2023-09-28 14:46:10 +00:00
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abstract: 'Background. Patients with moderate or severe asthma, particularly those
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who are minority or poor, often encounter significant personal, clinical
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practice, and health system barriers to accessing care. Objective. To
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explore the ideas of patients and providers for potentially feasible,
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individualized, cost-effective ways to reduce obstacles to care by
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providing social support using a patient advocate or navigator. Methods.
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The authors conducted four focus groups of adults with moderate or
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severe asthma. Participants were recruited from clinics serving
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low-income and minority urban neighborhoods. Data from these patient
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focus groups were shared with two additional focus groups, one of nurses
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and one of physicians. Researchers independently coded and agreed upon
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themes from all focus groups, which were categorized by types of social
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support: instrumental (physical aid), informational (educational),
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emotional (empathizing), validation (comparisons to others). Results.
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Patients and providers agreed that a patient navigator could help
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patients manage asthma by giving social support. Both groups found
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instrumental and informational support most important. However, patients
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desired more instrumental help whereas providers focused on
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informational support. Physicians stressed review of medical information
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whereas patients wanted information to complete administrative tasks.
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Providers and patients agreed that the patient navigator''s role in
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asthma would need to address both short-term care of exacerbations and
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enhance long-term chronic self-management by working with practice
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personnel. Conclusions. Along with medical information, there is a need
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for providers to connect patients to instrumental support relevant to
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acute and long-term asthma-self-management.'
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affiliation: 'Apter, AJ (Corresponding Author), Hosp Univ Penn, 829 Gates Bldg,3600
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Spruce St, Philadelphia, PA 19104 USA.
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Black, Heather L.; Priolo, Chantel; Akinyemi, D''Jahna; Gonzalez, Rodalyn; Jackson,
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Danielle S.; Garcia, Laura; Apter, Andrea J., Univ Penn, Div Pulm Allergy \& Crit
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Care Med, Sect Allergy \& Immunol, Philadelphia, PA 19104 USA.
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George, Maureen, Univ Penn, Sch Nursing, Family \& Community Hlth Div, Ctr Hlth
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Equ Res, Philadelphia, PA 19104 USA.'
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author: Black, Heather L. and Priolo, Chantel and Akinyemi, D'Jahna and Gonzalez,
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Rodalyn and Jackson, Danielle S. and Garcia, Laura and George, Maureen and Apter,
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Andrea J.
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author-email: apter@mail.med.upenn.edu
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author_list:
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- family: Black
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given: Heather L.
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- family: Priolo
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given: Chantel
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- family: Akinyemi
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given: D'Jahna
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- family: Gonzalez
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given: Rodalyn
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- family: Jackson
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given: Danielle S.
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- family: Garcia
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given: Laura
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- family: George
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given: Maureen
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- family: Apter
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given: Andrea J.
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da: '2023-09-28'
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doi: 10.3109/02770903.2010.506681
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eissn: 1532-4303
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files: []
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issn: 0277-0903
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journal: JOURNAL OF ASTHMA
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keywords: 'Asthma; barriers; communication; control; patient navigator;
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self-management'
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keywords-plus: 'DISPARITIES; INTERVENTION; MANAGEMENT; NUMERACY; OUTCOMES; QUALITY;
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ADULTS; SYSTEM'
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language: English
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month: OCT
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number: '8'
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number-of-cited-references: '33'
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orcid-numbers: 'Black, Heather/0000-0002-4739-3572
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George, Maureen/0000-0001-9234-7842
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Jackson, Danielle/0000-0001-6451-1377'
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pages: 913-919
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papis_id: 607f4cc85dbdd46f6853dcd5873ec148
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ref: Black2010clearingclinical
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times-cited: '21'
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title: 'Clearing Clinical Barriers: Enhancing Social Support Using a Patient Navigator
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for Asthma Care'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000282516400012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '15'
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volume: '47'
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web-of-science-categories: Allergy; Respiratory System
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year: '2010'
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