Evidence map›Paper›PMID 34788658›Full record

ArticleThe journal of allergy and clinical immunology. In practice2022

The Impact of Adherence and Health Literacy on Difficult-to-Control Asthma.

Sandra E Zaeh, Rachelle Ramsey, Bruce Bender, Kevin Hommel, Giselle Mosnaim, Cynthia Rand

Abstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Improving Adherence in Urban Youth With Asthma: Role of Community Health Workers.The journal of allergy and clinical immunology. In practice · 2022
    Trial
  2. Consistent adherence to biologic therapies is critical for improving outcomes in asthma.The journal of allergy and clinical immunology. Global · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. An Overview of Adherence-What It Is and Why It Is Important.The journal of allergy and clinical immunology. In practice · 2024
    Review
  13. Asthma severity: the patient's point of view.European clinical respiratory journal · 2024
    Article
  14. Effect of an Asthma Exacerbation on Medication Adherence.The journal of allergy and clinical immunology. In practice · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sandra E ZaehDivision of Pulmonary, Critical Care, and Sleep Medicine, Yale School of Medicine, New Haven, Conn. Electronic address: sandra.zaeh@yale.edu.
Rachelle RamseyDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Bruce BenderDepartment of Pediatrics, National Jewish Health, Denver, Colo.
Kevin HommelDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Giselle MosnaimDivision of Pulmonary, Allergy and Critical Care, Department of Medicine, NorthShore University Health System, Evanston, Ill.
Cynthia RandDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Md.

Funding

Using technology-assisted stepped-care interventions to improve adherence in adolescents with asthmaK23HL139992 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI RAMSEY, RACHELLE R. · 2019 to 2023
$868k
Understanding the Impact of School Environment on Asthma Outcomes to Inform ImplementationF32HL149195 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ZAEH, SANDRA · 2019 to 2020
$143k
NHLBI NIH HHS F32 HL149195NHLBI NIH HHS K23 HL139992
6 · The paper itself

Abstract

Medication nonadherence and health literacy are key factors that influence the management of difficult-to-control asthma. Adherence, or the extent to which a patient follows a treatment plan, extends beyond asthma medication use and includes an appropriate inhaler technique. Assessment of adherence is critical before making a diagnosis of severe asthma and stepping up asthma therapy but is challenging in the clinical context. Health literacy, or the degree to which individuals can obtain, process, and understand health information and services needed to make health care decisions, is additionally important for asthma management and has been shown to impact medication adherence. Initiatives aiming to improve difficult-to-control asthma should address medication adherence and health literacy. Universal health literacy precautions are recommended while communicating with patients, in addition to the creation of low health literacy asthma action plans. To improve adherence, a comprehensive assessment of adherence should be conducted. Additional evidence-based interventions aiming to improve adherence focus on appropriate inhaler use, improved access to medications, the use of digital platforms, school-based asthma interventions, and the implementation of culturally tailored interventions. Data are limited regarding the use of these initiatives in patients with severe or difficult-to-control asthma.

Indexed as

AsthmaHealth LiteracyHumansMedication AdherenceNebulizers and VaporizersAdherenceDifficult-to-control asthmaHealth literacyInterventions

Identifiers

PMID34788658
PMCPMC10207170

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.