Evidence map›Paper›PMID 22788543›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2012

An analysis of contextual information relevant to medical care unexpectedly volunteered to researchers by asthma patients.

Heather L Black, Chantel Priolo, Rodalyn Gonzalez, Sabrina Geer, Bariituu Adam, Andrea J Apter

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2012. 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. 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

6 authors.

Heather L BlackSection of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania , Philadelphia, PA 19104, USA.
Chantel Priolo
Rodalyn Gonzalez
Sabrina Geer
Bariituu Adam
Andrea J Apter

Funding

A Patient Advocate and Literacy-Based Treatment of AsthmaRC1HL099612 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI APTER, ANDREA J. · 2009 to 2010
$1.0M
Literacy and improving patient-clinician encounters for AsthmaK02HL088469 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI APTER, ANDREA J. · 2007 to 2011
$526k
NHLBI NIH HHS HL070392NHLBI NIH HHS HL088469NHLBI NIH HHS K02 HL088469NHLBI NIH HHS RC1 HL099612
6 · The paper itself

Abstract

objectiveTo describe and categorize contextual information relevant to patients' medical care unexpectedly volunteered to research personnel as part of a patient advocate (PA) intervention to facilitate access health care, communication with medical personnel, and self-management of a chronic disease such as asthma.

methodsWe adapted a patient navigator intervention, to overcome barriers to access and communication for adults with moderate or severe asthma. Informed by focus groups of patients and providers, our PAs facilitated preparation for a visit with an asthma provider, attended the visit, confirmed understanding, and assisted with post-visit activities. During meetings with researchers, either for PA activities or for data collection, participants frequently volunteered personal and medical information relevant for achieving successful self-management that was not routinely shared with medical personnel. For this project, researchers journaled information not captured by the structured questionnaires and protocol. Using a qualitative analysis, we describe (1) researchers' journals of these unique communications; (2) their relevance for accomplishing self-management; (3) PAs' formal activities including teach-back, advocacy, and facilitating appointment making; and (4) observations of patients' interactions with the clinical practices.

resultsIn 83 journals, patients' social support (83%), health (68%), and deportment (69%) were described. PA assistance with navigating the medical system (59%), teach-back (46%), and observed interactions with patient and medical staff (76%) were also journaled. Implicit were ways patients and practices could overcome barriers to access and communication.

conclusionsThese journals describe the importance of seeking contextual and medically relevant information from all patients and, especially, those with significant morbidities, prompting patients for barriers to access to health care, and confirming understanding of medical information.

Indexed as

Health LiteracyPatient AdvocacyAsthmaCommunicationHealth Services AccessibilityHumansPeriodicals as TopicResearch PersonnelSelf Care

Identifiers

PMID22788543
PMCPMC3530953

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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.