Trial reportJournal of general internal medicine2012
A randomized controlled trial of a literacy-sensitive self-management intervention for chronic obstructive pulmonary disease patients.
Trial report in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 9 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Health literacy-sensitive self-management interventions for chronic obstructive pulmonary disease: a systematic review and meta-analysis.NPJ primary care respiratory medicine · 2026Pooled it
- Self-management interventions for people with chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2022Pooled it
- Pooled it
- The Effectiveness of Self-Management Interventions for Individuals with Low Health Literacy and/or Low Income: A Descriptive Systematic Review.Journal of general internal medicine · 2018Pooled it
- Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes.Respiratory research · 2018Pooled it
- Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2017Pooled it
- Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review.NPJ primary care respiratory medicine · 2017Pooled it
- Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2016Pooled it
- Smoking cessation for people with chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2016Pooled it
- Use and inhalation technique of inhaled medication in patients with asthma and COPD: data from a randomized controlled trial.Respiratory research · 2018Trial
- Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in Mandarin- and Cantonese-speaking patients: a randomized controlled trial.International journal of chronic obstructive pulmonary disease · 2016Trial
- Potential role of regular physicians in improving health literacy in patients with chronic diseases: a retrospective cross-sectional study in Korea.Korean journal of family medicine · 2026Article
- Four-Year Management of Severe COPD-OSA Overlap Syndrome with Phased, Closed-Loop Respiratory Rehabilitation: A Case Report.Healthcare (Basel, Switzerland) · 2026Article
- Feasibility Trial of a Comprehensive, Highly Patient-Centered COPD Self-Management Support Program.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- An approach to reduce inhaler errors using Donabedian's triad.Frontiers in medical technology · 2024Article
- Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study.BMC musculoskeletal disorders · 2023Article
- An Interactive Communication Model for Self-Care-Regardless of Health Literacy: Protocol for a Quasi-Experimental Study.JMIR research protocols · 2023Article
- Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions.Respiratory research · 2022Review
- Perceptions of Environmental Influence and Environmental Information-Seeking Behavior Among People With Asthma and COPD.Frontiers in digital health · 2022Article
- Use of the pictorial Sleepiness and Sleep Apnoea Scale in Chinese patients with suspected obstructive sleep apnoea syndrome.Journal of thoracic disease · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow literacy skills are common and associated with a variety of poor health outcomes. This may be particularly important in patients with chronic illnesses such as chronic obstructive pulmonary disease (COPD) that require appropriate inhaler technique to maintain quality of life and avoid exacerbations.
objectiveTo explore the impact of a literacy-sensitive self-management intervention on inhaler technique scores in COPD patients and to determine if effects differ by literacy.
designRandomized controlled trial.
participantsNinety-nine patients with COPD.
interventionPatients were randomly assigned to a one-on-one self-management educational intervention or usual care. The intervention focused on inhaler technique, smoking cessation, and using a COPD action plan. MAIN MEASURES: At baseline, an inhaler technique assessment, literacy assessment, health-related quality of life questionnaires, and pulmonary function tests were completed. Inhaler technique was re-evaluated after two to eight weeks. KEY
resultsMean age 63, 65% female, 69% Caucasian, moderate COPD severity on average, 36% with low literacy, moderately impaired health-related quality of life, and similar baseline metered dose inhaler technique scores. Patients in the intervention group had greater mean improvement from baseline in metered dose inhaler technique score compared to those in the usual care group (difference in mean change 2.1, 95% CI 1.1, 3.0). The patients in the intervention group also had greater mean improvements in metered dose inhaler technique score than those in the usual care group whether they had low health literacy (difference in mean change 2.8, 95% CI 0.6, 4.9) or higher health literacy (1.8, 95% CI 0.7, 2.9).
conclusionsA literacy-sensitive self-management intervention can lead to improvements in inhaler technique, with benefits for patients with both low and higher health literacy.
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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.