Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions
Abstract Respiratory self-care places considerable demands on patients with chronic airways disease (AD), as they must obtain, understand and apply information required to follow their complex treatment plans. If clinical and lifestyle information overwhelms patients’ HL capacities, it reduces their...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Respiratory Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12931-022-02290-5 |
| _version_ | 1797977281605402624 |
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| author | Iraj Poureslami J. Mark FitzGerald Noah Tregobov Roger S. Goldstein M. Diane Lougheed Samir Gupta |
| author_facet | Iraj Poureslami J. Mark FitzGerald Noah Tregobov Roger S. Goldstein M. Diane Lougheed Samir Gupta |
| author_sort | Iraj Poureslami |
| collection | DOAJ |
| description | Abstract Respiratory self-care places considerable demands on patients with chronic airways disease (AD), as they must obtain, understand and apply information required to follow their complex treatment plans. If clinical and lifestyle information overwhelms patients’ HL capacities, it reduces their ability to self-manage. This review outlines important societal, individual, and healthcare system factors that influence disease management and outcomes among patients with asthma and chronic obstructive pulmonary disease (COPD)—the two most common ADs. For this review, we undertook a comprehensive literature search, conducted reference list searches from prior HL-related publications, and added insights from international researchers and scientists with an interest in HL. We identified methodological limitations in currently available HL measurement tools in respiratory care. We also summarized the issues contributing to low HL and system-level cultural incompetency that continue to be under-recognized in AD management and contribute to suboptimal patient outcomes. Given that impaired HL is not commonly recognized as an important factor in AD care, we propose a three-level patient-centered model (strategies) designed to integrate HL considerations, with the goal of enabling health systems to enhance service delivery to meet the needs of all AD patients. |
| first_indexed | 2024-04-11T05:05:27Z |
| format | Article |
| id | doaj.art-9ac3933d64ea4780b5e0732139ac5025 |
| institution | Directory Open Access Journal |
| issn | 1465-993X |
| language | English |
| last_indexed | 2024-04-11T05:05:27Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Respiratory Research |
| spelling | doaj.art-9ac3933d64ea4780b5e0732139ac50252022-12-25T12:26:32ZengBMCRespiratory Research1465-993X2022-12-0123113610.1186/s12931-022-02290-5Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directionsIraj Poureslami0J. Mark FitzGerald1Noah Tregobov2Roger S. Goldstein3M. Diane Lougheed4Samir Gupta5Division of Respiratory Medicine, Centre for Lung Health, Vancouver Coastal Health Research Institute, University of British ColumbiaDivision of Respiratory Medicine, Centre for Lung Health, Vancouver Coastal Health Research Institute, University of British ColumbiaDivision of Respiratory Medicine, Centre for Lung Health, Vancouver Coastal Health Research Institute, University of British ColumbiaDepartment of Physical Therapy, Temerty Faculty of Medicine, University of TorontoAsthma Research Unit, Department of Medicine, Kingston Health Sciences Centre, Queen’s UniversityUnity Health, Li Ka Shing Knowledge Institute of St. Michael’s HospitalAbstract Respiratory self-care places considerable demands on patients with chronic airways disease (AD), as they must obtain, understand and apply information required to follow their complex treatment plans. If clinical and lifestyle information overwhelms patients’ HL capacities, it reduces their ability to self-manage. This review outlines important societal, individual, and healthcare system factors that influence disease management and outcomes among patients with asthma and chronic obstructive pulmonary disease (COPD)—the two most common ADs. For this review, we undertook a comprehensive literature search, conducted reference list searches from prior HL-related publications, and added insights from international researchers and scientists with an interest in HL. We identified methodological limitations in currently available HL measurement tools in respiratory care. We also summarized the issues contributing to low HL and system-level cultural incompetency that continue to be under-recognized in AD management and contribute to suboptimal patient outcomes. Given that impaired HL is not commonly recognized as an important factor in AD care, we propose a three-level patient-centered model (strategies) designed to integrate HL considerations, with the goal of enabling health systems to enhance service delivery to meet the needs of all AD patients.https://doi.org/10.1186/s12931-022-02290-5Chronic airway diseaseHealth literacyCultural competencePatient-centered careNarrative review |
| spellingShingle | Iraj Poureslami J. Mark FitzGerald Noah Tregobov Roger S. Goldstein M. Diane Lougheed Samir Gupta Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions Respiratory Research Chronic airway disease Health literacy Cultural competence Patient-centered care Narrative review |
| title | Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions |
| title_full | Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions |
| title_fullStr | Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions |
| title_full_unstemmed | Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions |
| title_short | Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions |
| title_sort | health literacy in asthma and chronic obstructive pulmonary disease copd care a narrative review and future directions |
| topic | Chronic airway disease Health literacy Cultural competence Patient-centered care Narrative review |
| url | https://doi.org/10.1186/s12931-022-02290-5 |
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