ArticleAnnals of internal medicine2020
Awareness, Attitudes, and Actions Related to COVID-19 Among Adults With Chronic Conditions at the Onset of the U.S. Outbreak: A Cross-sectional Survey.
Article in Annals of internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04715815 (Effects of COVID-19 on Chronic Pain Patients in Terms of Pain and Pain Management), which is not on this map. Cited by 307 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Effects of COVID-19 on Chronic Pain Patients in Terms of Pain and Pain Management
Who cites it
307 citing papers in PubMed, 5 syntheses or guidelines pooled it, 594 citations in OpenAlex.
- Pandemic-related health literacy: a systematic review of literature in COVID-19, SARS and MERS pandemics.Singapore medical journal · 2025Pooled it
- Pattern and associated factors of COVID-19 knowledge, attitude and practice (KAP) among COVID-19-comorbid patients: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- The Impact of the COVID-19 Pandemic on Patients With CKD: Systematic Review of Qualitative Studies.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023Pooled it
- Factors Associated with the Implementation of Non-Pharmaceutical Interventions for Reducing Coronavirus Disease 2019 (COVID-19): A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Society of behavioral medicine statement on COVID-19 and rural health.Translational behavioral medicine · 2021Guideline
- The effectiveness of a health education intervention to reduce anxiety in quarantined COVID-19 patients: a randomized controlled trial.BMC public health · 2023Trial
- Awareness about Coronavirus (COVID-19) and challenges for blood services among potential blood donors.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2021Trial
- Instructional interventions for improving COVID-19 knowledge, attitudes, behaviors: Evidence from a large-scale RCT in India.Social science & medicine (1982) · 2021Trial
- Heterogeneity in the psychological antecedents of influenza vaccination among Chinese older adults: A 5C model approach.Human vaccines & immunotherapeutics · 2026Article
- COVID-19 Knowledge, Attitudes, and Practices and Perceived Risk: Cross-Sectional Mixed Methods Study.JMIR formative research · 2026Article
- Impact of Vaccination-Differentiated Public Health and Social Measures on Vaccine Uptake Among the Vaccine Hesitant.AJPM focus · 2026Article
- Food insecurity and COVID-19-related experiences among people with HIV: A mixed methods analysis and conceptual framework.PloS one · 2026Article
- Article
- Navigating Health Care in Crises: Health Literacy and Treatment Adherence Among Hemodialysis Patients in Lebanon.Kidney medicine · 2025Article
- Brain Health Attitudes, Awareness and Actions in Middle-Aged Latinos.Journal of immigrant and minority health · 2025Article
- Development and evaluation of the patient engagement questionnaire (PEQ).PEC innovation · 2025Article
- Epidemic-induced local awareness behavior inferred from surveys and genetic sequence data.Nature communications · 2025Article
- Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults.Scientific reports · 2025Article
- A survey of perceptions and behavioural responses towards the COVID-19 pandemic in South Africa.African journal of primary health care & family medicine · 2025Article
- Knowledge, perception, and attitude toward COVID-19 vaccines in the Ho township, Volta region.Frontiers in public health · 2025Article
247 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe evolving outbreak of coronavirus disease 2019 (COVID-19) is requiring social distancing and other measures to protect public health. However, messaging has been inconsistent and unclear.
objectiveTo determine COVID-19 awareness, knowledge, attitudes, and related behaviors among U.S. adults who are more vulnerable to complications of infection because of age and comorbid conditions.
designCross-sectional survey linked to 3 active clinical trials and 1 cohort study.
setting5 academic internal medicine practices and 2 federally qualified health centers. PATIENTS: 630 adults aged 23 to 88 years living with 1 or more chronic conditions. MEASUREMENTS: Self-reported knowledge, attitudes, and behaviors related to COVID-19.
resultsA fourth (24.6%) of participants were "very worried" about getting the coronavirus. Nearly a third could not correctly identify symptoms (28.3%) or ways to prevent infection (30.2%). One in 4 adults (24.6%) believed that they were "not at all likely" to get the virus, and 21.9% reported that COVID-19 had little or no effect on their daily routine. One in 10 respondents was very confident that the federal government could prevent a nationwide outbreak. In multivariable analyses, participants who were black, were living below the poverty level, and had low health literacy were more likely to be less worried about COVID-19, to not believe that they would become infected, and to feel less prepared for an outbreak. Those with low health literacy had greater confidence in the federal government response. LIMITATION: Cross-sectional study of adults with underlying health conditions in 1 city during the initial week of the COVID-19 U.S. outbreak.
conclusionMany adults with comorbid conditions lacked critical knowledge about COVID-19 and, despite concern, were not changing routines or plans. Noted disparities suggest that greater public health efforts may be needed to mobilize the most vulnerable communities. PRIMARY FUNDING SOURCE: National Institutes of Health.
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What OpenQuestion holds
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.