Readability, suitability, and characteristics of asthma action plans: Examination of factors that may impair understanding

Pediatrics

Volumn 131, Issue 1, 2013, Pages

  Yin, H Shonna ^a   Gupta, Ruchi S ^b   Tomopoulos, Suzy ^a   Wolf, Michael S ^c   Mendelsohn, Alan L ^a   Antler, Lauren ^a   Sanchez, Dayana C ^a   Lau, Claudia Hillam ^d   Dreyer, Benard P ^a  

^a BELLEVUE HOSPITAL CENTER   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

^c NORTHWESTERN UNIVERSITY   (United States)

^d CHILDREN'S MEMORIAL HOSPITAL   (United States)

Author keywords

Asthma; Disease management; Health literacy; Literacy; Patient education; Patientdoctor communication; Practice guidelines; Readability; Suitability

Indexed keywords

ARTICLE; ASTHMA; CHILD; CHILD HEALTH CARE; CLINICAL FEATURE; HEALTH CARE PLANNING; HEALTH LITERACY; HUMAN; OUTCOME ASSESSMENT; PEAK EXPIRATORY FLOW; PRIORITY JOURNAL; READING; SCORING SYSTEM; SKILL;

ASTHMA; COMPREHENSION; DISEASE MANAGEMENT; EDUCATIONAL STATUS; HEALTH LITERACY; HUMANS; PATIENT EDUCATION AS TOPIC; READING;

EID: 84872844634     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2012-0612     Document Type: Article

References (54)

