The impact of caregiver health literacy on healthcare outcomes for low income minority children with asthma.

The aim of this exploratory study was to assess the impact of caregiver health literacy (HL) on health care outcomes for their child with asthma. Caregiver dyads across two different healthcare delivery systems completed a battery of validated asthma outcome instruments, including the Newest Vital Sign™ as a measure of HL for the caregivers of children ages 7-18 y. Utilization history was obtained through the electronic medical record.

Effective education parameters for trigger remediation in underserved children with asthma: A systematic review.

Objectives: The prevalence of asthma is highest in minority children living in urban areas. Pediatric asthma research has focused on self-management education and trigger remediation using a multi-trigger, multi-component educational intervention approach. The purpose of this systematic review was to identify common educational parameters of these proposed interventions.

The impact of peer support and mp3 messaging on adherence to inhaled corticosteroids in minority adolescents with asthma: a randomized, controlled trial.

Background: Poor adherence to inhaled corticosteroids (ICS) is a critical risk factor contributing to asthma morbidity among low-income minority adolescents.

Objective: This trial tested whether peer support group meetings and peer asthma messages delivered via mp3 players improved adherence to ICS.

Methods: Low-income African American and/or Hispanic adolescents, ages 11-16 years old, with persistent asthma, and poor (≤ 48%) adherence to prescription ICS during the 3-week run-in were randomized to intervention or attention control groups (ATG) for the 10-week treatment.

Factors associated with levels of adherence to inhaled corticosteroids in minority adolescents with asthma.

Background: Nonadherence to inhaled corticosteroids (ICS) is a significant risk factor for poor asthma outcomes in minority adolescents with persistent asthma.

Objective: To identify factors associated with nonadherence to daily ICS in this target population.

Methods: Adolescents 11 to 16 years old, self-identified as African American or Hispanic, diagnosed with persistent asthma and with an active prescription for daily ICS were invited to participate.