, clinical practice, and health system barriers to accessing care.

objectiveTo explore the ideas of patients and providers for potentially feasible, individualized, cost-effective ways to reduce obstacles to care by providing social support using a patient advocate or navigator.

methodsThe authors conducted four focus groups of adults with moderate or severe asthma. Participants were recruited from clinics serving low-income and minority urban neighborhoods. Data from these patient focus groups were shared with two additional focus groups, one of nurses and one of physicians. Researchers independently coded and agreed upon themes from all focus groups, which were categorized by types of social support: instrumental (physical aid), informational (educational), emotional (empathizing), validation (comparisons to others).

resultsPatients and providers agreed that a patient navigator could help patients manage asthma by giving social support. Both groups found instrumental and informational support most important. However, patients desired more instrumental help whereas providers focused on informational support. Physicians stressed review of medical information whereas patients wanted information to complete administrative tasks. Providers and patients agreed that the patient navigator's role in asthma would need to address both short-term care of exacerbations and enhance long-term chronic self-management by working with practice personnel.

conclusionsAlong with medical information, there is a need for providers to connect patients to instrumental support relevant to acute and long-term asthma-self-management.

Indexed as

Social SupportAdultAnti-Asthmatic AgentsAsthmaCommunicationFemaleFocus GroupsHumansMalePatient AdvocacyPatient Education as TopicSelf CareUrban PopulationAnti-Asthmatic Agents

Identifiers

PMID20846085
PMCPMC2950230
OpenAlexW2086219216

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.