Evidence map›Paper›PMID 28947874›Full record

ArticleCanadian respiratory journal2017

Readability and Suitability of COPD Consumer Information.

Kathryn Fullmann, David F Blackburn, Mark E Fenton, Holly Mansell

Abstract read
In one paragraph

Article in Canadian respiratory journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

4 authors.

Kathryn FullmannCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
David F BlackburnCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
Mark E FentonDivision of Critical Care and Sleep Medicine, Department of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.ORCID 0000-0001-5188-5855
Holly MansellCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.ORCID 0000-0002-6405-4775

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation leaflets have been shown to positively or negatively impact adherence, depending on their content. The objective of this study was to perform an appraisal of the consumer information provided in COPD inhaler monographs.

methodsCOPD inhalers were identified from the Health Canada Drug Product Database. Medication information and instructions for inhaler use were analyzed for readability by seven formulas, with an acceptability threshold of grades 6-8. Three researchers rated suitability using a modified Suitability Assessment of Materials (SAM) tool and assessed leaflets for explicit warnings.

resultsTwenty-six inhalers with a COPD indication were evaluated. Medication information sections were rated as "difficult to read" or "hard," and 85% (22/26) had a reading level above grade 8. The instructions for inhaler use were rated as "easy" or "fairly easy" to read and 63% (16/26) met the threshold by all formulas. While all leaflets achieved superior suitability ratings, extreme warnings included risk of premature death (

conclusionWhile COPD information leaflets in Canada performed well in terms of readability and suitability, overemphasis on side effects, warnings, and precautions may contribute to patient fear and nonadherence.

Indexed as

Consumer Health InformationProduct LabelingPulmonary Disease, Chronic ObstructiveCanadaComprehensionHumansNebulizers and Vaporizers

Identifiers

PMID28947874
PMCPMC5602649

What OpenQuestion holds

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Registered trials

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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.