Evidence map›Paper›PMID 31173936›Full record

ArticleThe journal of allergy and clinical immunology. In practice

Inhaler Technique in Low-Income, Inner-City Adults with Uncontrolled Asthma.

Patrick K Gleeson, Luzmercy Perez, A Russell Localio, Knashawn H Morales, Xiaoyan Han, Tyra Bryant-Stephens, Andrea J Apter

Abstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Health literacy and asthma: An update.The Journal of allergy and clinical immunology · 2024
    Review
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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

7 authors.

Patrick K GleesonSection of Allergy & Immunology, Division of Pulmonary, Allergy, & Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa. Electronic address: Patrick.Gleeson@pennmedicine.upenn.edu.
Luzmercy PerezSection of Allergy & Immunology, Division of Pulmonary, Allergy, & Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
A Russell LocalioDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Knashawn H MoralesDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Xiaoyan HanDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Tyra Bryant-StephensDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Andrea J ApterSection of Allergy & Immunology, Division of Pulmonary, Allergy, & Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
A Patient Advocate to improve real-world asthma management for inner city adultsR18HL116285 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI APTER, ANDREA J. · 2013 to 2017
$3.6M
NHLBI NIH HHS R18 HL116285NIEHS NIH HHS P30 ES013508Patient-Centered Outcomes Research Institute AS-1307-05218
6 · The paper itself

Abstract

backgroundPoor inhaler technique has been shown to be associated with less asthma control and increased health care utilization. Little is known about the impact of inhaler technique on the most vulnerable patients.

objectiveThis study examined inhaler technique in low-income, inner-city adults with uncontrolled asthma.

methodsInhaler technique data and other patient characteristics were evaluated in adults drawn from 2 studies conducted at the University of Pennsylvania. Subjects were from low-income Philadelphia neighborhoods and had uncontrolled asthma. Baseline characteristics were collected. Inhaler technique was rated by research coordinators who were trained with written materials.

resultsIn 584 adults, 56% of metered dose inhaler users and 64% of dry powder inhaler users had adequate visually assessed inhaler technique. Inhaler technique did not vary by reading comprehension or numeracy levels.

conclusionsIn this group of patients with uncontrolled asthma, visually assessed inhaler technique was adequate in more than one-half. Although incorrect inhaler technique is generally common and must be routinely addressed, this study suggests that other factors that lead to poor control must be identified.

Indexed as

Administration, InhalationAdultAgedAsthmaFemaleHumansMaleMetered Dose InhalersMiddle AgedRespiratory System AgentsUnited StatesUrban PopulationRespiratory System AgentsAsthmaHealth disparitiesHealth literacyInhaler techniqueNumeracyUncontrolled asthma

Identifiers

PMID31173936
PMCPMC6842684

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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.