H. Shonna Yin|Ruchi Gupta|Suzy Tomopoulos|Alan L. Mendelsohn|Maureen Egan|Linda van Schaick|Michael S. Wolf|Dayana C. Sanchez|Christopher Warren|Karen Encalada|Benard P. Dreyer
A Low-Literacy Asthma Action Plan to Improve Provider Asthma Counseling: A Randomized Study
Bellevue Hospital Center|New York University|Lurie Children's Hospital|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University|Icahn School of Medicine at Mount Sinai|Bellevue Hospital Center|New York University|Northwestern University|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University
use written asthma action plans waaps associated reduced asthmarelated morbidity concerns complexity developed health literacyinformed pictogram photographbased waap examined whether providers used training would better asthma counseling quality compared used standard planphysicians 2 academic centers randomized use lowliteracy standard action plan american academy allergy asthma immunology counsel hypothetical parent child moderate persistent asthma regimen flovent 110 g 2 puffs twice daily singulair 5 mg daily albuterol 2 puffs every 4 hours needed two blinded raters independently reviewed counseling transcriptionsmedication instructions presented times day eg morning night vs number times per day inhaler color spacer use recommended need everyday medications even sick addressed explicit symptoms used119 providers randomly assigned 61 low literacy 58 standard providers used lowliteracy plan likely use times day eg flovent morning night 967 vs 517 p 001 odds ratio 275 95 confidence interval ci 611234 recommend spacer use eg albuterol 836 vs 431 p 001 67 95 ci 29158 address need daily medications sick 934 vs 345 p 001 271 95 ci 86854 use explicit symptoms eg ribs show breathing 541 vs 34 p 001 330 95 ci 741475 mentioned inhaler color mean sd counseling time similar 39 25 vs 38 26 minutes p 8use lowliteracy waap improves quality asthma counseling helping providers target key issues using recommended clear communication principles