Evidence map›Paper›PMID 27536093›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2016

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.

Iraj Poureslami, Susan Kwan, Stephen Lam, Nadia A Khan, John Mark FitzGerald

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

Trial report in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01474707 (Assessing Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 22 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 7 pooled it
1.8field-weighted citation impact, top 14% 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.

NCT01474707 nacompletednot on this map

Assessing Chronic Obstructive Pulmonary Disease (COPD) Knowledge, Beliefs, and Health Literacy in Chinese Immigrant Adults With a Diagnosis of COPD

TypeinterventionalSponsorUniversity of British ColumbiaRan2011 to 2015Enrolled120ConditionsChronic Obstructive Pulmonary Disease (COPD)ArmsGroup one, Group two, Group three, Group four
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 7 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
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  8. Article
  9. Article
  10. A rapid review of interventions to improve medicine self-management for older people living at home.Health expectations : an international journal of public participation in health care and health policy · 2023
    Review
  11. Review
  12. Observational
  13. Review
  14. Article
  15. Review
  16. Article
  17. An Integrated Framework to Conceptualize and Develop the Vancouver Airways Health Literacy Tool (VAHLT).International journal of environmental research and public health · 2021
    Article
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  19. Article
  20. Review
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

5 authors at 2 institutions in 3 countries.

Iraj PoureslamiRespiratory Division, Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada; Department of Graduate Studies, Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, Canada.
Susan KwanRespiratory Department, Burnaby Hospital, University of British Columbia, Burnaby, Canada.
Stephen LamRespiratory Division, University of British Columbia, Vancouver, Canada; Department of Integrative Oncology, BC Cancer Research Centre, Vancouver, Canada.
Nadia A KhanDepartment of Internal Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada; Department of Internal Medicine, Providence Health Care Authority, Vancouver, Canada.
John Mark FitzGeraldVGH Divisions of Respiratory Medicine, University of British Columbia, Vancouver, Canada; Respiratory Medicine, Vancouver Coastal Health Authority, Vancouver Coastal Health Research Institute, Institute for Heart and Lung Health, The Lung Centre, Gordon and Leslie Diamond Health Care Centre, Vancouver, Canada.
University of British Columbia · CABurnaby Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient education is a key component in the management of chronic obstructive pulmonary disease (COPD). Delivering effective education to ethnic groups with COPD is a challenge. The objective of this study was to develop and assess the effectiveness of culturally and linguistically specific audiovisual educational materials in supporting self-management practices in Mandarin- and Cantonese-speaking patients.

methodsEducational materials were developed using participatory approach (patients involved in the development and pilot test of educational materials), followed by a randomized controlled trial that assigned 91 patients to three intervention groups with audiovisual educational interventions and one control group (pamphlet). The patients were recruited from outpatient clinics. The primary outcomes were improved inhaler technique and perceived self-efficacy to manage COPD. The secondary outcome was improved patient understanding of pulmonary rehabilitation procedures.

resultsSubjects in all three intervention groups, compared with control subjects, demonstrated postintervention improvements in inhaler technique (P<0.001), preparedness to manage a COPD exacerbation (P<0.01), ability to achieve goals in managing COPD (P<0.01), and understanding pulmonary rehabilitation procedures (P<0.05).

conclusionCulturally appropriate educational interventions designed specifically to meet the needs of Mandarin and Cantonese COPD patients are associated with significantly better understanding of self-management practices. Self-management education led to improved proper use of medications, ability to manage COPD exacerbations, and ability to achieve goals in managing COPD. CLINICAL IMPLICATION: A relatively simple culturally appropriate disease management education intervention improved inhaler techniques and self-management practices. Further research is needed to assess the effectiveness of self-management education on behavioral change and patient empowerment strategies.

Indexed as

Audiovisual AidsLanguageAdaptation, PsychologicalAdministration, InhalationAgedAsian PeopleBritish ColumbiaBronchodilator AgentsChinaComprehensionCulturally Competent CareDisease ProgressionFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansBronchodilator AgentsChinese communityCOPDcultural backgroundeducational materialself-efficacyself-management

Identifiers

PMID27536093
PMCPMC4976815
OpenAlexW2499527931

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.