Hugo Bes-Berlandier, Benjamin Coiffard, Julien Bermudez, Nadine Demazes-Dufeu, Bérengère Coltey, Céline Boschi, Philippe Colson, Sami Hraiech, Martine Reynaud-Gaubert, Nadim Cassir
Management of immunosuppression in lung transplant recipients and COVID-19 outcomes: an observational retrospective cohort-study
BMC infectious diseases
current conceptual models health literacy hl illustrate link hl health outcomes however models fail recognize integrate certain elements disease management health system factors sociodemographic factors framework article outlines development chronic airway disease cad management health literacy cadmahl conceptual model integrates aforementioned elements factors single framework information obtained following stages informed development model 1 systematic review existing cad hl measurement tools apply core hl domains 2 patientoriented focus group sessions understand hl barriers cad selfmanagement practices 3 keyinformant interviews obtain potential strategies mitigate cad management barriers validate disease selfmanagement topics 4 elicited perspectives canadian respirologists ideal functional hl skills asthma copd patients throughout study process many stakeholders ie patients keyinformants international hl advisory panel contributed reviewed model process enabled us organize cadmahl model 6 primary modules including input consisting four hl core components access understand communicate evaluate numeracy skills output including application obtained information outcome covering patient empowerment performing selfmanagement practices applying hl skills assessment consisting information functionality relevancy cadmahl impact including mediators hl health outcomes crosscutting factors consisting diverse sociodemographics healthsystem factors applicability across hl domains developed cadmahl model input keystakeholders addresses knowledge gap integrating various disease management healthsystem sociodemographic factors absent previous published frameworks anticipate model serve backbone development comprehensive hl measurement tool may utilized future hl interventions cad patients nct01474928 date registration 11262017