Evidence map›Paper›PMID 33516200›Full record

SynthesisBMC public health2021

A conceptual model of functional health literacy to improve chronic airway disease outcomes.

Iraj Poureslami, Noah Tregobov, Jessica Shum, Austin McMillan, Alizeh Akhtar, Saron Kassay, Kassandra Starnes, Maryam Mahjoob, J Mark FitzGerald

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01474928 (Asthma and Health Literacy in Newcomer Communities in the Greater Vancouver Area), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT01474928 nacompletednot on this map

Asthma and Health Literacy in Newcomer Communities in the Greater Vancouver Area (GVA): A Population-based Qualitative Study

TypeinterventionalSponsorUniversity of British ColumbiaRan2009 to 2014Enrolled92ConditionsAsthmaArmspatient role played community video, both videos group, Pamphlet group, physician-led knowledge video, Community video group
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. TeleHealth or TeleWealth? Equity challenges for the future of cystic fibrosis care (Commentary).Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
    Article
  5. An Integrated Framework to Conceptualize and Develop the Vancouver Airways Health Literacy Tool (VAHLT).International journal of environmental research and public health · 2021
    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

9 authors.

Iraj PoureslamiUniversity of British Columbia and VGH Divisions of Respiratory Medicine, Centre for Lung Health, Vancouver Coastal Health Research Institute, Gordon and Leslie Diamond Health Care Centre, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada. iraj.poureslami@ubc.ca.ORCID 0000-0003-2878-7776
Noah TregobovUniversity of British Columbia and VGH Divisions of Respiratory Medicine, Centre for Lung Health, Vancouver Coastal Health Research Institute, Gordon and Leslie Diamond Health Care Centre, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada.
Jessica ShumRespiratory Medicine Division, Department of Medicine, University of British Columbia, Gordon and Leslie Diamond Health Care Centre, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada.
Austin McMillanQueen's University, 94 University Avenue, Kingston, ON, K7L 3N6, Canada.
Alizeh AkhtarSchool of Medicine, Brookfield Health Sciences Complex, University College Cork, College Road, T12 AK54, Cork, IE-M, Ireland.
Saron KassayFaculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.
Kassandra StarnesFaculty of Law, University of Windsor, 401 Sunset Ave, Windsor, ON, N9B 3P4, Canada.
Maryam MahjoobUniversity of British Columbia and VGH Divisions of Respiratory Medicine, Centre for Lung Health, Vancouver Coastal Health Research Institute, Gordon and Leslie Diamond Health Care Centre, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada.
J Mark FitzGeraldUniversity of British Columbia and VGH Divisions of Respiratory Medicine, Centre for Lung Health, Vancouver Coastal Health Research Institute, Gordon and Leslie Diamond Health Care Centre, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada.

Funding

Canadian Institutes for Health Research 20R24515
6 · The paper itself

Abstract

backgroundCurrent conceptual models of health literacy (HL) illustrate the link between HL and health outcomes. However, these models fail to recognize and integrate certain elements of disease management, health system factors, and socio-demographic factors into their framework. This article outlines the development of Chronic Airway Disease (CAD) Management and Health Literacy (CADMaHL) conceptual model that integrates the aforementioned elements and factors into a single framework.

methodsInformation obtained during the following stages informed the development of our model: (1) a systematic review of existing CAD HL measurement tools that apply core HL domains; (2) patient-oriented focus group sessions to understand HL barriers to CAD self-management practices; (3) key-informant interviews to obtain potential strategies to mitigate CAD management barriers, and validate disease self-management topics; (4) elicited the perspectives of Canadian respirologist's on the ideal functional HL skills for asthma and COPD patients.

resultsThroughout the study process many stakeholders (i.e., patients, key-informants, and an international HL advisory panel) contributed to and reviewed the model. The process enabled us to organize the CADMaHL model into 6 primary modules, including: INPUT, consisting of four HL core components (access, understand, communicate, evaluate,) and numeracy skills; OUTPUT, including application of the obtained information; OUTCOME, covering patient empowerment in performing self-management practices by applying HL skills; ASSESSMENT, consisting of information about functionality and relevancy of CADMaHL; IMPACT, including mediators between HL and health outcomes; CROSSCUTTING FACTORS, consisting of diverse socio-demographics and health-system factors with applicability across the HL domains.

conclusionsWe developed the CADMaHL model, with input from key-stakeholders, which addresses a knowledge gap by integrating various disease management, health-system and socio-demographic factors absent from previous published frameworks. We anticipate that our model will serve as the backbone for the development of a comprehensive HL measurement tool, which may be utilized for future HL interventions for CAD patients.

trial registrationNCT01474928 - Date of registration: 11/26/2017.

Indexed as

AsthmaHealth LiteracyPulmonary Disease, Chronic ObstructiveSelf-ManagementCanadaHumansAsthmaChronic airway disease managementCOPDFunctional skillsHealth literacyMeasurement tool

Identifiers

PMID33516200
PMCPMC7847605

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.