1. Bloom B, Cohen RA, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2007. Vital and Health Statistics. Series 10, Data From the National Health Survey. 2009(239):1-80
2. Akinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics. 2009; 123(suppl 3):S131-S145
3. Lara M, Akinbami L, Flores G, Morgenstern H. Heterogeneity of childhood asthma among Hispanic children: Puerto Rican children bear a disproportionate burden. Pediatrics. 2006;117(1):43-53
4. National Asthma Education and Prevention Program Expert Panel Report 3. Guidelines for the Diagnosis and Management of Asthma (NIH Publication Number 08-5864). Bethesda, MD: National Heart, Lung, and Blood Institute; 2007
5. National Asthma Council Australia. Asthma Management Handbook. Melbourne, Australia: National Asthma Council Australia Ltd; 2006
6. British Thoracic Society, Scottish Intercollegiate Guidelines Network. British Guideline on the Management of Asthma: A national clinical guideline. Edinburgh, Scotland: NHS Quality Improvement Scotland; 2009
7. Bhogal S, Zemek R, Ducharme FM. Written action plans for asthma in children. Cochrane Database Syst Rev. 2006;3(3):CD005306
8. Dinakar C, Van Osdol TJ, Wible K. How frequent are asthma exacerbations in a pediatric primary care setting and do written asthma action plans help in their management? J Asthma. 2004;41(8):807-812
9. Lieu TA, Quesenberry CP Jr, Capra AM, Sorel ME, Martin KE, Mendoza GR. Outpatient management practices associated with reduced risk of pediatric asthma hospitalization and emergency department visits. Pediatrics. 1997;100(3 pt 1):334-341
10. Ducharme FM, Bhogal SK. The role of written action plans in childhood asthma. Curr Opin Allergy Clin Immunol. 2008;8(2):177-188
11. Zemek RL, Bhogal SK, Ducharme FM. Systematic review of randomized controlled trials examining written action plans in children: What is the plan? Arch Pediatr Adolesc Med. 2008;162(2):157-163
12. Agrawal SK, Singh M, Mathew JL, Malhi P. Efficacy of an individualized written homemanagement plan in the control of moderate persistent asthma: A randomized, controlled trial. Acta Paediatr. 2005;94(12): 1742-1746
13. Kutner MA, Greenberg E, Jin Y, Paulsen C. The Health Literacy of America's Adults: Results From the 2003 National Assessment of Adult Literacy. Washington, DC: United States Department of Education; 2006
14. Akinbami LJ, Moorman JE, Liu X. Asthma Prevalence, Health Care Use, and Mortality: United States, 2005-2009. Hyattsville, MD: National Center for Health Statistics; 2011
15. Moorman JE. Current Asthma Prevalence-United States, 2006-2008. Atlanta, GA: Centers for Disease Control and Prevention; 2011
16. Gupta RS, Springston EE, Weiss KB. Eliminating asthma disparities: Is there evidence of progress? Curr Opin Pulm Med. 2009;15(1):72-78
17. Doak CC, Doak LG, Root JH. Teaching Patients With Low Literacy Skills. 2nd ed. Philadelphia, PA: J.B. Lippincott Company; 1996
18. Davis TC, Wolf MS. Health literacy: Implications for family medicine. Fam Med. 2004;36 (8):595-598
19. Herndon JB, Chaney M, Carden D. Health literacy and emergency department outcomes: A systematic review. Ann Emerg Med. 2011;57(4):334-345
20. Bonk RJ. Enhancing comprehension through suitability: An analysis of the US Medicare plan handbook. J Commun Healthcare. 2011; 4(3):178-186
21. Forbis SG, Aligne CA. Poor readability of written asthma management plans found in national guidelines. Pediatrics. 2002;109 (4). Available at: Www.pediatrics.org/cgi/content/full/109/4/e52
22. Bauman A. The comprehensibility of asthma education materials. Patient Educ Couns. 1997;32(suppl 1):S51-S59
23. Weiss BD. Health Literacy and Patient Safety: Help Patients Understand. Chicago, IL: American Medical Association Foundation; 2007
24. Report of the National Work Group on Literacy and Health. Communicating with patients who have limited literacy skills. J Fam Pract. 1998;46(2):168-176
25. US Department of Health and Human Services. Healthy People 2020. 2012. Available at: Www.healthypeople.gov/2020/default. aspx. Accessed February 13, 2012
26. US Department of Health and Human Services. National Action Plan to Improve Health Literacy. Washington, DC: US Department of Health and Human Services; 2010
27. Blumenthal D, Tavenner M. The "meaningful use" regulation for electronic health records. N Engl J Med. 2010;363(6):501-504
28. Flesch R. A new readability yardstick. J Appl Psychol. 1948;32(3):221-233
29. Kincaid JP, Fishburne RP, Rogers RL, Chissom BS. Derivation of New Readability Formulas (Automated Readability Index, FOG Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel. Memphis, TN: Naval Air Station; 1975
30. Gunning R. The Technique of Clear Writing. New York, NY: McGraw-Hill; 1952
31. McLaughlin GH. SMOG grading-a new readability formula. J Read. 1969;12(8):639-646
32. Caylor JS, Stitch TG, Fox LC, Ford JP. Methodologies for Determining Reading Requirements of Military Occupational Specialties. Alexandria, VA: Human Resources Research Organization; 1973
33. Health Literacy Innovations. National Survey of Medicaid Guidelines for Health Literacy. Bethesda, MD: Health Literacy Innovations; 2007
34. Wallace LS, DeVoe JE, Hansen JS. Assessment of Children's Public Health Insurance Program enrollment applications: A health literacy perspective. J Pediatr Health Care. 2011;25(2):133-137
35. Badarudeen S, Sabharwal S. Readability of patient education materials from the American Academy of Orthopaedic Surgeons and Pediatric Orthopaedic Society of North America web sites. J Bone Joint Surg Am. 2008;90(1):199-204
36. Friedman DB, Hoffman-Goetz L. A systematic review of readability and comprehension instruments used for print and web-based cancer information. Health Educ Behav. 2006;33(3):352-373
37. Wolf MS, Davis TC, Shrank WH, Neuberger M, Parker RM. A critical review of FDAapproved Medication Guides. Patient Educ Couns. 2006;62(3):316-322
38. Weintraub D, Maliski SL, Fink A, Choe S, Litwin MS. Suitability of prostate cancer education materials: Applying a standardized assessment tool to currently available materials. Patient Educ Couns. 2004;55(2):275-280
39. Finnie RK, Felder TM, Linder SK, Mullen PD. Beyond reading level: A systematic review of the suitability of cancer education print and Web-based materials. J Cancer Educ. 2010;25(4):497-505
40. Chapman KR, Boulet LP, Rea RM, Franssen E. Suboptimal asthma control: Prevalence, detection and consequences in general practice. Eur Respir J. 2008;31(2):320-325
41. Leversha AM, Campanella SG, Aickin RP, Asher MI. Costs and effectiveness of spacer versus nebulizer in young children with moderate and severe acute asthma. J Pediatr. 2000;136(4):497-502
42. Committee on Health Literacy. Health Literacy: A Prescription to End Confusion. Washington, DC: The National Academies Press; 2004
43. Center for Disease Control and Prevention. Health Literacy for Public Health Professionals. Atlanta, GA: Center for Disease Control and Prevention; 2009
44. Weiss BD. Health Literacy and Patient Safety: Help Patients Understand. Chicago, IL: American Medical Association Foundation and American Medical Association; 2007
45. Houts PS, Doak CC, Doak LG, Loscalzo MJ. The role of pictures in improving health communication: A review of research on attention, comprehension, recall, and adherence. Patient Educ Couns. 2006;61(2):173-190
46. Gibson PG, Powell H. Written action plans for asthma: An evidence-based review of the key components. Thorax. 2004;59(2):94-99
47. Rank MA, Volcheck GW, Li JT, Patel AM, Lim KG. Formulating an effective and efficient written asthma action plan. Mayo Clin Proc. 2008;83(11):1263-1270
48. Stoloff SW. Help patients gain better asthma control. J Fam Pract. 2008;57(9):594-602
49. Ring N, Jepson R, Hoskins G, et al. Understanding what helps or hinders asthma action plan use: A systematic review and synthesis of the qualitative literature. Patient Educ Couns. 2011;85(2):131-143
50. Beauchesne MF, Levert V, El Tawil M, Labrecque M, Blais L. Action plans in asthma. Can Respir J 2006;13(6):306-310
51. Sulaiman N, Aroni R, Thien F, et al. Written Asthma Action Plans (WAAPs) in Melbourne general practices: A sequential mixed methods study. Prim Care RespirJ. 2011;20(2):161-169
52. Gupta RS, Weiss KB. The 2007 National Asthma Education and Prevention Program asthma guidelines: Accelerating their implementation and facilitating their impact on children with asthma. Pediatrics. 2009;123(suppl 3):S193-S198
53. Wolff K, Cavanaugh K, Malone R, et al. The Diabetes Literacy and Numeracy Education Toolkit (DLNET): Materials to facilitate diabetes education and management in patients with low literacy and numeracy skills. Diabetes Educ. 2009;35(2):233-236, 238-241, 244-245
54. DeWalt DA, Malone RM, Bryant ME, et al. A heart failure self-management program for patients of all literacy levels: A randomized, controlled trial [ISRCTN11535170]. BMC Health Serv Res. 2006;6:30