Evidence map›Paper›PMID 31414396›Full record

ArticleThe patient2020

African Americans Want a Focus on Shared Decision-Making in Asthma Adherence Interventions.

Maureen George, Adriana Arcia, Annie Chung, Danielle Coleman, Jean-Marie Bruzzese

Registry-linked trialAbstract read
In one paragraph

Article in The patient, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03036267 (Self-care Decision-making), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

NCT03036267 nacompletednot on this map

Self-care Decision-making: Feasibility of the BREATHE Asthma Intervention Trial

TypeinterventionalSponsorColumbia UniversityRan2017 to 2017Enrolled46ConditionsAsthma Chronic, Health BehaviorArmsBREATHE, Attention Control Condition
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  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. Trial
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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

5 authors.

Maureen GeorgeColumbia University School of Nursing, 630 W. 168th St Mail Stop 6, New York, NY, 10032, USA. mg3656@cumc.columbia.edu.ORCID 0000-0001-9234-7842
Adriana ArciaColumbia University School of Nursing, 630 W. 168th St Mail Stop 6, New York, NY, 10032, USA.
Annie ChungUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Danielle Coleman, Philadelphia, USA.
Jean-Marie BruzzeseColumbia University School of Nursing, 630 W. 168th St Mail Stop 6, New York, NY, 10032, USA.

Funding

Self-care decision-making: Feasibility of the BREATHE asthma intervention trialR21NR016507 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GEORGE, MAUREEN · 2016 to 2017
$456k
NIH HHS 1 R21 NR016507NINR NIH HHS R21 NR016507
6 · The paper itself

Abstract

BACKGROUND AND

objectiveInhaled corticosteroids (ICS) reduce asthma-related morbidity and mortality. However, ICS non-adherence is more common in African American (AA) adults than White adults and explains, in part, the marked asthma disparities that AAs experience. We aimed to understand how ICS non-adherence could be addressed from the perspective of AA adults with asthma, their family, and friends.

methodsWe held six focus groups at two urban federally qualified health centers separately with adult asthma patients (n = 2), patients' family/friends (n = 2), and patients and family/friends together (n = 2). Qualitative descriptive methodology guided the design and the conduct of focus groups. Verbatim transcripts were analyzed by three coders working independently using conventional content analysis to capture responses to interview questions and identify emergent categories.

resultsForty-six AA adults participated (32 patients, 14 family/friends); 67% were female. Participants stated that ICS adherence could be improved if they were heard, respected, and received patient-centered care, and if providers highlighted the risk of ICS non-adherence at clinic visits. Though not explicitly described by participants as shared decision-making (SDM), what they described included many essential elements of SDM.

conclusionsParticipants desired SDM and offered reasons for ICS non-adherence that could be used to inform an SDM intervention for clinical application. Strategies informed by the recipients of care and delivered by providers during routine office visits offer a scalable approach to narrowing asthma disparities experienced by AA adults.

trial registrationClinicalTrials.gov identifier NCT03036267.

Indexed as

Administration, InhalationAdrenal Cortex HormonesAdultAsthmaBlack or African AmericanFemaleFocus GroupsHumansMaleMedication AdherenceMiddle AgedPatient-Centered CareSafety-net ProvidersAdrenal Cortex Hormones

Identifiers

PMID31414396
PMCPMC6960328

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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.