Michael K. Paasche?Orlow|Kristin A. Riekert|Andrew Bilderback|Arjun Chanmugam|Peter Hill|Cynthia S. Rand|Fred Brancati|Jerry A. Krishnan
Tailored Education May Reduce Health Literacy Disparities in Asthma Self-Management
Boston University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins Medicine|Boston University|Johns Hopkins University|Johns Hopkins Medicine|Boston University|Johns Hopkins University|Johns Hopkins Medicine|Boston University|Johns Hopkins University|Johns Hopkins Medicine|Boston University|Johns Hopkins University|Johns Hopkins Medicine|Boston University|Johns Hopkins University|Johns Hopkins Medicine|Boston University|Johns Hopkins University|Johns Hopkins Medicine|Boston University|Johns Hopkins University
although inadequate health literacy associated lower asthma medication knowledge worse metereddose inhaler mdi technique relationship health literacy capacity learn asthma selfmanagement skills unknownin prospective cohort study adults hospitalized severe asthma exacerbations two innercity hospitals examined relationship inadequate health literacy difficulties learning retaining instructions discharge medications appropriate mdi techniqueat hospital discharge participants received oneonone 30min guidelinebased written oral instruction asthma discharge regimen well appropriate mdi techniqueseventythree patients enrolled inadequate health literacy identified 16 22 participants instruction inadequate health literacy associated lower asthma medication knowledge 5210 vs 7210 p 0001 worse mdi technique 326 vs 396 p 003 however inadequate health literacy associated difficulty learning p 033 retaining p 035 instructions discharge regimen similarly inadequate health literacy associated difficulty learning p 026 retaining p 097 appropriate mdi technique results similar multivariable models adjusted demographic characteristics asthma severity indicatorsthese findings suggest inadequate health literacy surmountable barrier learning remembering key asthma selfmanagement skills