abstract: 'Background. Patients with moderate or severe asthma, particularly those

  who are minority or poor, often encounter significant personal, clinical

  practice, and health system barriers to accessing care. Objective. To

  explore the ideas of patients and providers for potentially feasible,

  individualized, cost-effective ways to reduce obstacles to care by

  providing social support using a patient advocate or navigator. Methods.

  The authors conducted four focus groups of adults with moderate or

  severe asthma. Participants were recruited from clinics serving

  low-income and minority urban neighborhoods. Data from these patient

  focus groups were shared with two additional focus groups, one of nurses

  and one of physicians. Researchers independently coded and agreed upon

  themes from all focus groups, which were categorized by types of social

  support: instrumental (physical aid), informational (educational),

  emotional (empathizing), validation (comparisons to others). Results.

  Patients and providers agreed that a patient navigator could help

  patients manage asthma by giving social support. Both groups found

  instrumental and informational support most important. However, patients

  desired more instrumental help whereas providers focused on

  informational support. Physicians stressed review of medical information

  whereas patients wanted information to complete administrative tasks.

  Providers and patients agreed that the patient navigator''s role in

  asthma would need to address both short-term care of exacerbations and

  enhance long-term chronic self-management by working with practice

  personnel. Conclusions. Along with medical information, there is a need

  for providers to connect patients to instrumental support relevant to

  acute and long-term asthma-self-management.'
affiliation: 'Apter, AJ (Corresponding Author), Hosp Univ Penn, 829 Gates Bldg,3600
  Spruce St, Philadelphia, PA 19104 USA.

  Black, Heather L.; Priolo, Chantel; Akinyemi, D''Jahna; Gonzalez, Rodalyn; Jackson,
  Danielle S.; Garcia, Laura; Apter, Andrea J., Univ Penn, Div Pulm Allergy \& Crit
  Care Med, Sect Allergy \& Immunol, Philadelphia, PA 19104 USA.

  George, Maureen, Univ Penn, Sch Nursing, Family \& Community Hlth Div, Ctr Hlth
  Equ Res, Philadelphia, PA 19104 USA.'
author: Black, Heather L. and Priolo, Chantel and Akinyemi, D'Jahna and Gonzalez,
  Rodalyn and Jackson, Danielle S. and Garcia, Laura and George, Maureen and Apter,
  Andrea J.
author-email: apter@mail.med.upenn.edu
author_list:
- family: Black
  given: Heather L.
- family: Priolo
  given: Chantel
- family: Akinyemi
  given: D'Jahna
- family: Gonzalez
  given: Rodalyn
- family: Jackson
  given: Danielle S.
- family: Garcia
  given: Laura
- family: George
  given: Maureen
- family: Apter
  given: Andrea J.
da: '2023-09-28'
doi: 10.3109/02770903.2010.506681
eissn: 1532-4303
files: []
issn: 0277-0903
journal: JOURNAL OF ASTHMA
keywords: 'Asthma; barriers; communication; control; patient navigator;

  self-management'
keywords-plus: 'DISPARITIES; INTERVENTION; MANAGEMENT; NUMERACY; OUTCOMES; QUALITY;

  ADULTS; SYSTEM'
language: English
month: OCT
number: '8'
number-of-cited-references: '33'
orcid-numbers: 'Black, Heather/0000-0002-4739-3572

  George, Maureen/0000-0001-9234-7842

  Jackson, Danielle/0000-0001-6451-1377'
pages: 913-919
papis_id: 607f4cc85dbdd46f6853dcd5873ec148
ref: Black2010clearingclinical
times-cited: '21'
title: 'Clearing Clinical Barriers: Enhancing Social Support Using a Patient Navigator
  for Asthma Care'
type: Article
unique-id: WOS:000282516400012
usage-count-last-180-days: '0'
usage-count-since-2013: '15'
volume: '47'
web-of-science-categories: Allergy; Respiratory System
year: '2010'