Katie Kiser|Daniel E Jonas|Zachary Warner|Kelli Scanlon|Betsy Bryant Shilliday|Darren A. DeWalt
A Randomized Controlled Trial of a Literacy-Sensitive Self-Management Intervention for Chronic Obstructive Pulmonary Disease Patients
University of Maryland, Baltimore|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
low literacy skills common associated variety poor health outcomes may particularly important patients chronic illnesses chronic obstructive pulmonary disease copd require appropriate inhaler technique maintain quality life avoid exacerbationsto explore impact literacysensitive selfmanagement intervention inhaler technique scores copd patients determine effects differ literacyrandomized controlled trialninetynine patients copdpatients randomly assigned oneonone selfmanagement educational intervention usual care intervention focused inhaler technique smoking cessation using copd action planat baseline inhaler technique assessment literacy assessment healthrelated quality life questionnaires pulmonary function tests completed inhaler technique reevaluated two eight weeksmean age 63 65 female 69 caucasian moderate copd severity average 36 low literacy moderately impaired healthrelated quality life similar baseline metered dose inhaler technique scores patients intervention group greater mean improvement baseline metered dose inhaler technique score compared usual care group difference mean change 21 95 ci 11 30 patients intervention group also greater mean improvements metered dose inhaler technique score usual care group whether low health literacy difference mean change 28 95 ci 06 49 higher health literacy 18 95 ci 07 29a literacysensitive selfmanagement intervention lead improvements inhaler technique benefits patients low higher health literacy