Evidence map›Paper›PMID 33111610›Full record

ArticleJournal of primary care & community health

Real-world Drivers Behind Communication, Medication Adherence, and Shared Decision Making In Minority Adults with Asthma.

Allison A Norful, Ani Bilazarian, Annie Chung, Maureen George

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
2.7field-weighted citation impact, top 8% 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  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. Article
  3. Article
  4. Exploring Barriers to Medication Adherence Among African American Emerging Adults With Uncontrolled Asthma.Health education & behavior : the official publication of the Society for Public Health Education · 2023
    Article
  5. Review
  6. Article
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 at 2 institutions in 1 country.

Allison A NorfulColumbia University School of Nursing, New York, NY, USA.ORCID 0000-0002-6202-058X
Ani BilazarianColumbia University School of Nursing, New York, NY, USA.
Annie ChungUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Maureen GeorgeColumbia University School of Nursing, New York, NY, USA.
Columbia University · USUniversity of Pennsylvania · US

Funding

NRSA Training CoreTL1TR001875 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPANN, MARISA N, TAYLOR, JACQUELYN Y · 2016 to 2025
$8.9M
Self-care decision-making: Feasibility of the BREATHE asthma intervention trialR21NR016507 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GEORGE, MAUREEN · 2016 to 2017
$456k
NCATS NIH HHS TL1 TR001875NINR NIH HHS R21 NR016507
6 · The paper itself

Abstract

backgroundInhaled corticosteroids (ICS) are the foundation of asthma management. However, ICS non-adherence is common. Black adults have lower ICS adherence than white adults, which likely contributes, in part, to the asthma disparities that Black adults experience.

objectiveTo explore how Black adults with uncontrolled asthma and their primary care providers communicated about ICS non-adherence and used shared decision-making to identify strategies to increase ICS use.

designEighty routine clinical visits for uncontrolled asthma were audio recorded and inductively analyzed using methods adapted from grounded theory methodology.

participantsStudy participants included 80 Black adults (83% female) largely low-income (83% Medicaid) and their 10 primary care providers. The study settings were 2 Federally Qualified Health Centers. KEY

resultsThree overarching themes were identified: (1) ICS misuse and lack of knowledge; (2) external influences informed personal misconceptions about ICS; and (3) patient-provider communication to individualize plan of care.

conclusionsReasons for ICS non-adherence in Black adults with uncontrolled asthma offer potential targets for interventions that facilitate enhanced adherence. Future research should include PCP training on strategies that support patient-centered care, such as communication, shared decision-making and patient engagement.

Indexed as

AsthmaDecision Making, SharedAdministration, InhalationAdrenal Cortex HormonesAdultCommunicationFemaleHumansMaleMedication AdherenceAdrenal Cortex Hormonesasthmamedication adherenceminority populationpatient communicationshared decision making

Identifiers

PMID33111610
PMCPMC7786414
OpenAlexW3096896602

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.