Evidence map›Paper›PMID 26702503›Full record

ArticleHeart & lung : the journal of critical care

Changes in clinical conversations when providers are informed of asthma patients' beliefs about medication use and integrative medical therapies.

Maureen George, Sarah Abboud, Michael V Pantalon, Marilyn Lynn S Sommers, Jun Mao, Cynthia Rand

Open access · greenAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. The experience of shared decision-making for people with asthma: A systematic review and metasynthesis of qualitative studies.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  2. Pooled it
  3. Review
  4. Article
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  8. Filling the patient-provider knowledge gap: a patient advocate to address asthma care and self-management barriers.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019
    Article
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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 at 4 institutions in 1 country.

Maureen GeorgeColumbia University School of Nursing, USA. Electronic address: mg3656@cumc.columbia.edu.
Sarah AbboudUniversity of Pennsylvania School of Nursing, USA.
Michael V PantalonDepartment of Psychiatry, School of Medicine, Yale University, USA; Department of Emergency Medicine, School of Medicine, Yale University, USA.
Marilyn Lynn S SommersUniversity of Pennsylvania School of Nursing, USA.
Jun MaoUniversity of Pennsylvania, Perelman School of Medicine, USA.
Cynthia RandJohns Hopkins University School of Medicine, USA.
University of Pennsylvania · USJohns Hopkins University · USUniversity School · USYale 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 1K23AT003907-01A1NCCIH NIH HHS K23 AT003907
6 · The paper itself

Abstract

objectivesTo explore whether patient's personal beliefs about inhaled corticosteroid (ICS) and integrative medicine (IM) are discussed at routine primary care visits for asthma.

backgroundNegative medication beliefs and preferences for IM can be salient barriers to effective asthma self-management.

methodA qualitative analysis of transcripts from 33 audio-recorded primary care visits using conventional content analysis techniques.

resultsFour themes emerged when providers had knowledge of patient's beliefs: negative ICS beliefs, IM use for asthma, decision-making and healthy lifestyles. Two themes were identified when providers did not have this knowledge: asthma self-management and healthy lifestyles.

conclusionWhen providers had knowledge of their patient's IM endorsement or negative ICS beliefs, they initiated conversations about these modifiable beliefs. Without training in IM and in effective communication techniques, it is unlikely that providers will be able to effectively engage in shared decision-making aimed at improving asthma self-management.

Indexed as

CommunicationAdministration, InhalationAdrenal Cortex HormonesAdultAgedAsthmaDecision MakingFemaleHumansMaleMiddle AgedSelf CareAdrenal Cortex HormonesAsthmaDecision-makingHealth beliefsIntegrative medicinePatient-provider communicationPrimary care

Identifiers

PMID26702503
PMCPMC4691278
OpenAlexW2208437001

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.