Evidence map›Paper›PMID 25218286›Full record

ArticleThe Journal of allergy and clinical immunology2014

Inhaled corticosteroid beliefs, complementary and alternative medicine, and uncontrolled asthma in urban minority adults.

Maureen George, Maxim Topaz, Cynthia Rand, Marilyn Lynn Sawyer Sommers, Karen Glanz, Michael V Pantalon, Jun J Mao, Judy A Shea

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.8field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. "It is kind of like a responsibility thing": transitional challenges in asthma medication adherence among adolescents and young adults.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
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  10. A mixed-methods analysis of younger adults' perceptions of asthma, self-management, and preventive care: "This isn't helping me none".Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
    Article
  11. Article
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  14. Predictors of emergency department use in children with persistent asthma in metropolitan Atlanta, Georgia.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2017
    Article
  15. Perceptions and experiences underlying self-management and reporting of symptoms in teens with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2017
    Article
  16. Acupuncture has a positive effect on asthmatic rats in a glucocorticoid-independent manner.Acupuncture in medicine : journal of the British Medical Acupuncture Society · 2016
    Article
  17. Integrative medicine is integral to providing patient-centered care.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2015
    Article
  18. Traditional Herbal Medicine and Allergic Asthma.Evidence-based complementary and alternative medicine : eCAM · 2015
    Article
  19. Article
  20. 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 4 institutions in 2 countries.

Maureen GeorgeUniversity of Pennsylvania School of Nursing, Philadelphia, Pa; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pa; Center for Health Behavior Research, University of Pennsylvania, Philadelphia, Pa. Electronic address: mgeorge@nursing.upenn.edu.
Maxim TopazUniversity of Pennsylvania School of Nursing, Philadelphia, Pa; University of Haifa, Haifa, Israel.
Cynthia RandJohns Hopkins University School of Medicine, Baltimore, Md.
Marilyn Lynn Sawyer SommersUniversity of Pennsylvania School of Nursing, Philadelphia, Pa; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pa; Center for Global Women's Health, University of Pennsylvania School of Nursing, Philadelphia, Pa.
Karen GlanzUniversity of Pennsylvania School of Nursing, Philadelphia, Pa; Center for Health Behavior Research, University of Pennsylvania, Philadelphia, Pa; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa.
Michael V PantalonDepartment of Psychiatry and Department of Emergency Medicine, Yale University School of Medicine, New Haven, Conn.
Jun J MaoPerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa; Department of Family Medicine and Community Health, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa.
Judy A SheaPerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa; Department of General Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa.
University of Pennsylvania · USJohns Hopkins University · USUniversity of Haifa · ILYale University · US

Funding

Patient-Provider Communication: CAM Beliefs, Attitudes and PracticesK23AT003907 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI GEORGE, MAUREEN · 2008 to 2012
$658k
NCCIH NIH HHS 1K23AT003907NCCIH NIH HHS K23 AT003907
6 · The paper itself

Abstract

backgroundMany factors contribute to uncontrolled asthma; negative inhaled corticosteroid (ICS) beliefs and complementary and alternative medicine (CAM) endorsement are 2 that are more prevalent in black compared with white adults.

objectivesThis mixed-methods study (1) developed and psychometrically tested a brief self-administered tool with low literacy demands to identify negative ICS beliefs and CAM endorsement and (2) evaluated the clinical utility of the tool as a communication prompt in primary care.

methodsComprehensive literature reviews and content experts identified candidate items for our instrument that were distributed to 304 subjects for psychometric testing. In the second phase content analysis of 33 audio-recorded primary care visits provided a preliminary evaluation of the instrument's clinical utility.

resultsPsychometric testing of the instrument identified 17 items representing ICS beliefs (α = .59) and CAM endorsement (α = .68). Test-retest analysis demonstrated a high level of reliability (intraclass correlation coefficient = 0.77 for CAM items and 0.79 for ICS items). We found high rates of CAM endorsement (93%), negative ICS beliefs (68%), and uncontrolled asthma (69%). CAM endorsement was significantly associated with uncontrolled asthma (P = .04). Qualitative data analysis provided preliminary evidence for the instrument's clinical utility in that knowledge of ICS beliefs and CAM endorsement prompted providers to initiate discussions with patients.

conclusionNegative ICS beliefs and CAM endorsement were common and associated with uncontrolled asthma. A brief self-administered instrument that identifies beliefs and behaviors that likely undermine ICS adherence might be a leveraging tool to change the content of communications during clinic visits.

Indexed as

Attitude to HealthComplementary TherapiesAdministration, InhalationAdrenal Cortex HormonesAdultAnti-Asthmatic AgentsAsthmaFemaleHumansMaleMedication AdherenceMiddle AgedMinority GroupsSurveys and QuestionnairesAdrenal Cortex HormonesAnti-Asthmatic AgentsadherenceAsthmabeliefsblackcomplementary and alternative medicineinhaled corticosteroidsinstrument developmentminoritymixed methodspatient-provider communicationself-managementurban

Identifiers

PMID25218286
PMCPMC4261037
OpenAlexW2095997897

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.