Maureen George|Maxim Topaz|Cynthia S. Rand|Marilyn Sommers|Karen Glanz|Michael V. Pantalon|Jun J. Mao|Judy A. Shea
Inhaled corticosteroid beliefs, complementary and alternative medicine, and uncontrolled asthma in urban minority adults
University of Pennsylvania|University of Haifa|University of Pennsylvania|Johns Hopkins Medicine|Johns Hopkins University|University of Pennsylvania|University of Pennsylvania|Yale University|University of Pennsylvania|University of Pennsylvania
many factors contribute uncontrolled asthma negative inhaled corticosteroid ics beliefs complementary alternative medicine cam endorsement 2 prevalent black compared white adultsthis mixedmethods study 1 developed psychometrically tested brief selfadministered tool low literacy demands identify negative ics beliefs cam endorsement 2 evaluated clinical utility tool communication prompt primary carecomprehensive literature reviews content experts identified candidate items instrument distributed 304 subjects psychometric testing second phase content analysis 33 audiorecorded primary care visits provided preliminary evaluation instruments clinical utilitypsychometric testing instrument identified 17 items representing ics beliefs 59 cam endorsement 68 testretest analysis demonstrated high level reliability intraclass correlation coefficient 077 cam items 079 ics items found high rates cam endorsement 93 negative ics beliefs 68 uncontrolled asthma 69 cam endorsement significantly associated uncontrolled asthma p 04 qualitative data analysis provided preliminary evidence instruments clinical utility knowledge ics beliefs cam endorsement prompted providers initiate discussions patientsnegative ics beliefs cam endorsement common associated uncontrolled asthma brief selfadministered instrument identifies beliefs behaviors likely undermine ics adherence might leveraging tool change content communications clinic visits